Summary
- Painful keratosis in areas of pressure or friction
- Usually seen over joints or bony deformity
- Often seen with toe deformities
- Associated with poorly fitting footwear or inadequate cushioning
Diagnostic tips
- Patient may describe “burning” or “drawing” sensation
- Pain on direct pressure
- May be secondary tissue breakdown and sepsis
- Often predisposed by arthritic and other bony deformities
Tests and Imaging
- Xray may identify osteophyte or exostosis
- Biopsy atypical lesions
Immediate Treatment
- Footwear advice
- Debride hyperkeratosis
- Apply padding to relieve pressure or friction
Possible Referral
- Podiatry for expert debridement and custom made padding or insole
- Podiatry for footwear advice or modification
- Orthopeadic surgeon for osteotomy.
