Calluses

A callus, also known as hyperkeratosis, is an area of hard, thickened skin that can occur across the ball of the foot, on the heel, or on the outer side of the big toe. Although many consider them a skin problem, they are indicative of a problem with the bone.

Calluses form from repeated friction and pressure, as the shoe (or ground) rubs against a bony prominence (bone spur) on the toe or foot. The skin thickens in response to this pressure. Small amounts of friction or pressure over long periods of time cause a corn or callus. A great deal of friction or pressure over shorter periods of time can cause blisters or open sores. Calluses typically develop under a metatarsal head (the long bone that forms the ball of the foot). Calluses have painful nerves and bursal sacs (fluid-filled balloons that act as shock absorbers) beneath them, causing symptoms ranging from sharp, shooting pain to dull, aching soreness.

Calluses can be treated with over-the-counter callus removers, which use strong acids to peel this excess skin away after repeated application. Be careful using these products as they can cause chemical burns when misapplied or used in excess. People who have poor circulation, diabetes or neuropathy should not use these products. Alternatively, treat calluses as follows: Begin by soaking the foot or feet in warm soapy water and gently rubbing away any dead skin that loosens. Next, use a pumice stone or emery board to file away the thickened skin. Apply a good moisturizer to the hardened areas to keep them softer and relieve pain. Nonmedicated corn pads or moleskin (a thin fuzzy sheet of fabric with an adhesive back) are available in stores and can relieve pain caused by calluses. However, use caution removing pads or moleskins to avoid tearing the skin.

If you need assistance relieving calluses, please contact our office. We can trim and apply comfortable padding to the painful areas. In more severe cases, we may prescribe medication to relieve inflammation, or inject cortisone into the underlying bursal sac to rapidly reduce pain and swelling. 

A plantar callus forms on the bottom of the heel over time where one metatarsal bone is longer or lower than the others. This structure causes the one metatarsal to hit the ground first and with more force than it is equipped to handle. As a result, the skin under this bone thickens. In most cases, plantar calluses can be treated without surgery. In some recurring cases, however, a surgical procedure, called an osteotomy, is performed to relieve the pressure on the bone. 

Callus

A condition called Intractable Plantar Keratosis (IPK) is a deep callus directly under the ball of the foot. IPK is caused by a "dropped metatarsal," which happens when the metatarsal head drops to a lower level than the surrounding metatarsals and protrudes from the bottom of the foot. This results in more pressure being applied in this area and causes a thick callus to form. A dropped metatarsal can either be a congenital abnormality, a result of a metatarsal fracture, or a structural change that may have occurred over time.

You can prevent calluses by:

  • Switching to better-fitting shoes or using an orthotic device to correct an underlying cause.
  • Buying socks with double-thick toes and heels or nylon hose with woven cotton soles on the bottom of the foot.
See the Foot Doctor!

Services

Tenex Health TX™
  • Tenex Health TX™

    Plantar fasciitis or achilles tendonitis, an inflammation, irritation and swelling of the tendon, comes from an injury or doing the things you love or need to do—over and over again. Repetitive motions, no matter how ordinary, can cause small micro tears that occur each time you use your tendon. When the micro tears do not heal properly, tendinosis (tendon degeneration) can occur.

    Percutaneous tenotomy or percutaneous fasciotomy, using ultrasonic energy powered by the Tenex Health TX™ System, is a safe and quick procedure specially designed for those who are suffering from painful conditions associated with chronic tendon damage. The procedure treats tendinosis or fasciitis in the ankle and foot.

    Tenex Health TX is based on advanced technology developed in collaboration with the world renowned Mayo Clinic.

     

    Tenex Health TX™ benefits:

    If you have tried physical therapy, cortisone injections, medication, or just taking time to ice, stretch and rest and are still in pain, talk to us. We now have a solution that does not involve general or open surgery, may give you quick pain reduction and should have you back to enjoying the things you love in a few weeks to a few months.

    Patient benefits may include:
    ∙ Quick pain relief
    ∙ Rapid return to normal activities
    ∙ Local anesthetic used instead of general anesthesia
    ∙ No sutures, no stitches (requires only a small, adhesive bandage)
    ∙ 20­minute, minimally invasive procedure (not open surgery)
    ∙ Coverage by most insurances

  • How does Tenex Health TX™ work?

    Precisely targets your damaged tissue. Your doctor uses ultrasound imaging, just like the kind used to see babies in the womb, to visualize and identify the specific location of the damaged tendon tissue.

    Gently removes damaged tissue. Once the source of your tendon pain is identified, your doctor numbs the area with a local anesthetic, allowing you to stay awake the entire time. Many people say after the numbing process—which feels like a bee sting—they felt only a slight pressure during the procedure (if they felt anything at all). Your doctor then uses gentle ultrasonic energy designed to safely breakdown and remove the damaged tissue. The ultrasonic energy is applied with the TX MicroTip, which requires only a microincision to reach the damaged tissue. Because the incision is so small and the ultrasonic energy precisely treats only the damaged tendon tissue, the surrounding healthy tissue is left unharmed.

    Requires no stitches. When the procedure is completed, your doctor applies a small adhesive bandage; no stitches are required. Because you are awake during the procedure (no general anesthesia), many people are able to drive home after the procedure.

    Can offer nearly instant pain relief with a rapid recovery. Recovery is rapid with many people being back to normal activity within 6 weeks or less. Because the surrounding healthy tissue is not disturbed, and no stitches or general anesthesia is required, there is minimal downtime and less discomfort compared to open surgery. The speed of your recovery depends on the location of your tendinitis and your individual results may vary.

     

    What areas of the body does our practice treat with Tenex Health TX™?

    Our practice treats the ankle and foot with Tenex Health TX.

  • VIDEO: Learn more about Tenex Health TX™

    As a percutaneous tenotomy or percutaneous fasciotomy procedure, Tenex Health TX is typically covered by Medicare­approved and private health insurers. It is always recommended that patients consult the treating physician and individual health plan. For more information, visit www.tenexhealth.com.

    MKT112. Rev. C


  • LAPIPLASTY® Procedure Patient Education Video from Treace Medical Concepts on Vimeo.

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We are pleased to provide patients with secure, 24/7 access to their health records through the Pancholi Foot and Ankle Patient Portal. Patients can safely and easily:

  • Request prescription refills
  • Update insurance/demographic information
  • Review financial statements/make secure payments
  • View lab and test results
  • Access relevant health education materials

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