When we walk or stand, our body weight is carried first on the heel and then on the ball of the foot, where the skin is thicker, to withstand the pressure. A callus, or callosity, is an extended area of thickened skin on the soles of the feet, and occurs on areas of pressure. Most calluses are symptoms of an underlying problem like a bony deformity, a particular style of walking, or inappropriate footwear. The elderly can benefit from padding to the ball of the foot, to compensate for any loss of natural padding.
These are the most common and appears as small, concentrated areas of hard skin up to the size of a small pea, usually within a wider area of thickened skin or callous, and can be symptoms of feet or toes not functioning properly.
These are tiny corns that tend to occur either singly or in clusters on the bottom of the foot.

When you have verrucae on a non-weight-bearing surface (such as on the top of the foot or on the toes), they protrude above skin level, tend to be fleshier and cause less pain. When this pressure becomes excessive, some areas of the skin thicken, in the form of corns and callus, as a protective response. Verrucae are harmless however, they can cause a sharp, burning pain if you get one on a weight-bearing area such as the ball or the heel of the foot.
You may experience a cotton wool like feeling or numbness in your feet, this is called neuropathy. If you are forewarned that you have lost or are losing feeling then you will be able to reduce the risk of problems occurring by undertaking daily inspections of your feet and taking precautions such as not walking bare footed or sitting too close to fires.
Elderly people have less fatty tissue in their skin and this can lead to callus forming on the ball of the foot.

Such an outcome is less likely if you seek expert advice from your multi-disciplinary foot team. So if an infected bare foot walks across the poolside, it may release virus-infected cells onto the floor.

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