Corns and callus that are not treated will become painful. They will not come off right on there own unless the pressure that caused them is taken away. If it is not, the skin will continue to thicken and become more painful. After a while the body will start treating it as a foreign body and a ulcer can develop. This can get infected and the infection can spread. Infection of corns on the toe is more common than a callus.
Calluses or corns usually do not need treatment unless they cause pain. If they do cause pain, the treatment goal is to remove the pressure or friction that is causing the callus or corn, to give it time to heal. Initial treatment generally involves things you can do at home. These include carefully choosing your footwear, using a pumice stone, and using over-the-counter (nonprescription) salicylic acid products.
Self treatment should follow a proper diagnosis of the underlying condition and advice on how to best manage it. Remedies such as corn paint, cure or plasters will generally only treat the symptom of the corn and not the problem that causes it. Cutting corns or calluses yourself (bathroom surgery) is not without its dangers, especially if you cut yourself. In the warm and moist environment of enclosed shoes, infection can easily develop into a serious wound. Self treatment or management of corns and callus includes following the advice of a Podiatrist, proper fitting of footwear, and proper foot hygiene and the use of emollients to keep the skin in good condition.
Surgery is rarely used to treat corns or calluses. But if an underlying bone structure (such as a hammer toe or bunion) is causing a callus or corn, surgery can be used to change or remove the bone structure. This is used only if other treatment has failed. If treatment for soft corns does not work, the skin between the bases of the two toes can be sewn together (syndactylization). This creates a partial webbing where the soft corn had been. Another corn cannot form over this webbing.
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