Why Corns Aren't Normal

Corns and calluses are so common almost every person on this earth will experience one at some point in their life. Calluses are most often seen on the hands, but also form on the bottom of the feet and other various places. Corns are calluses that are seen on the tops and sides of the toes. These areas of thickened skin caused by focally increased pressure and rubbing are indeed benign. To people that use their hands for a living, calluses can actually provide extra cushion and blister prevention. Considering this, the prevalence of corns and calluses, and their often harmless etiologies many people assume it is normal to have them on their feet, like they do on their hands. However, this is simply not true. As aforementioned, corns and calluses are developed due to increased pressure and friction. While calluses on the hands often indicate manual labor or activities like rowing and lifting weights, on the feet the story is very different. While some people will wear gloves to prevent callus formation on the hands, many people do not, explaining the calluses. In contrast to this, the great majority of people wear socks and shoes during labor and exercise, yet how can areas of hyperkeratosis (thickened skin) be explained if they have a protective barrier (socks and shoes) in place? This is due to an abnormal foot architecture, or poorly fitting footwear.

A classic example of this abnormal architecture is the hammertoe. The actual shape of the toe has changed due to a few different possibilities causing the toes to become contracted in the shoebox, encouraging rubbing, and overtime corn formation. Hammertoes certainly are not the only cause of corns. They are simply one commonly encountered example of an underlying foot problem that has caused an excess of skin formation that may often be disregarded as normal. The recommendation here is to avoid the home remedies that simply treat the corn or callus, and not the underlying cause of the hyperkeratosis itself. A lot of resources can be consumed without even treating the cause.  If you have corns or calluses on your feet and/or toes make an appointment with a Podiatrist like Dr. Michael Garvin. He can evaluate your feet and your footwear, determine the actual etiology, and set up a treatment plan with you.

The following is a short list of conditions that commonly cause corns and calluses on the feet and toes:

Claw toes
Hammer toes
Mallet toes
Curly toes
Bunions
Tailor’s bunions
Pes Cavus
Pes Planus
Haglund’s deformity
Talipes Equinus

5 Suggestions for Keeping Your Feet Healthy

Are you confident that your daily decisions aren’t negatively affecting your foot health? There are a lot of variables that we subconsciously factor into our choices of footwear and care on a daily basis-that we may not even realize are potentially detrimental. Below is a short list of suggestions that will help prevent a trip to the doctor due to your casual decisions.

• Pay close attention to your feet during routine hygiene; this includes noting the skin texture/quality, toenail color, & any irregular lumps and bumps

• If you’re aging, stay on top of keeping the skin on your plantar and dorsal feet moisturized. Dry, cracking skin is more prone to fungal, bacterial and viral infections

• Wear shoes that are well fitting and match your activity levels for each day. I.e. if you’re spending all day walking at a mall, or an amusement park choose a pair of supportive running shoes instead of something fashionable

• There’s a time and place for stilettos and flip-flops. Both can cause a flare-up of plantar fasciitis or achilles tendinitis, so if you know you’re going to have a long day save them for the short and sweet occasions exclusively

• Going barefoot seems so attractive at waterparks, the community pool, and the beach, but sometimes this can be a big mistake. Areas that are high traffic and always wet can be a breeding ground for fungi and viruses. This is the time to grab your favorite pair of podiatrist recommended flip flops and avoid cutting your foot on a shell at the beach, or picking up athlete’s foot in the locker room

**This blog and the medical information it presents is made possible by Dr. Michael Garvin of Port Saint Lucie, Florida. He has been practicing board certified podiatry for over 20 years and accepts new patients. Visit his website for additional information here. To schedule an appointment, or find directions to his office click here.

Sandals 101

     

The warm weather seems to be here early this year which means that the sandals and flip flops are out and about. Do your feet a favor and don’t skimp on your choice of footwear. Often times people are apt to purchase sandals based off of looks or costs but fail to remember what is good for their feet biomechanically, or are simply unaware. If you’re an individual that has low arches or flat feet, flip flops put an extra load of stress on the plantar fascia of the plantar foot. This can cause aching pain in the heels and plantar foot. 


 If you are experiencing foot pain and frequently wear sandals consider visiting  one of Dr. Michael Garvin’s offices of Port St. Lucie, Florida. Dr. Garvin has been analyzing patient’s gaits, and their footwear choices for over 20 years. He can offer you a healthy alternative to keep your feet cool, stylish, and healthy during the warmer months!

All About Those Bunions

Is your big toe crowding the rest of your toes?  Is there a firm lump on the side of your big toe?  Do you have pain from the pressure of your shoes causing you to flinch while walking? Is finding a shoe that fits comfortably difficult? If you are experiencing any of these symptoms then you may have a bunion.

Bunions, also called hallux valgus or hallux abducto valgus (HAV), form a firm bump on the inside edge of the foot at the base of the big toe.  This causes the big toe to move out of place.  When a bunion forms on the big toe, the toe moves toward the other toes and causes the lump to become bigger and can create pain.  Pain occurs because pressure from the shoe on the bunion or from pressure inside the joint.

A main factor for bunion growth is wearing footwear that is too tight.  When you wear tight footwear your toes are squeezed together and create unnecessary pressure.  Not only footwear, but faulty foot mechanics and a combination of the way you walk can cause bunions.  And of course foot injuries, people with neuromuscular problems and activities such as ballet dancing can also be linked to the formation of bunions.     

There are non-surgical and surgical treatments for bunions, but your options would depend on the severity of your feet.  Changing your shoes to provide more room, taping and padding your foot into a normal position, and having shoe inserts or orthotics can help reduce symptoms and prevent bunions from becoming worse.  

However, discussing your options and having your feet looked at can help in making the right decision for treatment.  It’s important to get bunions looked at immediately as other issues can develop such as hammer toes, corns, calluses and ingrown toenails.  

If you are experiencing bunion symptoms and pain call our office to set up an appointment with Dr. Garvin at www.doctorgarvin.com

Sandal weather is here - Prepare your feet!

What are Corns and Calluses?

Corns and calluses are both formed by hyperkeratosis. This term simply means a thickening of the skin. These can form on many of the superficial surfaces of the body (most commonly on the feet!) for a variety of reasons. Typically, corns are sore and painful due to the friction that is occurring at the site, which is also their cause. Calluses are also caused by a thickening of the skin, but are more often associated with the excess synthesis of skin at a site as a protective mechanism. For example, many people develop calluses on their hands due to repetitive work like gardening. Calluses are also formed at areas of abnormal bony synthesis like bones spurs. 

Why should you be concerned about a Corn or Callus?

Hyperkeratosis certainly isn’t a reason to visit the emergency room. However, it is an important concern because it means that excessive use, and abnormal friction is occurring at that localized area of epidermis (most outer layer of skin). This is not only a cosmetic issue, but is often times painful and debilitating depending on severity. More importantly than the buildup of skin itself though, is the actual cause of the localized hyperkeratosis. This excess production of localized dermis is generally due to things such as poor fitting shoes, abnormalities of the toes, like hammertoes, unusual bony prominences such as bunions, and abnormalities of an individual's gait. All of these conditions are great reasons to setup an appointment with Dr. Michael Garvin! His goal is to empathetically alleviate his patient’s foot ailments with as minimally invasive procedures as possible.

 

To make an appointment, simply call one of his offices, both located in Port St. Lucie, Florida; the East office- 772-335-7171, & the West office-772-871-6020, or e-mail him at info@doctorgarvin.com . http://doctorgarvin.com/contact.html