Now, I love nail fungus and athlete's foot spores. But *breathes in* ...a change is as good as a rest.
So today we head north. From your toenails to your fingernails.
To be more precise: fingernail damage from shellac and how you can heal it.
(We also cover beauty barons, toenail pies and fun fingers)
12/21/2023 0 Comments
I was gifted an Essy Electric Foot Callus Remover foot file from a patient.
Dubious at first due to its small size and glittery gold. I was pleasantly surprised at how powerful it was compared to the hefty Scholl Velvet Smooth.
Don't get me wrong - both can deal with light callus pretty well.
But deep heel skin is a different story. In this electric foot file review, I discuss the pros and cons of each.
This was a small and shallow heel corn.
It didn't give this patient any pain but it would have at some point.
You don't see these foot corns THAT often. They tend to be caused by lots of friction from tough shoe and boot rub.
This heel corn was easily home-removable. The patient didn't know it was there.
(To home remove, all they would need to do would be to slather it in this foot cream and wait for it to fall off a day later)
I scraped off first to reduce the thickness of the surrounding skin. This makes it easier to "pop out" with the instrument.
With foot corns that are super old (in this case, 20 years) or super deep, I like to REALLY get the dead hard skin out.
I also make a point of levelling out the hard skin ring of callus that surrounds them. This alone can cause a lot of pain.
(I use Gehwol Fusskraft Mint to soften this and make it easier to scrape off)
With foot corns this big and established, they often benefit from another treatment about a fortnight later to settle them down.
This lovely patient had pain from this corn under her pinky-toe since a surgery a few years ago.
Hard skin had built up first (under a tailor's bunion), then a corn.
Removing this corn was about getting rid of the valleys first; then really picking out the very bottom with a gouge blade. (This is actually the second part of this corn removal video).
This was quite a small foot corn in terms of diameter — but pretty deep to the bottom.
Ideally, I'd like to offload the area going forward to ensure the pressure that creates this foot corn stays off it.
(If you think you have one of these, be sure to apply plenty of Gehwol Fusskraft Mint to stop it growing down)
This was a long-standing (dreadful joke) foot corn right on the ball of this patients' little toe.
(Under a tailor's bunion)
It wasn't particularly wide, but pretty deep and covered with a thick-ish layer of callus. The first step was to remove the overlying thick hard skin.
(As always, I soften this first with Gehwol Fusskraft Mint.)
With the foot corn exposed I then removed it as far as was comfortable and effective. It was shaped like a classic pyramid, with the narrowest part nearest foot nerves.
This nice patient was 37 and had this foot corn since he was 15.
He'd had insoles, cream and lots of various appointments - to no avail.
He did a good job at getting the overlying hard skin flat and level which reduced the pain a little. However, this meant that the ingrowing hard corn skin underneath was compact and solid!
With these type of corn removals (ones that have been there years) I always try and remove hidden bits of corn that remain after the main plug is removed.
This is because these tend to be what causes pain even after an appointment.
(I used Gehwol Fusskraft Mint to soften the corn right at the start. I find this works away underneath and makes the years old corn skin easier to dig out)
The last stage of this corn removal is here.
This lovely patient has a small, dry corn right at the inside end of her second toe. This developed as she does a lot of hiking.
The scissoring effect of it rubbing against her big toe created the corn and a build-up of callus. She was lucky here.
Interdigital corns tend to be lower, more moist and very painful!
Likewise the pinch callus she had on her big toe. This tends to be caused by a twisting motion when your big toe joint starts to jam up with arthritis.
It's very common (I get it!)
(The foot cream I used was Gehwol Fusskraft Mint for those that have asked)