Callus

Calluses develop when one metatarsal bone is longer or lower than the others and it hits the ground with more force than it is equipped to handle-at every step. As a result, the skin under this bone thickens like a rock in your shoe. The callus causes irritation and pain.

Paring the callous removes the thickened skin and gives immediate, but temporary relief. For the elderly or people with poor circulation, this simple procedure is done periodically, as needed. It gives relief but also prevents infection or ulceration from developing.

Often a soft insole is worn in the shoe for extra cushioning.

For those with good circulation and an active lifestyle, surgery is recommended for more permanent relief.

A procedure called an osteotomy is performed to relieve the pressure on the bone. The procedure involves cutting the metatarsal bone and lifting the bone and aligning it with the adjacent bones. That way, the pressure is even as you walk.

It is important to determine if a bone is too long or lower than the adjacent bones. Or it may be a normal bone but there is too much pressure put on it with every step. This would be the case if you are over pronated. The approriate treatment then is not surgery, but an orthotic to correct the way you walk.

Dr. Young will evaluate your individual situation and determine a treatment plan that will give you the relief you are looking for and that will fit your lifestyle and health situation.