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Corn between the 4th and 5th toes

http://dubaipodiatry.com/wp-content/uploads/2018/06/toe-corn2.jpg
http://dubaipodiatry.com/wp-content/uploads/2018/06/toe-corn-2.jpg
http://dubaipodiatry.com/wp-content/uploads/2018/06/4th-and-5th-toe-corn-1.jpg

A corn between the fourth and fifth toes can be very painful. It is often soft and quite large and can sometimes be white in colour. It occurs when the fourth metatarsal presses against the base of the first phalanx bone in the fifth toe. The excess pressure causes growth of a corn which underneath is actually an ulcer of the tissue.

To fix this corn we must address the boney alignment of the forefoot. A cast is taken of the foot and an orthotic must be worn inside the shoe at all times for minimum three months to align the metatarsals and the toe bones. Silicone to prop is also moulded to the shape of the fourth toe to give space between the fifth and the third toes also. An adhesive footcorns tape is also work for a month to hold the bones at the corrected position also.


2 comments

  • Stella Carreon

    January 28, 2020 at 4:14 am

    Is surgery ever an option?

    Reply

    • Dubai Podiatry Centre

      April 15, 2020 at 1:04 pm

      Hello, thank you for your comment. Neurovasulcar corns may need surgical intervention but it should be avoided because it can lead to scarring. Of course there are many other options other than surgery such as a machine to painlessly drill the corn out, or using a scalpel to shave off the hard skin around the corn and use a suction device called ‘Corns Suck’ (available on Amazon AE) to bring the good skin to the top level.

      Please see the Amazon link for the ‘Corns Suck’ device you can use at home: https://www.amazon.ae/Corns-Suck-Gentle-Removal-System/dp/B07MLP1YD3

      Kind Regards, DPC

      Reply

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