What a Podiatrist Can Do For YOU!

How to remove a callus from a diabetic foot? [Foot Corn & Callus Removal]

Foot corn removal & callus removal from a diabetic foot can be very challenging. We review podiatrist callus treatment in a diabetic foot!

podiatrist callus treatment diabetes corns diabetes
A callus in a diabetic foot can lead to an underlying blister or an infection. There is strong evidence and results showing the benefits of seeing a podiatrist if you have a diabetic foot or have diabetes. Come see us for a no-obligation consultation.

Table of Contents

Best diabetic podiatrist near me?

If you have diabetes or have a diabetic foot callus or corn, it is strongly suggested to see a podiatrist.

At Prime Foot & Ankle Specialists, we are board-certified podiatrists and foot doctors who provide diabetes and diabetic foot care.

We want to be the answer to “Who is the best diabetic podiatrist near me?”

Podiatrist diabetes specialist near me:

See us for a No-Obligation consultation for your diabetic foot evaluation!

Plantar Wart vs Corn vs Callus Treatment Video:

Podiatrist Callus, Corn & Plantar Wart Treatment Video Summary:

🦶 Do you have a Plantar Wart? A Foot Corn, Toe Corn, or Foot Callus? 🦶
We go over the TOP 20 BEST Home Remedies & Home Treatments! Learn the difference between plantar warts vs. corns vs. calluses.

Learn the BEST Home Remedies & Home Treatments for your plantar wart removal, foot callus, foot corn, toe callus & toe corn pain! The three most common lesions on the toes or feet are corns on the feet, warts on foot, corns on the toes, and foot calluses. We’ve got you covered with all of these! 

Plantar warts can also be known as an HPV wart (human papillomavirus wart), a planters wart, or a plantar verruca. There are different types of warts: flat warts, filiform warts, common warts, periungual warts, and warts on feet.

Corns vs Warts vs Calluses
This picture shows the difference between a plantar wart vs corn vs callus!

 

How to remove a callus from a diabetic foot?


Are you a diabetic having problems with frequent callus formation? Then you are not alone because foot calluses and diabetes are common occurrences. Calluses often occur and grow faster in patients with diabetes, and this is because of high-pressure areas under your feet. If you have too many calluses, you need to see a podiatrist as you may need shoe inserts and therapeutic footwear along with proper foot care.

Calluses are a thick and hardened area of skin developed to protect you from pressure and friction your feet endure, especially if you are frequently on foot.

If callus on diabetic foot is not treated on time, they can become thicker and break down, leading to an open sore or an ulcer. If you try to trim or cut calluses on your own, this can lead to infection and ulceration. Unlike other people, you are at a higher risk because of the poor blood supply and reduced sensation in your feet.

You should avoid removing calluses with chemical agents or medicated patches because they can burn your sensitive skin. Therefore always let a health care professional handle your calluses. A podiatrist is the best medical expert to go to for a callus in a diabetic foot.

Why is a diabetic foot at risk?

Reduced blood flow (poor circulation) is the main reason behind a diabetic foot not fighting infection and healing. Blood vessels in your foot are narrow and harder when you have diabetes. If you are a smoker, this condition can worsen further.

In a diabetic foot, your nerves are damaged because of diabetic neuropathy. Therefore, you may not be able to feel the heat sensation which may lead to easy burns. They can also get burnt with chemicals easily. So people with diabetes can develop non-healing ulcers frequently following calluses. That is why you should be extra careful and need to be followed up with a podiatrist. Chronic ulcers can lead to infection and tissue death (gangrene), and you may end up with an amputation, which is preventable if you seek treatment early.

The risk of developing an ulcer is significantly high in a diabetic foot with a callus.

Callus formation in the diabetic foot – How does a callus develop easily on a diabetic foot?

Peripheral neuropathy is a common complication of diabetes, leading to a lack of sensation. When nerves are damaged, your foot can get deformed, resulting in abnormally persistent pressure on the diabetic foot. When the cells of your foot have to undergo continuous pressure, it keratinizes and becomes hard, turning into a callus. A callus will predispose you to ulceration.

Treatment of a callus in a diabetic foot:

Calluses can be left alone if they do not cause any pain. But, if you have diabetes, calluses have to be treated with special care. You should not attempt callus removal at home without any medical supervision. Usage of unsafe and unsterilized blades can lead to a foot infection. You should not use salicylic acid medicated patches which non-diabetic people commonly use. Salicylic acid may melt and damage your healthy tissue besides the callus leading to infection and tissue death. Therefore calluses must be given special diabetic foot care and treated by a podiatrist, while blood sugar control must be done well by the medical team. Your podiatrist will trim your callus with the utmost care, and they will use sterilized equipment and relieve further pressure on your callus.

Diabetic foot callus removal:

There are several options that your podiatrist may try to remove a callus from a diabetic foot. Which method to use will depend on the size, severity, depth, and the presence of infection in your callus. If your blood sugar level is well under control, your risk of infection will be low, and the procedure will go smoothly without complications.

