A dry callus with a rod
Last reviewed: 07.06.2024
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
There are many troubles that can befall a person in our world. Some of them are presented to us by our own body. For example, a dry callus with a rod, out of nowhere on the hand or foot. It would seem that a person is not sick, but also healthy can not consider himself because of the limited functionality of the organ on which such an outgrowth is found. And it is not so easy to get rid of such a callus.
What does a dry callus look like?
We are accustomed to consider a callus a formation in the form of a small, rather soft seal with a cavity filled with clear fluid. Most often it appears on the feet in the place of friction or pressure on the skin hard surface of shoes, less often on the hands (usually after gardening, working with heavy tools, carrying weights). This is a wet callus, which, although it brings a lot of unpleasant minutes, quite quickly comes down and is easily treated. The main thing is not to get an infection when it opens spontaneously.
Sometimes, however, an unusual mass appears on the skin of hands and feet that is in active contact with hard surfaces, usually lighter (yellowish) in color than the rest of the skin. It is much harder than a wet callus, not as elastic, and also does not contain any fluid inside. It is a dry callus that does not burst under friction or pressure, but it is no less uncomfortable than a wet callus.
Dry callus is markedly different from its wet sibling. On its surface from the first days may appear peeling, often formed a focus with a disturbed skin cover. The high density of the callus is explained by the formation of an area of keratinized tissue, which goes deep into the depths.
If the keratinized focus is large and does not go deep into the soft tissues, we speak of a dry callus (a large keratinized area of indistinct shape) or corns (more clearly defined callus with a large keratinized focus). But sometimes such a callus has a translucent thickening in the center in the form of a keratinized rod, which goes deep, causing painful sensations when pressing, and over time darkens, accumulating dust, dirt, blood.
Dry callus with a rod somewhat resembles manifestations of papillomavirus infection - plantar warts. Distinguish these neoplasms can be distinguished by the rod. In the growth of viral etiology of such rods are several, in the callus it is one and, as a rule, they are larger. These neoplasms differ and the mechanism of their appearance on the body. Dry callus - an outgrowth that has only indirect relation to viruses and other pathogenic factors of living nature, it is rather the result of physiological processes in the body and uncomfortable external conditions.
Causes of the dry callus with a rod
Any callus is the result of mechanical impact on the skin. Moreover, we are not talking about a short-term impact or squeezing, but about a prolonged or regular action that disrupts metabolic processes in the upper layers of the epidermis. Dry callus itself is formed in the surface layers, but in case of continued exposure to a negative factor, it can change its shape, inside it can form a kind of cone of keratinized cells, which is called a rod.
What kind of mechanical influences are we talking about? This question makes sense to consider from the point of view of the localization of the growth, because the risk factors for the formation of dry calluses on the hands and feet may differ.
Dry corns with a rod on the feet (most often on the feet and between the toes) are usually caused by friction or pressure. The risk factors in this case are:
- Wearing poor quality, rough, ill-fitting shoes that are not the right size and shape. Poor quality shoes make your feet sweat, increasing the coefficient of friction. Rough shoes are worse to wear, presses on some parts of the skin. With wide, loose shoes, there is a high risk of chafing, and with narrow shoes - regular squeezing of the skin. Walking on a flat sole leads to improper weight distribution, which can also cause blisters and corns. But high heels are also not the best option, because in this case, the front part of the foot experiences increased stress.
- Barefoot walking. This is a very useful procedure in terms of hardening and massage of bioactive points, of which there are many on the foot. But it can lead to dry calluses if you often walk on hard or uneven surfaces.
- Introduction of a foreign body into the skin. Any splinter is perceived by the body as a signal of danger and the need to protect internal structures and blood vessels from intrusion from the outside. The body forms a protective horny barrier that prevents the splinter from further deepening (regardless of its material).
Adry callus with a rod on the hand can form as a result:
- Frequent or prolonged use of a knife or other hand tool that has to be clenched tightly in the hand.
- Improper positioning of the pen while writing or squeezing it too tightly. Calluses occur if you have to write a lot and for a long time.
- Regular and prolonged use of garden tools (shovel, rake, hoe, etc.).
