Diffuse thickening of epidermis.
Almost always have some sort of underlying biomechanical abnormality.
Diffuse thickening; grey or yellowish colour. Burning symptoms initially become more painful.
Intractable plantar keratosis (IPK) – often used to describe a heloma durum with a plantar callus.
Debridement; keratolytics; emollients (if skin dry); accommodative padding; orthoses (accommodative or functional – choice depends on pathomechanics); surgical correction of underlying osseous pathology
The use of fluid silicone injected subcutaneously has been used in the management of plantar hyperkeratosis by supplementing the subcutaneous tissues