This picture shows blemishes on the top of the toes. This occurs when the transverse arch underneath the forefoot collapses and the toes retract and claw. This makes the toes rub on the top of a closed shoe. The patient then becomes self-conscious from the discoloration of the skin and continues to wear closed- toed shoes to hide the toes. This makes the problem worse.
These are not toe corns they are in actual fact bursa. Bursae develop along a tendon when there is pressure on the tendon against the bone. It is an adventitious occurrence and helps to protect the tendon. Silicone therapy should be used on the toes whilst we are in closed shoes to help break down the bursae. The pale colour on the fourth toe is from collagen building up to protect the skin. Perfectoes™ should be worn with closed shoes for 12 weeks to get the toes into perfect condition. A Footerella™ insole should also be worn for 12 weeks to lift the forefoot to prevent future clawing of the toes and the condition returning.