Heloma (Corn)

What are the Symptoms and Causes of a Heloma?

Symptoms of a heloma can vary depending on its type and location but generally include:

• A rough, dull appearance
• Pain ranging from mild to burning
• Inflammation in the surrounding skin
• A central core or knot of dense skin

The root causes of heloma formation are multifaceted and can include:

• Ill-fitting shoes or socks
• Obesity leading to abnormal gait or foot mechanics
• Foot deformities such as hammertoes or bunions
• Age-related changes in foot structure

Types of Helomas

Helomas fall into three main categories:

• Soft Corn: Typically forms between the toes, mainly the fourth and fifth, and is sensitive and tender.
• Hard Corn: Often develops on dry, flat areas of the foot, especially at the bony parts, and has a rigid core.
• Seed Corn: Usually found on the weight-bearing portions of the foot and occurs in clusters, causing considerable pain.

How are Helomas Treated?

Treatment aims at alleviating pain and removing the source of pressure or friction. Options include:

• Home Care: This entails changing ill-fitting footwear, using corn pads, or soaking the corn in warm water, followed by exfoliation.
• Professional Treatment: More advanced treatments like skin trimming, corn reduction, and cortisone injections by a podiatrist.