- Athletic activities (activities such as lifting weights, hanging from bars, bars, rings, etc. Increase the risk of blisters).
- Playing stringed instruments. If you do not use special equipment (e.g. Finger pads), your finger pads will quickly become sore, calluses will appear, and the skin in their place will harden. This is a common problem for beginners.
- Introduction of a foreign body. If it remains in the upper layers of the skin for a long time, a seal is formed around it as a long-term protection. In addition, any splinter is an additional pressure on the tissues around it, which can lead to metabolic disorders and keratinization.
Doing manual work or playing sports alone cannot be called a cause of dry calluses. If you wear gloves, the risk of dry blisters is significantly reduced, and athletes can often avoid them by using special powder.
When it comes to feet, you can get a callus even with normal-sized shoes. For example, if you wear wide socks that crumple when walking, or use insoles with insufficient fixation (they can also shift and press the skin). Sometimes blisters are caused by deformities in the foot and toes.
It is believed that contamination of the skin in conditions of ignoring the requirements of hand and foot hygiene disrupts nutrition and respiration of the skin, weakens local immunity, facilitates the introduction of pathogens (viruses, fungi) in the superficial layers of the skin. And this is one of the risk factors for the appearance of calluses with a rod. Pathogens affect the processes occurring in the skin and can inhibit the removal of waste cells.
People with fungus on the hands and feet, as well as those in whose body settled dermatotropic virus (e.g., papilloma virus), more often suffer from the appearance of dry calluses with a rod. The same can be said about citizens with excessive sweating of the feet, in whom pathological processes in the area of the feet and toes proceed much faster than others.
It is believed that dry calluses are more likely to occur with increased skin dryness. Thus, in elderly people, the appearance of such calluses on the hands is associated with a decrease in the fat layer, which is due to physiological reasons.
There is a certain predisposition to the formation of dry calluses also in people suffering from systemic health disorders. The risk group includes patients with impaired peripheral circulation, diabetes mellitus, obesity (overweight), weakened immunity, which is often the result of chronic diseases.
Pathogenesis
A dry callus with a rod is a thickening, most often formed in the area of the feet and palms, between the fingers and directly on them (usually on the lower or lateral part of the fingers or toes). In most cases, it is localized at the site of a former wet callus, if mechanical impact on this area continues even after opening the blister. True, sometimes this stage of callus development can be omitted, the seal appears "in an empty place".
The formation of dry corns (no matter what path it takes) is associated with a violation of the physiological process of skin renewal, which occurs regularly in the body. Skin cells are renewed with enviable constancy (as well as other cells of the body). In 3-3.5 weeks we have no old cells left in our skin, which rise to the surface as they mature. The spent cells are exfoliated and fall off. In this way, the body recycles them on its own.
In the place of constant squeezing, instead of exfoliating the cells, the cells are pressed, i.e. A stratum corneum is formed. The longer the negative impact on the skin, the thicker this hard layer is. Scientists explain its formation by the protective reaction of the organism, because keratinization is the formation of a kind of "impenetrable" wall protecting soft tissues, blood vessels, nerve endings, which are so many on the feet, fingers and palms.
Circulatory disorders in the extremities and exposure to factors of viral and fungal nature disrupt the processes occurring inside the skin. The initially formed superficial stratum corneum layer does not allow new cells to rise up, and in fact the formation of cells in this case continues, so the layer becomes denser and thicker, gradually going inward in the form of a cone.
A dense rod begins to aggravate the situation itself, squeezing the tissues around it, disrupting their trophism, which leads to further growth of the callus. Stale callus with a rod is not so easy to remove even surgically, not to mention folk methods. After all, it is necessary not just to cut off the top layer, but to completely remove the rod. If this is not done, it will be perceived by the body as a splinter, and therefore the pathological process will continue.
As for the localization of dry corns with a rod, according to statistics, they appear more often on the feet. Moreover, the leading place is occupied by women (corns in women are diagnosed 10 times more often than in men), due to the desire to look slim and graceful, which is facilitated by heels and narrow shoes. Guitarists and athletes lead in the number and frequency of corns on the toes.
