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Corns, Callouses, and Hammertoes

Diagnosis/Definition

• Focal or diffuse keratotic lesions beneath weight-bearing areas or above pressure points.

• Contractures of the lesser digits.

Initial Diagnosis and Management

• History and physical examination.

• Appropriate radiographic (weightbearing foot) and laboratory evaluation (rheumatologic panel if the condition is inflammatory, bilateral, and other joint symptoms are noted).

Ongoing Management and Objectives

Initial primary care treatment should consist of a three-month trial of the following:

• Over-the-counter non-chemical corn pads (i.e., moleskin or Dr. Scholls)

• Over-the-counter soft insoles (i.e., Spenco)

• Corn and callus debridement

• Lachydrin prescription

• Soft shoes with a deep and wide toe box (running/walking shoes)

Indications for Specialty Care Referral

Patients without improvement of symptoms after the three-month trial period can be referred to the Podiatry Clinic.

Criteria for Return to Primary Care

Patients should return to primary care for chronic management after biomechanical (non-surgical candidates) or surgical treatment