viernes, 25 de septiembre de 2020

Finding relief from calluses and corns


Harvard Medical School

Finding relief from calluses and corns

Calluses and corns are areas of hardened, sometimes yellowish skin on the foot. They form on pressure points or around bony areas. Calluses usually appear on the bottom of the feet and corns on top, usually around the toes.
Although they aren't necessarily welcome, calluses and corns develop to protect the foot from further damage. The cause is often poorly fitting shoes, but how you walk (your gait) or the bone structure of your feet may make you more prone to these foot issues.
Get your copy of Healthy Feet: Preventing and treating common foot problems
Healthy Feet: Preventing and treating common foot problems
Do your arches ache or your heels hurt? Got gout or battling bursitis? If so, you are among the three out of four Americans who will suffer some kind of foot ailment in their lifetime. This Special Health Report, Healthy Feet: Preventing and treating common foot problems, covers the most common foot problems and helps you prevent and treat them.

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If you develop corns or calluses, cushion the affected area with moleskin, cotton, or lamb's wool to relieve pressure. Many pharmacies sell over-the-counter products to cushion corns and calluses, which you may find helpful. Custom shoe inserts that redistribute your weight and take pressure off the affected areas are another option.
Better-fitting shoes will reduce the irritation that caused the problem in the first place, and over time, the corns or calluses will shrink on their own. But don't expect overnight results; the process can take weeks or even months.
To get rid of corns and calluses faster, you can use a pumice stone, which will gently remove the top layers of skin. Soak your feet in warm water first, to soften the corn or callus. Dry your feet, then rub the pumice stone gently over the corn or callus. Afterward, moisturize the area with skin lotion. The key word is gentle. Don't overdo it, or you could hurt your skin. Pharmacies sell various chemical peels and acid disks, but use such products with caution. Most of them contain salicylic acid, which can damage healthy tissue unless you follow the instructions exactly. Some foot care specialists advise against using these products at all.
For larger corns and calluses, consult a foot care specialist. Although some pedicurists may offer to remove corns and calluses, it's safer to seek help from a trained medical specialist, like a podiatrist.
For more information on caring for your feet, check out Healthy Feet: Preventing and treating common foot problems, a Special Health Report from Harvard Medical School.
Image: macniak/ Getty Images
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9 ways to fix foot pain

Pain is a symptom common to many foot conditions, and pain medications can often help relieve foot pain. You also can try other approaches, either before resorting to pain relievers or in conjunction with them. For example, you can try an ice pack or a warm foot soak before reaching for the pain pills.
In general, if your skin feels warm to the touch (indicating that your foot is inflamed and possibly swollen), apply ice. Don't apply warmth to an inflamed area because it will only increase the blood flow and make the inflammation worse.
If your feet are tired and sore and your skin feels normal or cool to the touch, try soaking your feet in a warm bath to relax and soothe them. Pharmacies sell gel packs that you can either freeze or heat in the microwave, then apply to your feet. You can also try massage (see "Foot massage," below). Gently rubbing sore muscles and joints can often provide needed relief. But don't massage a foot that is inflamed or that you think might be injured.

Foot massage

When you think of massage, you may think of a neck or back rub. But your feet also benefit from a regular rubdown. And you may even be able to do it yourself. Massage improves circulation, stimulates muscles, reduces tension, and often alleviates pain. It also provides a time for you to examine your feet, giving you the chance to notice a problem before it gets worse. To do a massage:
  • Sit in a comfortable chair. Bend your left leg and rest your left foot gently on your right thigh.
  • Pour some skin lotion or oil into your hand. Rub it gently into your foot and massage your whole foot — toes, arch, and heel.
  • Do a deeper massage. Press the knuckles of your right hand into your left foot. Knead your foot as you would bread. Or work the skin and muscles by holding a foot with both hands and pressing your thumbs into the skin.
  • Using your hands, pull the toes back and forth or apart. This gently stretches the muscles underneath.
  • Repeat on the other foot.
To enhance your massage, you can buy massage devices in local drugstores or health stores. Look for foot rollers; these can provide fast foot massages at home or at work — take off your shoes and roll your feet over the massagers for a quick pick-me-up.
When it comes to pharmaceutical treatment, there are a number of different options. Some medications are topical — that is, you apply them to the skin. Others are systemic; these are usually taken in pill form. A summary of the major categories of pain relief medications follows.
1. Oral analgesics. This class of medications encompasses pain relievers, such as acetaminophen (Tylenol), which relieve pain without relieving inflammation. Be sure to follow directions because taking too much acetaminophen can cause liver failure.
2. Topical analgesics. Topical pain medications are available in lotion, cream, or gel form. They are spread on the skin and penetrate inward to relieve some forms of mild foot pain. Some topical preparations — such as those containing menthol, eucalyptus oil, or turpentine oil — reduce pain by distracting the nerves with a different type of sensation. Another group delivers salicylates (the same ingredient as in aspirin) through the skin. A third group counters a chemical known as substance P, which is a neurotransmitter that appears to transmit pain signals to the brain. These creams contain a derivative of a natural ingredient found in cayenne pepper. For that reason, they may burn or sting when first used.
3. Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs are available both with and without a prescription. Popular over-the-counter NSAIDs include aspirin (Bayer, Bufferin, others), ibuprofen (Advil, Motrin, others), and naproxen (Aleve). If you are taking an NSAID solely to relieve pain, expect to take a low dosage for a limited amount of time — usually until the pain is gone. If you have a condition that involves inflammation as well as pain, such as Achilles' tendinitis or a sprain, your doctor may advise you to take an NSAID at a higher dose and for a longer period, sometimes as much as several weeks. Why the difference? You can feel the pain-relieving effects of NSAIDs almost immediately, but you do not experience the full anti-inflammatory effects until a sufficient amount of the medication builds up in your bloodstream. Be aware that NSAID medications have a variety of side effects, so it is important to discuss your personal health risks with your doctor when considering their regular use.
If these over-the-counter options don't solve your foot pain problems, your doctor can prescribe a variety of prescription medication and treatment options, as described below.
4. COX-2 inhibitor. A type of prescription NSAID known as a COX-2 inhibitor — such as celecoxib (Celebrex) — relieves pain and inflammation and may reduce the risk for gastric ulcers and bleeding, which sometimes make older NSAIDs difficult to tolerate. COX-2 inhibitors have their own side effects, though, so it is important to discuss your personal health risks with your doctor when considering the long-term use of these medications.
5. Nerve pain medications. Pain caused by nerve damage (neuropathy) may not respond well to acetaminophen or NSAIDs. Three commonly prescribed medications for neuropathy are amitriptyline (Elavil), gabapentin (Neurontin), and pregabalin (Lyrica).
6. Nerve blocks. A nerve block is an injection that numbs a particular nerve to prevent pain signals from reaching your brain (much as lidocaine does in a dentist's office). It's effective for severe pain or for use during a surgical procedure.
7. Corticosteroids. These medications are synthetic forms of naturally occurring hormones produced by the adrenal glands. Corticosteroids may be given in the form of pills or injections to decrease inflammation and thus relieve pain. Topical corticosteroids, applied directly to the skin, are useful only in treating rashes, not for pain due to musculoskeletal injuries.
For more information on caring for your feet, buy Healthy Feet: Preventing and treating common foot problems, a Special Health Report from Harvard Medical School.
Image: mheim3011/Getty Images
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Featured in this issue

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Healthy Feet: Preventing and treating common foot problems

Featured content:

The fantastic foot
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Arches that ache and flat feet
Tormented toes
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