Re: Corn on little toe
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Although your description might be taken otherwise, I will assume that you are relating that you have corns on both sides of the 5th toe. A corn on the outside of the 5th doe is generally due to the intermittent rubbing of the upper of the shoe on a bony prominence which protrudes laterally from the toe. A corn on the inside of the 5th toe is generally caused by the apposition and compression of a bony prominence on the medial aspect of the 5th toe which rubs a bony prominence on the lateral aspect of the 4th toe. This combination of events presents a problem for other than surgical treatment. Non surgical treatment of a corn on the outside of the 5th toe in my view most appropriately involves professional reduction of the keratotic tissue and the use of non-medicated apperature padding and a shoe with a wider toe box. Acid corn medications are sometimes used, but they present potential complications which make such treatment unacceptable for many patients. Non-surgical treatment for a corn on the inside of the 5th toe in my view most appropriately involves the use of sufficient foam padding between the 4th and 5th toes and the use of a shoe with a wider toe box. I strongly advise against the use of acid medications for this condition as the moisture between the toes can potentiate the effect of the acid and possibly cause ulceration and subsequent infection. The problem with this treatment when both problems exist concurrently is that padding for the outside corn will increase the pressure on the inside corn and padding for the inside corn will increase the pressure on the outside corn, and the use of both paddings often makes it too bulky for fitting the foot into a shoe. So, unless you are not a good candidate for the relatively simple bone surgery required, I would suggest you see a podiatrist for an evaluation for corrective surgery.