Carl R. Wagreich, DPM
Carl R. Wagreich, DPM
Lodi Podiatry Group
    

Common Disorders

Doctor Trimmed Callus - Infection

This is a question and answer that we felt was worth sharing.

Question:

I am age 67 and have been a diabetic since the age of 50. Insulin dependent for the last 5 yrs. My feet often have hard calluses on them which I have had trimmed by a podiatrist. Unfortunately, this has led to severe infection and have lost my big toe because of this. At the moment I am again battling an infection. I am wondering what is the alternative to trimming a callus. I understand Vitamin C is good for healing. Do you have any info on this? I would be greatful for any advice you could give me.

Answer:

Callus build up on the foot is due to abnormal pressure and friction as you stand and walk. It is important that the callus not get to thick or the skin under the callus can break down and cause an ulceration. It is not uncommon for me, when treating a diabetic patient with calluses on the feet, to trim a callus and find an ulcer under the callus. If the callus is not trimmed, then the infection can progress into the bone or deep into the foot. Good nutrition and vitamin supplements will help with healing but the most important issue is adequate blood flow. If you have bad circulation ask your doctor about hyperbaric oxygen treatment.

You should also discuss with your doctor about obtaining a diabetic shoe and molded insole to protect your foot.

Article provided by PodiatryNetwork.com.

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