Corn

Corn is a localized, smaller, deeper lesion with palpable tender nodule having a yellow white core of cornified dead skin in the center.

Differential Diagnosis

Complication

Prevention

Homeopathic Treatment

Diet & Regimen

FAQ

References

It is thicker than a callosity and causes more concern to the patient. This occurs at the site of friction and often spontaneously disappears when the causing factor is removed. Oftencorns are multiple and bilateral.

Location: It is common in soles, tips of toes.

Generally, these are caused by friction and pressure from repeated actions. Some sources of this friction and pressure i.e.:

Wearing ill-fitting shoes and socks-

Tight shoes and high heels can squeeze areas of the feet.
If your shoes are loose, your foot may repeatedly slide and rub against the shoe.
Your foot may also rub against a seam or stitch inside the shoe. Socks that don’t fit right can also be a problem.

Skipping socks-

Wearing shoes and sandals without socks can cause friction on your feet.

Playing instruments or using hand tools-

On the hands may result from the repeated pressure of activities such as playing instruments and using hand tools or even a pen.

Inheriting a tendency to develop corns-

The type of cornthat forms on non-weight-bearing areas, such as the soles and palms (i.e. keratosis punctata), might be caused by genetics.

Bunions
Gait abnormalities
Abnormalities in the anatomy of the toes
Poor-fitting shoes
Occupations such as garden workers also farmers.

The repeated friction and pressure of the skin overlying the bony prominences leads to a hyperkeratotic thickness.
Corn consists of severe keratoses with central degenerated dead cells and cholesterol.
This latter is a protective body reaction that produces an excess of horny epithelial layer to prevent skin ulceration.
This explains the preferential location of corns next to the condyles of the metatarsals and phalanges as well as the occurrence of corns in patients with a foot deformity.

Classification of Corn

Two Types of corn:

Firstly, Hard corn:

It is localized area of thickening over a bony projections like heads of metatarsals.
Histologically it differs from callosity by having severe keratoses with a central core of degenerated cells and cholesterol.
It presses over the adjacent nerves causing pain. It can get infected causing severe pain and tenderness with inability to walk.

Secondly, Soft corn:

Soft Corn It usually occurs between 4th and 5thtoes due to friction of bases of adjacent proximal phalanges.

A thick, rough area of skin
A hardened, raised bump
Tenderness or pain under the skin
Flaky, dry or waxy skin

Your health care provider will likely diagnose corns by examining your feet.
This exam helps rule out other causes of thickened skin, such as warts and cysts.
Your health care provider might confirm the diagnosis by paring away a bit of hardened skin if it bleeds or reveals black points (dried blood), it’s a wart, not a corn.

Plantar wart
Poroma
Warty dyskeratoma
Calcinosis cutis
Gout and pseudo gout
Hypertrophic lichen planus
Interdigital neuroma
Lichen simplex Chronicus
Palmoplantar keratoderma
Keratosis punctata of palmar creases
Porokeratosis plantaris discrete
Porokeratosis palmoplantar et disseminate

Ulceration
Tenia pedis
Septic arthritis
Osteomyelitis

Wear shoes that give your toes plenty of room- If you can’t wiggle your toes, your shoes are too tight. Have a shoe shop stretch your shoes at any point that rubs or pinches. Shop for shoes when your feet are most swollen, usually at the end of the day. If you use orthotics and inserts, be sure to have them on while fitting your shoes at the store.
Use protective coverings- Wear felt pads, nonmedicated corn pads or bandages over areas that rub against your footwear. You can also try to separators or some lamb’s wool between your toes.
Wear padded gloves when using hand tools- try padding your tool handles with cloth tape or covers.

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Homeopathic Medicines for Corn :

The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy. potency and repetition of dose by Homeopathic doctor.

So, here we describe homeopathic medicine only for reference and education purpose. Do not take medicines without consulting registered homeopathic doctor (BHMS or M.D. Homeopath).

