Category:Calluses (Keratoderma)

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Keratoderma is the medical term used to describe thick calluses on the bottom of the feet and on the palms of the hands. Recently, scientists have shown that there are blisters under the PC callus which cause exquisite pain for patients. As with all PC conditions, patients' experiences with keratoderma and plantar pain vary widely. The techniques that PC patients use to manage their pain also vary. The PC Wiki is a collection of tips and techniques where patients can share what they find works best.


Contents

Care Techniques

Tools or Medications

Tools

PC patients use a variety of knives, files, and other tools to trim down their calluses. See the following pages for comments and links to products that other PCers have used.

Scalpels and knives

Files

Power Tools


Topical care products

PC patients have experimented with a wide variety of topical (surface) treatments for softening and moisturizing callouses. These topical treatments come in the form of creams, gels, ointments, and other products. None of these products completely eliminates callouses, but many have been found to be helpful.

Topical treatments


Patient Tips and Comments

K16 patient "Have had the hard skin on the soles of my feet shaved down by a doctor to the 'normal' skin, several times now. This is quite beneficial as although the skin grows back the blood vessels which grow within the skin tend to stay away for a year or two, making shaving the skin so much easier and less painful. I am currently enjoying a good couple of months on the pain front as they were last done 3 months ago. After surgery to have the skin shaved I have always woken from the anesthetic literally shouting in pain (feels like feet are in an ever tightening vice!) until large amounts of morphine are then given. However, last time I had it done I made it very very clear to the anesthetist how painful this procedure was and he made sure he gave me morphine before I woke up and I was fine, a small amount of manageable pain. Again this pain goes very quickly, within a few hours and then codeine or paracetamol is sufficient. I have always been able to walk the day after or 2 days after the surgery, with crutches for a few days, and then alone."

K6a patient “Hands and feet are debrided every 2 weeks under a physician's care. It takes a day to recover, but otherwise leads normal active life."

K16 patient "At the moment I can cut my skin quite low as I had an operation to remove all the callous in January. For a while after having this done the skin is not so 'wet' underneath and also not so sensitive and the blood vessels do not start to grow back into the callous for ages if you can keep the skin low. I have had a podiatrist take the skin too low before now and I have then had problems walking (just makes it far too sensitive). I think it needs explaining to them that getting the skin as low as possible is not always the best thing for PCers, it makes the pain worse, not better. I guess because they have been taught to remove as much callous as possible from all patients then they feel this is what is best for everyone. I tell them to stop when I feel it is low enough, sometimes they protest but hey....they are my feet! I find the best thing for me is to trim them once a fortnight, any longer than that and the pain can get worse, or more frequently than that and they can get too sensitive. A podiatrist once told me that it is better to rest your feet for a day after they have been trimmed to give them a chance to 'heal'. I find it really helps to do that if possible, much less pain."

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