Heloma Durum

Heloma Durum (AKA Foot Corn): This is just another name for a hard foot corn. These usually appear in the forefoot and are deep tissue calluses. Learn what to do!

 

 

 Skip Straight To The Foot Corn Treatment Guide.

 

What is a Heloma Durum?

A heloma durum is a small “pebble- like” callus that causes deep tissue damage. It is not as widespread as a normal callus, but is actually shaped like a corn kernel, hence the nickname “corn”. It is generally caused by abnormal pressure areas such as the 5th toe, the bottom of the big toe, and the base of the 2nd toe.

It was originally though that a heloma durum was a scarred sweat gland that resulted in a small thin callus.

 

Heloma Durum vs. Heloma Molle:

A heloma durum is a hard corn, while a heloma molle is a soft corn. Heloma molle occurs mostly between toes, whereas a heloma durum occurs usually at the bottom of the foot.

 

Diagnosis of a Heloma Molle:

  • Usually dry and hard pinpoint callus.
  • Deep tissue pain.
  • Shaped like a corn kernel.
  • Pinpoint pressure rather than diffuse pressure.
  • Hurts when you push on it.
  • It does not have red dots like a wart.
  • Usually in the ball of the foot, base of the big toe or 5th toe.
  • If it is between the toes, then it is a heloma molle.

 

Heloma Durum vs Callus

  • Callus is usually large and spread out; whereas a heloma durum is smaller and harder.
  • A heloma durum is usually found on pressure areas. These areas include the ball of the foot, under the first toe, the fifth toe and on top of the toes (especially if you have hammertoes). A callus occurs in the forefoot, but is usually very spread out under the big toe, and between the bases of toes 2 through 4.
  • Both commonly occur together- it is necessary to take the callus down then pop out the corn.

 

Heloma Durum vs. Warts

 

  • Skin lines go through a callus, whereas if you have a wart, the skin lines go around the wart.
  • A wart can display little red “dots” that are blood vessel growth into the wart. The callus should not have any red “dots”.

 

Heloma Durum Surgery:

A heloma molle can be excised surgically and closed via skin wedge.

Heloma Molle
Heloma durum prior to excision.

 

Heloma Molle Excision Surgery
Heloma Durum Excision Surgery.

 

Heloma Molle syndactylization
Heloma Durum Syndactylization

 

Home Treatment of a Heloma Durum:

This is usually based on on softening the callus and then taking it down.

  • The corn pops up like a pebble stuck in the skin.
  • The callus around it needs to be removed.
  • Popping out this corn can lead to months of pain free walking.
  • Prevention measures should be undertaken.
  • Abnormal pressures causing the corn should be corrected.

 

2 Part for Home Treatment

There are two + one steps to keep foot corn pain away. You have to get rid of them and then take measures to keep them away!

1) Stop Them From Appearing.

2) Removing the Actual Corn.

3) Foot Corn Removal Surgery.

 

Good Luck!