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SOFT CORNS

Hard, circular thickened areas of skin that form most commonly between the 4^th and 5^th toes, due to pressure from an underlying bony prominence. 

The corn is a callusing between the toes.   There can be a progression to ulceration or infection if pressure is not relieved soon enough.

Other names or similar foot conditions:

• Heloma mole
• Interdigital corns

Symptoms:

• Painful or inflamed area of skin most commonly between the 4^th and 5^th toes
• Toes feel pushed together in shoes as if the shoes are too small
• Pain increases with walking

Signs to look for:

• Hard and circular areas of skin with a polished or translucent center at the site of the corn
• Ulcerations at the site
• Infection at the site

Possible Causes:

• Phalanges (toe bones) wider in one toe than a her, causing rubbing
• Wearing shoes that are too narrow or short
• High heel shoe wear

Goals:

• Reduce pressure and friction on the toes
• Adequate length and width of shoe

• Footwear that moves the foot forward and provides as little lateral movement as possible
• Arch support that moves the foot evenly and in the correct motion

Solutions:

Arch Supports:

• Bio-Orthotics Winstep or Sundance exercising support with metatarsal lift
• Lower and thinner arch support with longitudinal and metatarsal support for use when shoes can accommodate the Symmetry exercising support

• Extra depth shoe with firm heel counter, high toe box and rocker sole
• Wear heels and pumps only as long as absolutely necessary
• Avoid going barefoot or do so on a minimal basis only

Other: 

• Toe cushioning and straightening devices, such as toe separators, toe straighteners, toe gel caps, toe crests, etc.
• Spot stretching of shoe

Activities:

• Medical treatment if infection or ulceration is apparent

This information does not constitute a diagnosis of your condition and does not take the place of a doctor’s care.  The information has been compiled from sources available to the general public and referenced below.  Copyright 2005 Carole Romig

Sources   Image: I. Alexander, The Foot: Exam & Diag  Text: I. Alexander, The Foot: Exam & Diag