A deep callus is a thickened and hardened area of the skin that develops on the sole. A deep callus is also known as a plantar callus, which is a natural response to repeated friction, pressure, or irritation on the skin. They occur on weight-bearing areas of the foot, such as the heels or the balls of the feet. They may result from activities with repetitive pressure or rubbing, such as walking or running long distances, wearing ill-fitting shoes, or standing for extended periods.They form to protect the skin from damage, but they can be problematic and cause discomfort.
Symptoms of a deep callus include: thickened and toughened area of skin on the foot, a raised bump or patch of skin, pain or tenderness when pressure is applied to the affected area, and discomfort while walking or wearing shoes.
To prevent deep calluses from recurring, wear appropriate footwear, maintain good foot hygiene, and address any underlying foot conditions that may contribute to their formation. Self-treatment to remove deep calluses at home can be risky and may lead to complications or infections. Seek professional medical treatment if the deep callus causes pain or discomfort.If you have concerns about a deep callus or foot pain, consult our podiatrist Houston at DeNiel Foot and Ankle Center in Cypress, Texas, for proper evaluation and guidance.
Medical treatment for a deep callus typically involves interventions depending on the severity of the callus. The following medical treatments may be recommended:
- Debridement is where a podiatrist can safely remove the thickened skin using specialized tools. Debridement reduces the size and discomfort of the callus and allows the healthy skin to heal properly. At home gently file down the callused area with a pumice stone or foot file to reduce its size and thickness.Apply moisturizing creams or lotions to the callus to help soften the skin and reduce discomfort.
- Salicylic acid treatment is applied to the callused area to soften and dissolve the thickened skin gradually. The chemical treatment aids in the removal of the callus over time.
- Deep callus caused by abnormal foot mechanics or pressure distribution may get a podiatrist to prescribe custom-made orthotic inserts. Orthotics redistribute pressure on the foot, reducing the formation of calluses.
- Padding and cushioning protect the callused area from further friction and pressure while it heals.
- Cortico steroid injections for inflammation or pain, a podiatrist may administer cortico steroid injections to reduce inflammation and relieve discomfort.
- Minor surgical intervention to remove the deep callus. It is done under local anesthesia and is a last resort when conservative treatments have not been successful.
- Monitoring and follow-up on the progress of the treatment and making necessary adjustments based on how the callus responds to the interventions.
It's important not to confuse deep calluses with corns. Corns are similar to calluses, but they are smaller, have a defined center, and are often painful.
