Callous are areas of thickened skin that form due to high pressures on your feet, and may be particularly sore. Treatment involves gentle debridement to remove them and the possible use of insoles to take pressure away from certain areas. Please note that such insoles are CUSTOM MADE FOR THE PATIENT, and those purchased from a chemist shop or mail order company for example probably will not work.
Hard corns (Heloma Durum) consists of a small, dense round nucleus of dead skin covered by callus. The nucleus is usually in the shape of an inverted cone. The corn is found over a bony prominence where the skin is intermittently pressed against the shoe, ground or other bones.
Heloma Molle are soft corns only occuring between the toes. They are completely or partially ring-shaped consisting of white, macerated, rubbery skin. There is usually no clear nucleus. They are caused by one sharp edge of bone in one toe pressing against another sharp edge of bone in the opposing toe. The corn stays soft because of the retention of sweat, which due to the close contact of the toes can not evaporate. They are frequently confused with blisters or warts, because of their often small, round appearance.
Heloma Vasculare (HVasc.) and Heloma Neurovasculare (HNVasc.) The vascular corn is a hard corn that contains irregular patterns of small bloodvessels in and around the nucleus. The neurovascular corn is also a hard corn, but contains both irregular patterns of small bloodvessels and nerve endings within the nucleus. Both types of corn are caused by excessive intermittent stress over a bony prominence for a long period of time. They are extremely painful, they bleed easily and are therefore hard to treat.
If the pressure on the corn becomes continuous, the tissue underneath the corn might break down (ulcerate) resulting in an increased chance of invasion by micro-organisms. In most cases the invading micro-organisms are Staphylococci, which tend to produce localised wound infection, whose symptoms are hot,red, swollen, painful and loss of function.
The inflammation might be accompanied by pus production. Fortunately, this infection responds very well to local anti-septic treatment.
On the other hand, if the invading micro-organisms are Streptococci the infection tend to spread causing Cellulitis (diffuse inflammation of the connective tissue). In that case, systemic antibiotics are required to prevent further spreading to the lymphnodes.
If the pressure on the skin becomes continuous, there may be localised tissue death (breakdown). This is usually very painful (except to e.g. diabetics, who are often less sensitive to pain) and could become infected.
A perforating ulcer is where the ulcer goes on to penetrate underlying structures, such as joints or tendon sheaths. Infection could then even spread into the bone (osteomyelitis)
In accordance with rules, all patients have given their consent for the photos to be published on my website. Please note that I could not have achieved the same outcome "in the comfort of your own home".
Before treatment (heel L & R)
After treatment (heel L & R)
“Charles is extremely knowledgeable about his profession and gives good accurate advice without any charge... having used his services over the last few years I would not go to back
to my previous chiropodist or any other chiropodist because I think Charles is treats me fairly and effectively”
“When we came to Werrington, we initially had Charles for a home visit. During that visit, he said to us that he could do a far better service at his surgery, and were we absolutely sure that we couldn't get to his surgery. We have been attending his surgery ever since, and find him to be more thorough than the last person that we had, particularly with regards to my heels”
“I have thickened nails. I used to go to someone to have them treated. The person that I went to, encouraged me to return after 6 weeks to have them reduced again. I have been going to see Charles for several years now. I find him much more thorough in his approach”
“I used to have someone else but they were on holiday once and I couldn't get an appointment when I wanted one . I went to see Charles. At the first appointment, the first thing that Charles noticed was the fact that I had athletes foot. I have never ever been told this in several appointments over a time frame by the
other chiropodist. He said that the length of time that I had had the athletes foot untreated explained why I had developed fungal nails. He also gave me both short term, and long term advice on how to deal with this / the prognosis. I also have hard skin. He told me how to prevent this / delay it from returning.
And I am not talking about me using a foot file. either! The other person never once told me this. Although the cost of the appointment itself is more expensive than the other person, I find Charles far better value for money”
“I used to have someone attend once every 6 weeks. Charles came at the end of May, did far more for my nails in 1 visit and I didn't need him until early November”
“Charles was concerned that something on my leg was taking a long time to heal (over 1 year). A nurse had been dealing with dressing the "ulcer". Although I attend his clinic for nail cutting, he was concerned at this and wrote to the GP so that a further investigation along separate lines could be carried out
(this was as a result of a lecture he had attended). As a result, the GP's surgery have taken a completely different approach to treating the problem and have referred me to the hospital. All thanks to Charles's intervention”