Surgical Treatment

If conservative measures fail, there are surgical options available. The procedures vary greatly, depending on the reasons for the corn or callus formation. If a hammertoe is responsible, the podiatrist can perform surgery to straighten the toe. Surgical cuts can be made to raise the position of a too-low or too-long metatarsal. Other metatarsal procedures include preventing a metatarsal from moving too easily. A metatarsal that rises too easily under weight bearing pressure can subject the more sturdy neighboring metatarsals to an unfair amount of the load -- this uneven distribution of pressure can lead to calluses. Whether due to too much or too little motion, the podiatrist can perform a surgery to correct for an improperly positioned metatarsal. Sometimes wires, pins, or screws are used to maintain the position of a bone after it is surgically cut. Depending on which procedures are selected, the patient may need a stiff-soled surgical shoe or possibly a cast and crutches for several weeks after the surgery. Each procedure is different, and has its own limitations and post-operative care requirements. In every case, surgical intervention is entertained only after conservative methods have been unsuccessful in providing relief. Your doctor can explain which, if any, surgical procedures are recommended for your unique condition.