Medicines:

Antim Crudum:

Presence of large, horny corns on feet which may or may not be inflamed.
Antimonium Crudum is also one of the best medicines for corns where the corns are very tender.
Pain is felt in the corns while walking.
This homeopathy medicine can help when the feet are covered with too many corns which make walking difficult.
Also, it is the best medicine to treat corns that are too pointed and hard to touch.
Further, it also helps those patients who are overweight which may cause pressure due to which these corns may erupt.

Silicea:

Silicea is another of the top-grade medicines for corns.
Excellent results in patients with soft corns with the use of Silicea, which is natural and therefore, safe.
Soft corns mainly appear between the toes.
Silicea is one of the most effective.
The characteristic symptoms – corns between the toes may be sore and painful.
Patients may also feel burning or tearing pain in these corns.
Silicea also works wonders in cases of corns between toes that tend to suppurate (discharge pus).
Excessive sweat with an offensive odours may be present on the foot where the corn is located.

Hepar Sulph:

Hepar Sulph is one of the best choices of medicines for corns that tend to suppurate (have pus formation).
I have seen many corn cases with pus formation heal magnificently well with the use of Hepar Sulph.
The kind of corns for which Hepar Sulph would be the most suitable prescription are corns infected with pus formation and pricking pains.
Burning, stinging pains may also be experienced in cases where Hepar Sulph would be one of the ideal medicines for corns.
Such corns may also be highly sensitive to touch.

Sulphur:

When there is a burning pain that the patient experiences in the soles and the corns, then this condition can be treated with the help of Sulphur which also ensures that the hard coating of corn quickly yields from the very first dose or application.
This also helps those patients who find their feet sweating excessively due to the development of these corns.

Nitric Acid:

Nitric Acid is best medicines for corns that are very painful.
The guiding feature for prescribing Nitric Acid as the most suitable among medicines for corns is the presence of corns with either splinter-like or sticking pains.
In cases where the most prominent symptoms are thick, indurated (in other words, hardened) corns on the feet with pressing, tearing, aching and drawing pains.

Lycopodium:

When walking around with the corn causes a dull pain and persistent ache, then the patient can use this medicine.
This medicine also helps in treating symptoms like pain in the heels when the patient steps on something hard.
Lycopodium is also one of the best medicines for corns which are inflamed and result in sore, stinging, burning pains.

Thuja:

Thuja is specifically, deep acting medicine.
Moreover, Thuja is indicated in very fleshy persons with dark complexion, black hair and unhealthy skin.
Thuja personality have tendency for overgrowth of tissues also hyperkeratosis.
Additionally, People with recurrent tendency of corns responds well to Thuja.
Besides this, Aggravation from damp weather.
Lastly, Perspiration is oily and sweet smelling or sometimes offensive.

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Soak your hands or feet
Moisturize your skin
Wear comfortable shoes and socks.

What is Corn ?

Homeopathic Medicines used by Homeopathic Doctors in treatment of Corn ?

Antim Crudum
Silicea
Hepar Sulph
Sulphur
Nitric Acid
Lycopodium
Thuja

What causes Corn ?

Wearing ill-fitting shoes and socks
Skipping socks
Playing instruments or using hand tools
Inheriting a tendency to develop corns

What are the symptoms of Corn ?

A thick, rough area of skin
A hardened, raised bump
Tenderness or pain under the skin
Flaky, dry or waxy skin

Give the types of Corn ?

Hard corn
Soft corn

1] SRB’s Manual of Surgery, 3rd Edition

2] Clinical Surgery S. Das.pdf

3] SRB’s Clinical Methods in Surgery

4] https://www.mayoclinic.org/diseases-conditions/corns-and-calluses/diagnosis-treatment/drc-20355951

5]cbi.nlm.nih.gov/books/NBK470374/#:~:text=The%20differential%20diagnosis%20of%20a,Warty%20dyskeratoma

6] https://www.drhomeo.com/corns/homeopathic-medicines-for-corns/

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