Ah, the dreaded white spot on your nail. You thought it would never come for you.
That fungal tap on the shoulder was for other people. Or so you thought.
Yet, here you are, avoiding eye contact with your nail for too long. Yep, I get a lot of emails about white spots on nails.
Now there's a few different causes; and a fungal nail infection is one of them.
So, there's a dark mark beneath your toenail. It's gnarly.
You can't remember banging it. You googled — and now you're anguished.
Is it a toenail hematoma or melanoma?
Trust me, black stains under nails are a big patient worry. The vast majority of the time it's nothing serious.
But now and again, sometimes, occasionally, it's something else...
Rough and ready winter cracked heel taken down a peg or two.
I used a small 15 scalpel blade which worked surprisingly well. This heel fissure is painful and split.
Ones getting deep like this need several skin removals over time. The callus itself is easy to chip off.
I then applied foot cream halfway through to thoroughly moisturize (Gehwol Fusskraft Mint)
This patient, like many many others, used acid to remove the corn on the inside of his big toe. (These were the drop variety not the plasters)
You can see the peeling skin as a result of the corn acid.
Anyway, that white patch of skin is no more. It's burnt and will still hurt until it eventually drops off.
The key with taking off these is to remove enough to provide pain relief; but not so much to cause a wound..
Corns between toes tend to creep up on you. By the time you KNOW you've got one; it's too late.
This one was situated on the joint and covered by a thin layer of clear callus.
This patient had applied acid but not enough for it to really do the damage it does in some cases.
Removing these interdigital corns is almost as much about feel as by sight.
Sometimes a small nugget of hard skin is enough to still cause pain afterwards.
So you want some good foot ick? Parasitic worms, ram's horn nails and gouty royal toes?
Well, you've come to the right place!
After all, your feet are a veritable selection box of gnarly conditions.
(Call it the Foot Ew-niverse)
(This is a longer version of the previous video)
Effectively this was two foot corns; the oval-shaped one here and a smaller one underneath that!
To get anywhere near the corn here, I had to gently par away the thick overlying callus.
This patient only has this foot corn. It had formed up over years from a severe bunion throwing off her walk on that side.
She'll need a nice comfy insole and plenty of good callus cream to keep it under control.
Ok, so this was a decades-old foot corn. It was covered by a thick layer of hard skin.
(Longer video of said callus removal here)
It was very painful as it was smack bang in the middle of her upper foot.
This was caused by a pronounced bunion which meant most of the pressure from walking was put right through this central point.
With these types of foot corn, they become more like a giant disc of hard skin as opposed to a corn.
In other words, removing them needs lots of chipping away as opposed to "popping out".
Sometimes, foot corns this old need a re-treatment in a few weeks to get on top of it (as well as offloading with an insole going forward).
(Plus a good healthy dollop of Gehwol Callus Cream to stop it hardening up again)
This deep heel foot corn comes back every few months. (Like this other one)
The patient has some mobility issues. So it's prone to the same place.
I'm conscious of not just removing the top layer of this corn; that wouldn't relieve the pain for as long.
There isn't a huge amount of overlaying skin callus with this corn.
This leads to me believe it's more of a twisting motion that's causing it.
As always, I recommend Gehwol Callus Cream to keep on top of this.
It spaces out the time between treatments and often corns coming back full stop.
So here we have classic early interdigital corns. (Foot corns between toes)
This lovely patient had tried home treatment with acid corn plasters.
This is why we see that flaky, peeling layer of skin. On my advice, she stopped using them as they just pile up burnt dead skin.
These flared up due to a new pair of shoes. The material they are made of was not very accommodating at all.
(Annoyingly, I lost the first part of the removal as I forgot to press record!)
For a much deeper foot corn removal, see this video!