Plantar heloma, rooster's eye and dorsal heloma. What are they, how to treat them and how to prevent themMarch 23 2022
Popularly known as "Calluses", the plantar helomas, “rooster eyes” and dorsal helomas are a very frequent pathology in the feet, but Do you know everything about a plantar heloma? Do you know how they can be treated and eliminated?
WHAT ARE HELOMS? SYMPTOM
Plantar helomas are a localized hyperkeratosis, that is, a lesion with well-defined borders that grows into deeper layers of the skin of the foot, unlike the hardness which are more superficial.
- They have a shaperounded"
- Coloration dark
- sharp edges
- They are usually covered with dead, scaly cells (hardness) yellowish
- They are generally painful or bothersome, depending on the area and depth
TYPES AND CLASSIFICATION
Several types of helomas according to the area of the foot where they appear. Some are caused by excess friction between skin and footwear and others by pressure between the bones of the fingers:
– PLANTAR NAIL OR PLANTAR HELOMA
They are located in the sole of the foot. They usually generate pain when rubbing or walking, since it gives the sensation as if we stepped on a "nail" in each step we take.
plantar heloma (after enucleation)
– DORSAL HELOMA
They are located in the top of fingers due to the friction they suffer with footwear. They are common in people suffering from pathologies such as claw, hammer, or mallet toes.
Dorsal heloma on fifth finger
– “ROOSTER EYE”, “CHICKEN EYE” OR INTERDIGITAL HELOMA
In this case the friction and pressure is produced by the rubbing of the finger bones. This lesion is most often located between the fourth and fifth fingers.
Interdigital heloma or “crow's eye” between the fourth and fifth fingers
– FOUNDATION HELOMA
They are in the soft part that joins two toes. It is usually painful and appears more frequently between the fourth and fifth fingers.
Heloma of the fornix between the fourth and fifth fingers
CAUSES OF PLANTAR HELOMA. WHY DO THEY OCCUR?
– INCORRECT WAY OF STEPPING
Each person distributes the weight of our body and supports us differently. Discover in the next point "Treatments" what to do in this case.
If this bad tread is not corrected, injuries such as calluses, calluses and bruises will always appear in the same places.
– LACK OF HYDRATION
Moisturize the skin of the feet daily with specific creams (as the U20 by Podoactiva), will be key to preventing these problems.
In the post “Dry or cracked heels” We tell you everything to recover its elasticity and softness.
– FOOTWEAR AND SOCKS
Shoes or slippers that press the balls of the feet inside will cause greater friction and friction in each step. Must avoid narrow ends and heeled shoes. The socks are perfect as a protective barrier between the skin and the shoe. Don't forget to put them on correctly (no wrinkles)!
– OTHER PATHOLOGIES
PLANTAR HELOMA TREATMENTS. HOW TO TREAT THIS SKIN LESION?
A professional will be the one to determine the origin of the injury, since on many occasions there are pathologies that, due to ignorance of the population, can be confused with each other.
For example, if we treat at home a plantar wart (caused by the Human Papillomavirus) as if it were a heloma, We worsen the situation and spread the infection, since they are two pathologies that are treated differently.
Although many people think otherwise, the callus removal treatment is painless for the patient.
The most frequent treatments are:
In this podiatric treatment, the delamination It will be essential to eliminate the set of dead cells of the most superficial skin, commonly called hyperkeratosis or calluses.
After delamination, the professional will delve into deeper layers of the skin to be able to treat the heloma. Thanks to specific instruments of the podiatrist, the heloma enucleation, that is, deep retreat.
This analysis of the footprint will allow the podiatrist to know the patient's highest pressure points. Depending on the result, some custom templates will help to rebalance the pressures and will be able to selectively unload those points of maximum pressure of the foot to prevent the appearance of plantar hyperkeratosis in the short and long term.
this chemical does not eliminate the cause of the problem, but generates a wound and burn on the skin that aggravates the situation.
Patient with macerated and burned skin due to the use of callicides
A treatment would also be surgery, but it will always be the last option, unless the specialist determines otherwise.
PREVENTION. HOW CAN I PREVENT THE APPEARANCE OF A PLANTAR HELOMA?
Proper hygiene It will protect both the skin and the toenails from infections. In addition, it is essential drying after the shower, placing more emphasis between the fingers.
It is very important that the footwear is comfortable and wide fit so that the foot is not pressed inside. It's advisable don't abuse them heeled shoes.
Many people wear the same shoes every day for months, so It is recommended to insert the footwear. In this way the foot can "rest" and friction and pressure will not always occur in the same areas.
This stone helps us peel off dead skin that accumulates on the superficial skin of the foot, in order to prevent the appearance of hardness. In the article "Pumice. 6 tips to use it on your feet correctly” we tell you all about it.
The pumice stone is not a treatment, it is simply a supplement.
– VISIT THE PODIATRIST
Visiting the podiatrist regularly will help us to have our feet always ready.
In short, although helomas are a very frequent problem among the population, not for that we should downplay it.
They are not serious, but when these lesions appear on the feet they are indicating that something is wrong (be it the shoes, the way of walking, etc.)
CLINICAL CASE. DORSAL HELOMA IN A DIABETIC PATIENT
57-year-old patient with diabetes, with a history of more than 10 years of evolution. As background, it should be noted that the patient has already suffered ulceration in the foot years ago, due to his poor control of the disease.
CONSULTATION AND DIAGNOSIS
He goes to the consultation referring that a month ago he was walking with some too tight shoes, which caused in his right foot a scratch on the 5th toe by the back area. A few days later, a wound appeared in the area of the chafing and, monitoring it, he realized that the injury was getting worse. He finally decided to see a podiatrist.
The patient tells the professional that she has been applying betadin in the wound as an antiseptic measure to prevent infection. Upon inspection of the finger, a increased temperature and redness which may signify an underlying infection. The podiatrist decides to perform a radiography of the finger to see possible bone damage and involvement of the cortical bone (layer that covers the bone).
In turn, it performs test “probing to bone” consisting of the introduction of a sterile, blunt-tipped instrument through the ulcer. The test result is considered positive if bone is seen or touched with the instrument. In the case of the patient, said test was negative and apparently there was no communication between the wound and the bone.
The radiograph shows a good external state of the bone, but a possible start of internal infection. For this reason, a treatment oral antibiotic. In addition, cures are performed with felts and specific dressings, plus epithelial renegation drugs (skin scarring) with a frequency of 48-72 hours. It is also recommended that the patient wear wide orthopedic shoes during cures treatment.
- FIRST WEEK:
It is observed a positive evolution considerable, so the treatment is continued.
- SECOND WEEK:
The treatment continues to evolve correctly.
- THIRD WEEK:
The evolution has been very positive and it is decided change cures to washes with serum and betadine, continuing with specific felts and orthopedic shoes with a special width.
- FOURTH WEEK:
He is discharged and given some tips so that you take into account as a patient with diabetic foot risk.
It is very important podiatric control frequent in patients suffering from diabetes, since at the neurological and vascular level they can present alterations that must be detected early to avoid this way ulcers or infections that may pose a serious risk to your patient's health.
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