Symptoms of the dry callus with a rod
It is not difficult to detect a dry callus with a rod. Most often it appears in place of an opened or dissolved wet callus. This neoplasm is more solid, so any thickening with coarse skin, especially that formed on the site of the former "water", it is worth paying attention.
The first signs of a rod callus can be considered:
- a rough patch of skin,
- its color changes to yellow,
- formation of a translucent spot in the center, causing sharp pain on pressure
Let's not forget that the favorite places for dry calluses are feet and palms, as well as fingers and toes.
Dry corns with a rod on the foot are usually formed by walking barefoot, on flat soles or in heels. They are most often found on the sole in the heel or metatarsal area.
A dry callus on the toe with a stem can appear both on the pads of the fingers and between the toes. The latter is the result of squeezing the toes or pressure of the nail of one of them on the soft tissues of the other.
Dry callus with a rod on the little finger can be formed both from the outer side when wearing narrow shoes, and from the inner side, with pressure or friction of the neighboring toe. But most often the little finger itself with its hard nail becomes the cause of injury to the 4th toe, especially if the shoes are narrow.
If there are rough seams on the shoe, a callus can form at the point of contact between these protrusions and the skin.
Dry calluses on the hands of people who work in the garden and sportsmen usually appear on the palm of the hand below the fingers, but in guitarists and those who write a lot, directly on the fingers. The strings hurt the pads of the fingers, and the pen presses the fingers from the side, from the outside.
In other words, expect a rod callus to appear wherever the skin is squeezed or rubbed.
Complications and consequences
Dry callus with a rod on the hands is a cause of discomfort when doing manual labor, which involves the sore area. If it is not disturbed, it does not remind of itself. Unlike a wet callus does not bleed and is not a risk factor for tissue infection. It is usually removed because of discomfort and unaesthetic appearance.
A callus on the foot, on the other hand, is a tragedy. We regularly use our feet to move around the house and beyond. But dry calluses with a rod are formed just in such places of the foot, which are in close contact with the surface of the ground or shoes. Movement causes a person pain when stepping on the "favorite" callus". And it's not just discomfort anymore.
In an attempt to reduce unpleasant sensations, a person tries not to step on the growth, to reduce the pressure on it. And this is possible by changing the position of the foot when walking and running. The patient begins to walk on his toes or heels, on the side of the foot, which not only changes his gait, but also negatively affects the condition of the joints, including the spine. Improper weight distribution when walking is one of the reasons for the development of degenerative and dystrophic diseases of the spine and joints of the legs.
This is why you need to remove rod calluses on your feet as soon as possible, without delay, before they become the cause of more serious diseases.
Diagnostics of the dry callus with a rod
Calluses on the hands and feet are different, as well as approaches to their treatment. In addition, these neoplasms have a certain similarity to the external manifestations of papillomavirus infection and at first glance indistinguishable from malignant tumors and warts. To understand what we are dealing with, you need to consult a specialist. Otherwise, treatment may not only not bring the expected result, but also harm.
Since a dry callus with a rod appears in the upper layers of the skin, the first thing to do is to see a doctor specializing in skin diseases, i.e. A dermatologist. If the callus has formed in the foot area, it makes sense to consult a podiatrist (a specialist in the treatment of diseases of the foot and lower leg), if such a doctor is available in the clinic.
The diagnosis of "dry callus with a rod" usually does not require numerous instrumental and laboratory tests. An examination by a specialist who can recognize the callus by its appearance and differentiate it from a wart is sufficient.
Tests are prescribed in case of suspected diseases that are at risk of blister formation. This is diabetes mellitus (take a blood test for sugar and glycosylated hemoglobin), HIV infection (antibody test), papillomavirus infection (it makes sense to conduct cytological and histological examination plus PCR-diagnostics to determine the type of pathogen and exclude or confirm oncology) skin fungus (study for fungal microflora). The fact is that in the presence of concomitant pathologies, effective treatment of dry calluses can be carried out only in conjunction with therapy of the underlying disease.
