Plantar hyperkeratosis / Callus

Plantar hyperkeratosis/Callus:
Diffuse thickening of epidermis.

Pathomechanics:
Almost always have some sort of underlying biomechanical abnormality.

Clinical features:
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.

Treatment:
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

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