After an initial history and physical exam of your feet, x-rays will be needed to tell the whole story and determine why corns and calluses are developing. Your podiatrist is the expert in trimming down these areas of thick skin and will often apply comfortable padding to these painful corns and calluses.
Special padding devices and materials may be available only from your podiatrist or doctor for your use at home. Medication for inflammation may be utilised to treat the underlying injury and sometimes a cortisone injection into the underlying bursal sac will be recommended to rapidly reduce pain and swelling.
Changes in shoewear may also be recommended. A custom-made orthotic might be made to wear inside your shoes, to redistribute pressure more evenly across the ball of your foot. A pad placed in your shoes (called a metatarsal pad) may help reduce your contracted hammertoes and relieve pressure on the ball of the foot as well.
Often, corns and calluses will have to be trimmed on a regular basis to prevent them from hurting. Eventually, you may desire corrective foot surgery by a foot surgeon to straighten curled or contracted toes for corns or elevate and shorten metatarsals for calluses.
Often such surgery represents a short-term inconvenience to your lifestyle, but will not require any lengthy period of rest or inactivity. Many satisfied patients have remarked that surgery to remove the bone beneath the corn hurts less the very next day than on a painful day walking in their shoes with the corn present.