Instrumental diagnosis is carried out in connection with certain disorders that caused or resulted in the appearance of dry corns. Usually prescribe a radiograph of the foot, if the growth has such a localization. X-rays help to identify flat feet and other variants of deformation of the foot. If in addition to pain in the leg, the patient began to worry and discomfort in the back, lower back, joints, X-ray of the spinal column or painful joints may be appointed, which will be of interest to the orthopedist.
Differential diagnosis
Differential diagnosis allows the doctor to make a definitive diagnosis. First of all, the doctor needs to differentiate the rod callus from a plantar wart or papilloma. Papillomatous outgrowths, like warts, usually have a more convex surface, while the dry callus can practically not rise above the skin. In addition, papillomas tend to have several small rods that are softer than those of a blister. Another thing to note is that calluses usually appear singly, while papillomas may nestle on a patch of skin in groups.
If a callus does not have a clearly visible stem, it can easily be confused with a flat wart or tumor. Warts rarely develop into malignant tumors, and calluses never become malignant at all. In doubtful cases, a biopsy and histologic examination are ordered.
Treatment of the dry callus with a rod
Dry corns are much more difficult to treat than wet ones, because drugs through the keratinized layer penetrate with difficulty, so additional preparation is required (steaming, repeated removal of the softened layer). And even in this case, it is not always possible to fully extract all the tissues of the callus, and in particular the stem.
The goal of treatment is to get rid of the growth, so patients are usually concerned with the question of how to remove, how to remove, how to get rid of, how to remove the hated callus. This can be done in different ways:
- with medication (helps in uncomplicated cases),
- through medical and cosmetic procedures (performed both in clinics and beauty salons),
- surgical treatment (surgical treatment is relevant even in the most severe situations when the root has reached the dermis).
Drug treatment is carried out with external agents containing salicylic and lactic acids (ointments, plasters for dry calluses with a rod). Vitamins that favorably affect the skin (C, A, E) and stimulate its regeneration can be administered orally.
Popular effective treatments include:
- Hardware pedicure, during which the core of the callus may be drilled out (there is a risk of infection).
- Laser treatment (laser vaporizes the pathological tissues of the growth, without affecting healthy, the risk of infection is minimal). Removal of dry callus with a rod laser is considered today the most effective, safe, and therefore in demand procedure.
- Cryotherapy (freezing of pathological tissues with liquid nitrogen, the disadvantage - difficulty in determining the depth of penetration, sometimes requiring repeated sessions). Removal of dry callus with a rod of liquid nitrogen is very helpful when the callus grows not so much deep as wide and occupies a large area.
All these procedures are offered by both clinics and salons. They are painless, so they are carried out without anesthesia, do not require special preparation. The skin before the session is treated with antiseptic and sometimes with lidocaine (in case of hypersensitivity).
After the procedure, the skin at the site of a dry callus with a stem is treated with a special agent and covered with a waterproof antimicrobial patch. A wound is formed at the site of the callus, which is covered with crusts. Do not remove the crusts yourself to avoid infection.
Physical therapy treatment may be prescribed to patients due to health complications caused by improper foot placement while walking.
Medications
Any medication used to remove a dry callus with a rod is intended to soften the hardened layer and make it easier to remove the rod. These can be either ointments or plasters, but neither of these provide a 100% guarantee that the rod will be removed completely.
Ointments for dry calluses with a rod, as a rule, contain salicylic, lactic, benzoic acids: "Salicylic ointment", "Bensalitin", "Hemozol". Actively used and creams "Dr. Mozol", "Nemosol", "911 Namosol", "Perfect Feet", in which acids are combined with other components that contribute to softening the skin.
"Salicylic ointment" can have different concentrations. For the treatment of calluses is suitable 10% ointment, which is applied daily in an even layer strictly on the area of the callus at night, covering the sore spot with a bandage (on the feet you can wear a sock). The course of treatment is not more than 3 weeks. After a break can be repeated.
Every day in the morning, the ointment is removed along with the softened tissues of the callus (use a pumice stone, brush), after which a new portion of ointment can be applied.
Do not use the drug in case of hypersensitivity to its components. Possible side effects: itching, burning, dry skin, rashes.