  1. Trim away excess skin of your callus:

  • A sterile surgical blade will be used to remove a callus. The excess skin is trimmed gently and methodically because good healthy skin must not be damaged. Hard skin will be peeled off layer by layer until all dead skin layers are trimmed and exposed to live skin. The edges of your callus are smoothed with a pumice stone to enhance your comfort. Trimming will not need any local anesthesia as this procedure causes no pain.
  • Sometimes your podiatrist will use an electric razor to trim your callus.
  1. Total removal of the callus:

  • Your podiatrist will use a sterile scalpel to remove ulcerated calluses. Infection underneath your dead skin is taken out. A local anesthetic will be injected to numb the area so that you will not get pain during the procedure. In diabetic patients, the infection risk of a callus is high, especially because they may take time to notice ulcerated calluses. Therefore, callus removal with a scalpel is a common procedure in patients who have diabetes.
  • Sometimes a cortisone injection may be given to reduce the pain and inflammation in that region after the procedure.
  1. Surgical callus removal:

A callus with deep-seated infection and large deep calluses usually require surgery. Surgical callus removal is also done in patients with advanced or uncontrollable diabetes especially because of their poor blood flow to feet. Callus surgery can be done as an outpatient procedure.

An oral antibiotic course will be prescribed for infected calluses. It can be a precaution to prevent infection in diabetes patients who have to undergo callus removal or any other procedure because they belong to the high-risk group.

Regular follow-up is essential with the podiatrist to ensure proper healing, prevent infection, and prevent new calluses.

  1. Callus removal with medication:

Patches containing 40% salicylic acid, ex: MediPlast, Clear away, can be applied carefully on your callus. This is done for calluses that are not ulcerated and for those which are small. Since you have to replace this patch from time to time, you will have to visit your podiatrist according to a schedule. It would help if you never attempted to use medicated patches yourself because of the risk of damage to normal skin near the callus.

  1. Corrective Surgery:

If your diabetes is associated with a foot deformity, sometimes surgery will be offered. This will be done to correct the bone alignment that leads to friction so that the development of new calluses will be prevented.

  1. Prescription of custom made orthotics:

When there is an underlying foot deformity, wearing orthotics will prevent the recurrence of a callus.

After treating the callus, your podiatrist will advise you on preventing new calluses from developing on how to choose properly fitting shoes and how to wear protective coverings like felt pads and bandages to prevent rubbing your sole against the footwear. You should always wear comfortable socks and shoes which fit well and are cushioned to give you adequate support till your callus goes off. Your podiatrist will offer you complete foot care.

 Why should you seek help from a podiatrist if you have diabetes?

Thick hard calluses which rub against the ground or shoes can damage or puncture your skin. This is unlikely to happen in those with normal sensations in their feet. The pain they feel would alert them to stop walking to address this issue long before it gets serious. But if you have diabetic neuropathy, you may not feel anything, and it may be too late. The underlying skin of a callus can be punctured and damaged, and infection may set in. You may not even know that this is happening if you do not inspect your feet daily. If this is left untreated, it can lead to an infected diabetic ulcer.

So, if you have diabetes, get your podiatrist to test your circulation and protective sensation regularly. If you have diabetes with poor circulation and neuropathy, regularly get medical attention for your calluses by a podiatrist.

How should a person with diabetes look after their feet while preventing calluses?

  • Take care of your diabetes – follow your doctor’s advice regarding your diet and exercises and keep your blood sugar level well controlled.
  • Check your feet daily for redness, sores, blisters, calluses, or any other foot problem, especially if your feet’ blood flow is poor.
  • Wear well-fitting specially made diabetic footwear with insole cushioning
  • Avoid wearing sandals with strips in between toes
  • Try to wear covered shoes and slippers. Wear socks that fit your feet well.
  • Moisturize your feet well and prevent them from drying. When your feet are hydrated, it will reduce the friction between your feet and shoes.
  • Avoid walking barefoot
  • Avoid soaking your feet for prolonged periods – However, you can soak your feet in warm water and gently use a pumice stone or emery board to keep your calluses under control.
  • Protect your feet from too much heat and cold.
  • Use sterilized nail cutters and cut straight across. Use a nail file to smooth the edges. if you cannot do the trimming of nails by yourself, seek help from a podiatrist
  • Avoid trimming your calluses by yourself
  • Quit smoking if you do because it can worsen the blood flow to your feet.
  • If you notice any change in your callus, visit your podiatrist and get proper foot care. It is best to check up with a podiatrist every 2 -3 months, even if you have any foot problems.

 

 

References:

https://www.diabetes.org/diabetes/complications/foot-complications#:~:text=Calluses%20occur%20more%20often%20and,into%20ulcers%20(open%20sores).

https://www.researchgate.net/publication/278047631_Pathogenesis_and_Treatment_of_Callus_in_the_Diabetic_Foot

Frequently Asked Podiatrist Questions?

Q: What is a podiatrist?

A: Podiatrists are Doctors of Podiatric Medicine, DPM. Podiatrists are also known as podiatric physicians, foot doctors, or podiatric surgeons. Podiatrists often diagnose and treat the foot, ankle, and other related structures of the leg.

