CORN

By Gary M. White, MD

Corn


The corn is a painful, hard keratotic papule that occurs as a result of constant pressure. It has a nucleated core in contrast to a callus.

Clinical

The corn is a hyperkeratotic papule on a pressure area of the foot Paring with a #15 blade reveals a central, translucent core. This feature helps distinguish it from a wart, which upon paring reveals black dots. Underlying every corn is a bony prominence. Corns typically occur over the metatarsal heads of the distal sole. Another common area is the lateral aspect of the 5th toe. These are hard corns because the keratin is dry. A soft corn may occur in the web space between the 4th and 5th toes. It is called a soft corn because the keratin remains hydrated.

Treatment

The patient often expects the health care provider to "cut the thing out". Indeed, the corn may be pared down (but not surgically removed) to decrease the pain, but the corn will recur without preventive measures. The main intervention is reducing direct pressure on the area. This may be accomplished with changing the foot wear or by using over the counter pads shaped like a donut. This shape directs the pressure to the adjacent skin and reduces or eliminates direct pressure. Inserts into the shoe with a hole cut at the site of the corn may help. In severe cases, surgery may remove the bony prominence. For corns on the distal tip of a hammer toe, a simple device to lift the toe and reduce pressure may be purchased.

Additional Pictures

Before and after paring showing the clear center.
Corn Corn

A hard corn.
Corn Corn

Two hard corns.
Corn Corn

Corn on the inside of a toe.
Corn toe Corn toe

RegionalDerm

Homepage | FAQs | Use of Images | Contact Dr. White


It is not the intention of RegionalDerm.com to provide specific medical advice, diagnosis or treatment. RegionalDerm.com only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on RegionalDerm.com is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on RegionalDerm.com should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.