Author: Foot Doc
Date: 10/27/2007 4:02 am PDT
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DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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Unlike callouses on the ball of the feet which are most often resultant from inordinate and/or poorly dispersed pressure on areas below the metatarsal heads, calloused lesions of the heel are generally not bone related, and may not be totally pressure related either. You give no information as to its size or appearance, and offer no details as to the diagnosis previously made or the nature of the surgery which you have already undergone, but I assume that you had some sort of excision (full thickness or curettage) of a keratotic lesion. Hopefully a histological examination and identification was done. I have no idea of what "bringing the callous to the surface" means, as, by definition, a plantar callous is a surface lesion. Keratotic lesions have various possible specific diagnoses and etiologies, and any meaningful discussion of treatment or prognosis would depend on the precise nature of the lesion and its cause, if that can be determined. It may be that periodic reduction and perhaps padding might be your best option, but having not examined you, I certainly cannot offer that as the definitive answer which you would, of course, prefer. |
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