Calluses and corns are among the most common foot complaints I see at my foot care and (medical) pedicure practice in Blaricum. In themselves they are the skin's protective response to pressure and friction, but as soon as they hurt with every step, it is time for a professional treatment. The good part: removal is safe, hygienic and almost painless.
In short
A callus is a flat, yellowish thickening of the skin caused by prolonged pressure or friction, often on the ball of the foot or the heel. It is usually not painful, but thick layers can pull or burn.
A corn is smaller and has a hard core that grows inward like a cone. It is precisely this core that presses on the underlying nerve endings and causes sharp, pinpoint pain — for example between the toes or under the foot.
After a short assessment of the skin and the pressure points, I remove the callus layer by layer with a sterile blade and a burr. With a corn, I carefully lift out the hard core, which immediately takes the pressure off the nerve.
I work locally and in a controlled way, so that only the excess, hard skin is removed and the healthy skin stays intact. Finally, if needed, I apply a softening cream or a relieving dressing.
Corn plasters and fluids from the drugstore often contain salicylic acid, which does not distinguish between hard and healthy skin. Used incorrectly they cause wounds — risky, especially with diabetes or reduced circulation.
Cutting yourself with scissors or a blade quickly leads to a wound that is too deep and to infection. A podologist works sterile and knows exactly how deep is safe.
Calluses and corns return as long as the cause — pressure and friction — remains. That is why I also look at your footwear and the position of the foot, and recommend a pressure-relieving orthosis or other shoes if needed. Regular care keeps the feet soft and pain-free.
Your questions about this treatment answered
No, the treatment is almost painless. I only remove the hard, dead skin. Many people feel immediate relief because the pressure on the nerve is gone.
Usually 30 to 45 minutes. With thick calluses or several corns it can take a little longer.
They can return if the pressure or friction remains. With good shoes, possibly an orthosis and regular care, we keep them under control.
Yes, and it is actually wise. With diabetes it is hard to feel small wounds; I then remove calluses and corns especially carefully and sterile.