Podiatrists receive similar training that other doctors complete. They complete four years of training in a podiatric medical school and three years of hospital residency training.

The podiatrists at Prime Foot & Ankle Specialists have received extra training such as fellowships beyond residency and board certifications by the board of foot and ankle surgery and the board of podiatric medicine.

Q: Do podiatrists accept insurance?

Yes, podiatrists do except insurance. We set most major insurance plans as podiatrists and foot doctors. This includes Medicare, Medicare plus blue, Blue Cross Blue Shield, United Health, Aetna health. Humana, Blue Care Network, Oscar Health, Molina, Meridian, Health Alliance Plan of Michigan (HAP), Health Share Plans, Christian Health Share Plans, Worker’s Compensation Plans, Cigna Healthcare.

Q: Is podiatrist toenail trimming covered by insurance?

Yes, this service may be covered for people with help issues that cannot help themselves. If your foot is in pain or has a health issue, a podiatrist is recommended to evaluate you, and this is a covered option.

If you have foot pain, please call our office and schedule a no-obligation consultation with our podiatrists to assess your eligibility for foot care.

Q: Does insurance cover podiatrist ingrown toenail removals?

Yes, ingrown toenails are covered by insurance. Don’t wait to come in if you have a toe infection or a foot infection. Let us help!

Q: What parts of the body do podiatrists treat?

A: Podiatrists in Michigan are licensed to treat the foot, ankle, and lower leg below the knee.

At Prime Foot & Ankle Specialists, we specialize in toenail problems, toe problems, foot problems, heel problems, ankle problems, minimally invasive surgery, advanced diagnostic techniques, and advanced treatment options. We pride ourselves on being your choice for all foot and ankle problems!

Q: When should I call a podiatrist for an appointment?

A: Pain is never normal, especially if it has been going on for longer than one week. This means that most insurance plans will cover a visit if you feel you have a problem developing with your feet.

The longer you wait, the more serious the pain may become, which can lead to hospitalization or further foot problems.

It would help if you had it evaluated and treated to avoid long-term problems.

Q: Can podiatrists perform corn removal and callus removal?

A: Corns and calluses are thick, hardened layers of skin. Development of corn and callouses occur when your skin tries to protect itself against friction and pressure.

The most common areas of development are on your feet and toes. If corns and calluses are causing you discomfort, you should seek treatment. We provide treatment for these somewhat unsightly painful conditions. Don’t hesitate to contact us today.

Q: Does insurance cover the podiatrist treatment of corns and calluses:

If you feel you have a foot problem that you cannot take care of on your own, and evaluation and diagnosis are covered. We provide a no-obligation consultation to let you know if this is the case for you. In general, foot pain and a painful lesion for the foot have covered the visit.

Q: What is a hammertoe?

A: A Hammertoe is a contracture (bending) of one or both joints of the second, third, fourth, or fifth toes.

We provide advanced imaging such as ultrasound and digital X-rays to diagnose immediately in the office. 

This abnormal bending can put pressure on the toe when wearing shoes, causing painful problems.

Conservative and surgical treatment options are available for the treatment of Hammertoes.

Q: What causes heel pain?

A: Typically, heel pain is not caused by one single incident or injury, and the most common cause is plantar fasciitis, which can lead to long-term pain that may one day require surgical treatment if not corrected.

Repetitive stress/pounding of the heel can cause heel pain.

Other common causes can include inflammation of the plantar fascia, inflammation of the back of the heel, inflammation of the heel pad, progressive degeneration of the Achilles tendon, or a stress fracture caused by repetitive stress to the heel.

Q: What are orthotics or insoles?

A: Orthotics or insoles are custom foot supports that replace the over-the-counter supports that come in shoes you buy off the shelf at the store. These are designed to hug your foot more efficiently than over-the-counter products to significantly aid in balancing the biomechanical inadequacies of your feet and legs.

Q: How can you tell if you have an infected ingrown toenail?

A: You may have an infected ingrown toenail if there are any signs of redness, swelling, pain, and drainage, such as puss coming from the area.

  • If you notice any of these symptoms, contact your podiatric physician immediately.
  • If you have toenail pain, then this may be a sign as well. It is never normal to have toenail pain.
  • If you have toenail redness or toenail swelling, then this is never normal.

Q: What is plantar fasciitis that causes heel pain?

A: The plantar fascia is the thick connective tissue on the bottom of the foot.

  • This tissue connects the heel bone to the toes, and it is responsible for creating the arch in your foot.
  • Plantar fascitis is inflammation of the plantar fascia.

Q: Does Medicare pay for diabetic shoes and custom orthotics?

A: Medicare will cover diabetic shoes and inserts with some patients.

  • Patients must meet and have specific qualifying conditions that must be verified by the Physician managing their diabetes.
  • If you have diabetes, you should have an annual foot evaluation performed by a foot doctor or podiatrist to determine if you are eligible for this benefit through Medicare and other insurance carriers.

Other services our podiatrists offer:

Other surgery procedures our podiatrists offer: