Write a properly referenced essay on the treatment and management of a patient with corns

Write a properly referenced essay on the treatment and management of a patient with corns

Laakso et al (2000) have discussed, generally in the high pressure area of the foot, one may find a hard skin in a small area, generally round in shape and pressed inside the skin. These symptoms are together referred as the corns. Corns can be described as a “painful and conical thickening of the stratum corneum of the epidermis found principally over toe joints and between the toes, often caused by friction or pressure. Corns can be hard or soft, depending on their location, although hard corns are usually found over toe joints and soft corns are found between the fourth and fifth toes” (Jagust et al, 2001).

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The condition of corns is “associated with excess intermittent mechanical stress (shear, friction, pressure, torsion and tension) which results in abnormal keratinization” (Jagust et al, 2001).

Helomamolle corns occur when the impingement is adjacent to the webspace ( Frontera, Silver, and Rizzo 2008) . The skin is often macerated and may become secondarily infected. Despite their hard texture, these more distal digital corns are sometimes referred to as soft corns.” (The Foot Examination & Diagnosis, 1997) (Fleming et al 2002). The patient must seek medical advice from the podiatrist who will make a “reduction of the overlying callous and enucleation (removal of the deep central core) of the corn. Following this, either an antiseptic agent, protective pad or an acid is applied. The application of a caustic preparation known as silver nitrate can help to shrink the cavity that has been left after the corn has been removed” (Demaerel et al 2003).

Vascular and neurovascular heloma corns have “vascular and neural elements and operating can be extremely painful. Local anaesthesia or progressive electrosurgery may be required with repeated applications of silver nitrate solutions” (Jagust et al, 2001).

However the best way to contribute towards the corn therapy for a physician is to encourage the corn prevention in the patients through proper education. The main essence of corn prevention is to eliminate any stances or chances of pressure or friction in patient (Schalock and Sober 2009). The shoes worn by patient should be well fitted and the pressure over the toes should be distributed in even manner. Shoes or sandals which provide ultimate comfort and are soft should be worn. The stocking should also fit well and provide enough cushioning to the foot.

The patient can be advised to use powder for keeping the feet dry in order to avoid friction due to wetness in the feet. The rational of these measures should be carefully explained to the patient by the physician so that patient compliance can be ensured. Other measures for curing corns are using proprietary plaster…………………………..

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