Perfect Feet" cream-paste is a medical and cosmetic remedy for dry calluses. It contains both salicylic and lactic acids, as well as many useful skin-care components.
Apply the cream for half an hour on the sore spot and wrap it with a film, making sure that the cream did not get on the skin with cracks, wounds, inflammation. Wash off with warm water.
Given the usual location of calluses, it is easy to understand how inconvenient it is to treat them with ointments and creams. Much more comfortable in use and according to many reviews more effective are plasters, which are easily attached to the skin, do not interfere with the usual work, do not cause discomfort.
The "Salipod" patch from dry calluses with a rod is very popular. This dermatotropic remedy based on salicylic acid with the addition of sulfur has antiseptic and keratolytic action. Salicylic acid has antiseptic and emollient action, and sulfur helps softened skin scales to exfoliate more intensively, facilitating the removal of the keratinized layer and the stem of the callus.
The almost invisible patch is applied to the steamed, dry skin. It is kept for 2 days, after which the old patch is removed and replaced with a new one if necessary, until the callus is completely gone.
The patch is not used to treat children, patients with severe renal failure. It is also not used in pregnancy. It is forbidden to glue "Salipod" on moles, damaged skin.
Burning, reddening of the skin, itching may occur when using the product.
A safer patch "Compid" from dry calluses with a rod, made with the use of innovative technologies, is considered to be safer. Hydrocolloid particles have a softening and moisturizing effect that helps to remove the callus and rod.
The patch easily adheres to the skin and stays on for a long time, protects the callus from friction and pressure, reduces pain. It can be used in the area between the fingers, waterproof, colorless. For greater effectiveness, it is recommended to apply it after steaming the callus, having previously thoroughly dried the skin with a napkin.
The patch has no contraindications or side effects. It should be changed as it peels off until the entire callus with the stem is removed with the patch or by exfoliation with a pumice stone.
Both ointments and plasters are not bad for unstarted calluses, but sometimes their action is not enough and it is necessary to resort to surgical methods.
Folk treatment
In the stock of folk medicine there are many recipes to combat different types of calluses, ranging from conspiracies and ending treatment with herbs. But practicing any of the methods of removing dry corns with a stem, it should be understood that a good result can be obtained only in the case of a "fresh", not too deeply rooted corns.
For the treatment of dry corns and calluses are suitable for such recipes:
- Onions and onion husks.
The husks are kept in vinegar for 2 weeks. In the evening, a thick layer of it is applied to the pre-steamed callus in warm water, fixed and left until morning. To remove a callus with a rod may require several procedures.
Onions (half an onion) are kept in vinegar for 24 hours, after which individual plates are used, applying them to the callus for 1 hour twice a day.
- Lemon. It can be squeezed and applied together with the peel to the dry callus, securing it with a bandage. You can also use fresh lemon juice, in which a bandage is moistened and applied in the form of a bandage.
- To soften the callus is suitable baths with warm water and soda, but even more effective is kerosene, in which you need to keep the feet or palms for 10 minutes.
- Not bad softens keratinized skin and raw potatoes, which should be grated and applied to the growth, periodically changing the compress to a fresh one.
- Chernostliv. It is also actively used to soften dry calluses, previously boiled in milk until soft and applied as a compress (preferably warm).
- The rod can be removed with the help of candle lard. It should be dipped on gauze, sprinkled with tobacco ash and applied to the callus.
Folk medicine uses and more brutal methods of combating dry rod calluses. For example, applying a few times a day for 1-2 minutes cut garlic cloves, applying under a band-aid egg-vinegar mixture (fresh egg is dipped in vinegar essence and wait until it dissolves). But doctors do not recommend to abuse your skin in this way, because such treatment can lead to burns.
Chamomile, calendula, plantain, and celandine are particularly popular herbal treatments. Chamomile is used for warm foot baths, after which the softened keratinized keratinities are easier to remove. From calendula flowers (steamed and turned into a mush) and plantain leaf make compresses (7 procedures per course).
Celandine from dry calluses with a rod is applied in different ways:
- Fresh juice of the plant is treated with steamed callus daily for 1-2 weeks.
