They develop when there is excessive friction or pressure on the skin, usually from ill-fitting shoes or from lots of walking. The medical term for a foot corn is a "Heloma Molle". Corns and calluses are generally not a serious problem and can be easily treated with a combination of good foot hygiene, medication and orthotics. However occasionally they become infected or cause ulcers in which case surgery may be necessary. Here we will look at the different types of foot corns and calluses, the common causes, best treatments options and how to prevent them from coming back again. What Are Foot Calluses?
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The callus may be located at other sites, depending on the anatomy and biomechanics of the individual. A callus forming at the webbing of the interspace is most often associated with a short fifth metatarsal. With heloma molles, patients often complain about pain at the site of the lesion that is aggravated by tight shoes, pressure, and ambulation.
If ignored, a heloma molle may develop into something more serious such as an infection, sinus tract to the bone, even a bone infection. The first line of treatment for a heloma molle include, padding that would separate the digits, local debdridement and possible keratolytics that would keep the callus down. Antimicrobrial topicals may be required if an infection is involved. Regular maintenance would be required to keep the callus from reforming. If the heloma molle persists and continues to cause pain, there are several surgical options aimed at relieving the pressure areas.
One such procedure would be the removal of the proximal phalanx base of the fourth digit. Another surgery that would prevent reoccurrence is syndactilization of the digits after resection of the involved areas. Call your podiatrist today if you have questions or concerns about a heloma molle or calluses.
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What is a Heloma Molle? A Heloma Molle soft foot corn is a uniquely shaped callus that resembles a corn kernel. This causes deep tissue pain and possible ulceration. The Heloma Molle has a thin surface, it appears white and rubbery.