2. Pinch callus: in another words Corn: pathological overgrowth and thickening of keratin layer on the uppermost layer of skin.
Treatment: chemical treatment: (it can be generally made at home) with cuticle dissolving chemicals in the following way:
- sterilization after soaking and drying,
- we apply corn remover with a wooden stick,
- then we place a gauze pad on it and seal it airtight with a sticking plaster for 48 hours
- if the corn removal was not successful, repeat it.
Physical treatment: the chiropodist removes the corn manually with his/her tools in the following way:Manually: first of all, after sterilization, softening, soaking and drying of foot we remove the callus with a corn knife or with a round-shaped lens from around and surface of the corn, then we lift the corn out with an oval lens or with a grafting-knife. If it is inflamed or nest-like then we should not touch it.
- With machine: after applying skin softening products first we remove the callus from around the corn (with a cylindrical polisher). Then we should polish the corn with a cone shaped polisher.
- With combined method: we apply chemical and physical treatment simultaneously. It is important that we should not leave a ring after removing the corn and not let the surface bleed. After- treatment: massaging nutritive or skin softening cream into the skin.
Callus /hardening of skin/: is the thickening of the keratin layer, flat, necrotic multilayered squamous epithelium. It belongs to skin deformities that are caused by physical factors. Its reason is that, due to the compression of veins in the dermis (pinching and narrow shoes, foot deformities), the oxygen deficiency causes a disorder in the nutrition of epithelium and reduces under 10% of the water content of ceratinous cells.
It generally occurs where:
- the keratin layer is basically thicker (on sole, toes) or
- the surface of the skin is exposed to increased friction.
We remove the callus in layers with a sole knife, heel knife or round knife (round lens) after soaking, or with a machine without soaking. We do this as long as the skin becomes pink, clear and smooth. Be aware that the keratin layer should not become too thin since it will be painful when walking, the sole will be inflamed and keratinized soon again. After removing it rub skin smoothing and emoillent cream into the smooth skin.
Treatment of cracked heels:
- manual treatment: after soaking we remove the callus with a heel knife then carefully clean the crackings with a rounded lens.
- Machine-made treatment: if we use a traditional machine, after applying skin smoother we polish the cracked edges (with a cylindrical polisher) without soaking. In case of working with a machine which produces disinfectant and skin smoother it is not necessary to use a skin smoothing cream separately.
- Further treatment: sterilization – we apply skin smoothing deer-tallow or spermaceti-cream – or any other kind of skin smoother or antiphlogistic – on the heel and massage it into the skin well – we release it if necessary.
For home treatment we advise to wash the skin with rough washing-gloves, algae soap and a large quantity water. After this rub it off with a peeler then apply a paraffin pack. Rub the softened skin off and coat it with deer-tallow or vitamin cream.