- The juice is mixed with fat (1:4) and applied to the callus overnight for 1.5 weeks.
- Infusion of herbs (40-50 g of dry material per glass of water) in diluted form used for foot baths.
- Fresh leaves and stems of celandine are crushed into a mush and make compresses (cover with a film). The course - 1 week.
Softened tissues should be removed daily. When treating with celandine, it is necessary to try to apply the juice and porridge strictly on the callus.
Cistotle is a rather toxic plant, so it is not recommended for pregnant women, people with mental and neurological disorders, for the treatment of children. The patient should not be allergic to the plant.
Homeopathy
Homeopathy can also help in the treatment of dry corns with a rod. But these remedies are mostly indicated for painful calluses as they have a de-osmolizing effect. A multi-component homeopathic solution (Thuja 0, Hypericum 0, Ranunculus sceleratus 0, Asidum salicycum D3 dil aa ad 40,0) is recommended for external application. It is applied to the growth daily.
If the blister is painful, peroral agents in tablets and drops are prescribed:
- Antimonium crudum. Effective for severe keratinization and severe stabbing pain.
- Ranunculus sceleratus. Indicated if stabbing pain in the callus is combined with gouty pain in the finger joints.
- Causticum. It is prescribed for burning pain subsided by heat, which is supplemented by rheumatic pains, restlessness of the legs at night, and a feeling of tightness of the tendons.
- Silicea. It is prescribed for patients who are sensitive, in great distress due to calluses with a tendency to inflammation of novo formations.
Any homeopathic remedies should be prescribed by a homeopathic doctor in face-to-face communication, because for these specialists it is important to see the patient, during the reception to determine the constitutional type and features of the patient's psyche.
Prevention
Treating a rod callus is in most cases a rather tedious and not a quick process. This once again shows that it is much better to adhere to preventive measures to avoid suffering:
- Wear high-quality comfortable shoes, do not be fond of high heels and flat soles. Socks should be selected according to the size, giving preference to natural fabrics, insoles in shoes rigidly fixed.
- Keep hands and feet clean by washing them regularly with soap and water. Wash your feet every day, remembering to change your socks and stockings for clean ones.
- Use warm water and a pumice stone (brush) to deal with keratinized skin on the feet. Soften the skin with a cream.
- In case of hyperhidrosis of the legs, use special sprays, creams, powders and folk remedies for excessive sweating.
- Do not ignore recommendations to purchase orthopedic insoles and shoes.
- Use hand protection (gloves, powder).
- Eat foods rich in vitamins for the skin (vitamins A, C, E, etc.).
- Use special care cosmetic products that control skin moisturization, making it soft and supple.
- Watch your weight and diet.
- Have regular physical examinations to diagnose and treat diseases that increase the likelihood of blister formation.
- If wet calluses appear, treat them without forming a hard crust and further traumatizing the skin.
- Take care of the health of the skin and nails on hands and feet, treat fungal and other types of infections immediately.
Among the many troubles, the cause of which we become ourselves, dry callus with a rod takes one of the leading places. With such pathology many of us have faced, so they know how agonizing a simple callus can be and how difficult it is to get rid of it. There is no need to let the situation go down the drain. The callus will not dissolve on its own, it must be treated, and the earlier, the better. But treat it correctly, based on the recommendations of doctors, not just on the advice of hearty neighbors and friends.
Forecast
A dry callus with a rod is a neoplasm that is not dangerous to human life or health. It usually does not inflame, does not bleed, is not exposed to infection, as long as the rod is in the skin. Its danger is hidden in the consequences that a person experiences by ignoring the recommendations for mandatory treatment of the callus.
With timely treatment, the rod is removed much more easily, there is less risk of parts of the rod remaining inside, and the wound (the hole from the rod) heals quickly.
In the case of a neglected callus, the prognosis is not so favorable. Not only that a person goes through agony, can not perform the usual activities, but also the growth can be completely removed only with the help of specialists. And even after the removal of the callus, the patient may still have unpleasant memories of it. Back pain and deformation of the foot with untimely treatment of calluses on the feet will not let you forget about its shortness.