Saturday, January 14, 2006

corns

A corn is a circular mass of tissue usually formed on the outside of the little toe, on the upper surfaces of other toes or between the fourth and fifth toes. Corns have a core, which thickens inwardly and causes acute pain upon pressure.
Corns are common in the aged and are often caused by ill-fitting shoes, arthritic changes in the bones of the feet, and deterioration of the fat pad of the feet. Symptoms include pain and limping.
Since corns are usually caused by ill-fitting shoes, changing footwear can help. The use of various molds of felt, foam rubber, rubber, leather, or plastic and a properly fitted shoe that eliminates pressure or friction areas is important. Soaking feet daily in warm soapy water and scrubbing the com with a pumice stone or emery board can also help. Occasionally steroid, whirlpool, and ultrasound treatments may be necessary for relief of inflammation. Over-the-counter com removers are caustic and can cause severe bums, therefore should be used with caution. Analgesics or other pain medications may also be required. Surgery may be necessary in advanced cases.
See also BUNIONS.
Anderson, H. C. Newton's Geriatric Nursing, 5th ed. St. Louis: C. V. Mosby Co., 1971.
Shea, T. P. and Smith, 1. K. The Over Easy Foot Care Book. Glenview, Ill.: Scott, Foresman and Co .. 1984.

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