Health Library Logo

Health Library

Corns And Calluses

Overview

Corns and calluses are areas of thickened skin. Your body makes these tough spots as a way of protecting itself from rubbing or pressure. They commonly show up on the soles of your feet, your toes, or the palms of your hands and fingers. Usually, if you're healthy, you don't need to worry about corns and calluses unless they hurt or you find them unattractive. In most cases, simply figuring out what's causing the rubbing or pressure and removing it is all that's needed to get rid of them.

Symptoms

Corns and calluses are common skin problems on the feet, hands, and other areas. They're thick, hardened areas of skin. Here's how to tell them apart and what to do if you have them.

Signs of Corns and Calluses:

Both corns and calluses show up as thick, rough patches of skin. They might feel hard and raised, and sometimes there's tenderness or pain beneath the surface. The skin might look flaky, dry, or even waxy.

Key Differences:

  • Corns: These are usually smaller and deeper than calluses. A corn has a hard center surrounded by inflamed, swollen skin. They are often painful when touched. Hard corns frequently form on the top of toes, particularly the big toe or on the outer edge of a small toe. Soft corns, on the other hand, tend to develop between the toes, where the skin is softer and more prone to friction.

  • Calluses: Calluses are usually larger than corns and are less likely to be painful. They form on areas of the body that get a lot of pressure, like the heels, the balls of the feet, the palms of the hands, and even the knees. They're not usually painful but can be uncomfortable if they get too thick. Calluses can vary in shape and size.

When to See a Doctor:

If a corn or callus becomes very painful, inflamed, or infected, you should see a doctor. This is especially important if:

  • You have diabetes: People with diabetes have a higher risk of foot problems, and even a small injury can become a serious infection.

  • You have poor blood flow: Poor blood flow to your feet can slow down healing and increase the risk of infections.

  • The area is very painful: If the corn or callus is causing significant pain, it's best to seek medical attention.

Important Note: Don't try to treat corns or calluses yourself if you have diabetes or poor blood flow. A small injury can quickly become a serious problem. Always consult a healthcare professional for proper diagnosis and treatment.

When to see a doctor

If a hard spot on your foot (a corn or callus) becomes really sore or red and swollen, it's important to see a doctor. This is especially true if you have diabetes or circulation problems. Even a small injury on your foot can easily turn into a serious, infected open sore (called an ulcer) in people with these conditions. So, if you're unsure, it's always best to get professional medical help.

Causes

Corns and calluses are rough, hardened areas on your skin. They happen because of repeated rubbing and pressure. This rubbing can come from many sources.

Foot Problems: Tight shoes, especially high heels, can squeeze your feet, putting pressure on certain areas. Loose shoes can also cause problems, as your foot rubs against the inside of the shoe. This rubbing can happen against seams, stitches, or even just the inside of the shoe. Similarly, socks that don't fit properly can create friction. Walking around barefoot or without socks in shoes or sandals also increases friction against your feet.

Hand Problems: Using tools or instruments repeatedly can also cause calluses on your hands. This is because the repeated pressure from activities like playing instruments, using hand tools, or even holding a pen for long periods can harden the skin in those areas.

Genetics: Some types of corns, especially those that form on parts of the body that aren't usually bearing weight, like the soles of the feet or the palms of your hands, might be linked to your genes. This type is sometimes called keratosis punctata. This means that a tendency to develop these corns might run in your family.

Risk factors

Corns and calluses can develop for several reasons. One common cause is wearing shoes that rub or squeeze your feet. This extra pressure and friction can irritate the skin, leading to the formation of these hard, thickened areas.

Another factor is any condition that puts extra pressure on your feet. For example, problems like hammertoe (where the toe bends) or hallux valgus (a sideways bend in the big toe that creates a bump, sometimes called a bunion) can increase pressure and friction, making you more prone to corns and calluses.

Finally, some people might be more likely to get corns due to their genetics. Certain types of corns, like those that form on areas not usually bearing weight, such as the soles of the feet or palms of the hands, might be influenced by inherited traits. This type is sometimes called keratosis punctata.

Complications

People with diabetes or conditions that reduce blood flow to their feet are more likely to have problems with corns and calluses. This is because poor blood flow can make these areas of the foot heal more slowly and be more susceptible to infection. If you have diabetes or circulatory issues, it's especially important to take care of your feet and get any foot problems checked by a doctor right away.

Prevention

To avoid corns and calluses, try these simple steps:

Protect the affected areas: If your skin is rubbing against your shoes, cover the spots with felt pads, special corn pads (without medicine), or bandages. You can also use toe separators or small pieces of lamb's wool to prevent rubbing between your toes.

Protect your hands: When using hand tools, wear padded gloves. Alternatively, wrap cloth tape or protective covers around the handles of your tools to prevent friction and irritation.

Diagnosis

Your doctor can usually tell if you have a corn or callus just by looking at your feet. This check-up helps them figure out if the thick skin is something else, like a wart or a cyst. Sometimes, to be sure, your doctor might gently scrape off a small bit of the hard skin. If this scraping causes bleeding or shows tiny black dots (dried blood), it's likely a wart, not a corn.

Treatment

Treating Corns and Calluses

Corns and calluses are similar problems, often caused by repeated pressure or friction on the skin. To prevent them, avoid the activities that are causing the issue. Wear well-fitting shoes and use protective pads on areas prone to rubbing.

If self-care measures aren't enough, or if a corn or callus is painful, a doctor can help.

Home Remedies and Self-Care:

  • Softening the skin: Before applying any treatments, gently soften the thickened skin with a pumice stone, nail file, or emery board. This will help the treatment work more effectively.

Medical Treatments:

  • Trimming: A doctor can carefully trim away excess skin from a corn or callus. This is done in the office and should never be done at home to avoid infection.

  • Medicated patches: Patches containing salicylic acid (like Clear Away or MediPlast) can help dissolve the hard skin. These are available without a prescription. A doctor will tell you how often to change the patch.

  • Salicylic acid gels/liquids: For larger areas, a doctor might recommend a nonprescription salicylic acid gel or liquid (like Compound W or Keralyt). These work similarly to the patches.

  • Shoe inserts (orthotics): If a foot deformity is causing the corns or calluses, a doctor may recommend custom-made shoe inserts (orthotics). These can help keep pressure off the affected area.

Surgery:

  • In rare cases: If a bone misalignment is causing significant friction, a doctor might suggest surgery to correct the alignment. This surgery is often performed without an overnight stay in the hospital.

Important Note: Always consult a doctor before attempting any treatment for corns or calluses, especially if the problem is severe or persistent. Attempting home remedies without professional guidance can lead to complications.

(Removed irrelevant Mayo Clinic signup information)

Address: 506/507, 1st Main Rd, Murugeshpalya, K R Garden, Bengaluru, Karnataka 560075

Disclaimer: August is a health information platform and its responses don't constitute medical advise. Always consult with a licenced medical professional near you before making any changes.

Made in India, for the world