Just this half a year ago, I had a similar situation, also a touch of pain, I really helpless, and then I heard that it is corns, the first time I heard of this thing, hated it. Then I bought the corns cream, less than 2 yuan, there are 6 sheets, each with a round foam in the middle of the center, the middle is the red drug, paste a day or two days to change once, paste two or three times on the good, the drug efficacy of the place, the skin hardened, at least press does not hurt, in a week or so will be opened to the circle in the beginning of the skin off, regardless of it, after a few days will be good. Here is the knowledge about corns: From Baidu Encyclopedia: /view/974.htm?fr=ala0_1_1 Corns (corns; clavus) Corns (Figure 1) are generally long on the feet, but also long in the hands, arms. Mainly due to friction and extrusion and the formation of small round hard lumps, the shape of the chicken's eyes, press the pain! Also known as "meat boil". It often grows on the toes and the front of the soles of the feet. This disease is mostly due to wear tight shoes or foot bone original deformity, resulting in long-term foot skin irritation and cause. Corns are round vertebrae-shaped keratosis nodules, the number of variable, the root of the deep, thickened skin, the tip of the protruding, often due to pain and affect walking. Corns are localized skin keratosis, often occurring on the soles of the feet. Between the toes, the back of the toes and the outer part of the little toe and other long-term friction and pressure. Ill-fitting or overly tight shoes are a common cause of corns. Chicken eyes are usually only the size of a soybean, slightly above the skin, light yellow in the center and darker around it, because it looks like a chicken's eye, and is named corns. The main symptom of corns is pain, especially when walking. Treatment of corns is difficult and not easy to cure. At present, the best way is laser treatment, corns eye cream external paste also has some effect. Clinical manifestations: (a) corns are generally as large as beans or larger, the surface is smooth and flat or slightly elevated, the boundary is clear, yellowish or dark yellow, the center of the inverted cone-shaped keratin plugs, embedded in the dermis. The tip of the corns presses on the nerve endings, causing pain when walking. Corns are mostly found in the middle of the front of the metatarsal, the lateral side of the little toe or the medial edge of the bunion, but also on the back of the toe. The corns that occur between the 4-5 toes are impregnated with sweat and are grayish-white in color with a soft corneal layer. It is called soft corns. (ii) Callus is a waxy yellow, flat or slightly elevated plaque of limited keratinous hypertrophy, hard and slightly transparent, with unclear borders, thicker at the center and thinner at the edges. It occurs in the palm and plantar area and is often symmetrical. Occupationally related, it can be seen on pressure areas. There are usually no conscious symptoms. In severe cases, there may be pressure pain. [edit this paragraph]Etiology Corns are conical cuticle thickening caused by long-term friction and pressure, with a keratin center nucleus, the tip of which is deep into the skin, and the base of which is exposed to the outside. Mostly seen in young people or children, preferably on the soles and toes, patients standing or walking, corns can compress the local sensory nerves, and cause severe pain, resulting in patients walking difficult, when the removal of local compression or friction causes, most corns can be gradually softened to return to normal skin. [edit this paragraph] Diagnosis According to the occurrence in the palm and plantar, the keratinous hyperplastic damage, it is not difficult to diagnose. The main difference between corns and calluses is: corns are inverted conical keratosis, and pain is obvious when walking, while calluses are flat flaky keratosis, wider in scope, and generally painless. The corns and calluses need to be differentiated from the plantar warts: plantar warts can be distributed in all parts of the foot and plantar, is not limited to the pressure parts, can be more, the damage, such as the size of a soybean, the surface of the keratinous thickening, with a knife to remove the surface of the cuticle, can be seen from the dermal papillae blood vessels oozing out of the blood cells coagulation of the keratinous core of the small black spots. Chicken eye clinical characteristics 1. good in front of the middle of the foot metatarsal, metatarsal side edge or heel; 2. lesions for the pinhead to broad bean size, border clear yellowish keratinous papules, can be seen conical keratinous embolus; 3. pain is intense. [Edit paragraph] Treatment Chicken eye care (Figure 2) Chicken eye is a limited cone-shaped keratinous growths, the tip of the skin in depth, the base is exposed on the surface, rounded like a chicken eye, so it got its name. The motherland medicine is also known as "chicken eye" and "meat spurs". Chinese medicine believes that corns are due to long-term pressure on the foot, poor qi and blood flow, skin loss of nourishment, growth abnormalities caused by. Corns eye treatment methods are: Chinese medicine external treatment method, western medicine drug treatment method, dietary therapy, surgical treatment method, Chinese medicine drug treatment method, Chinese and western medicine combined treatment method (corns eye Kang). [1] Specific such as: drug corrosion, Chinese medicine paste, acupuncture point injection treatment, fire needle, fumigation, liquid nitrogen freezing, laser and electric cauterization method, digging out surgery, excision, etc.. Drug corrosion, such as salicylic acid. You can cut a round hole in the center of the rubber bandage, the size of which is consistent with the corns, stick it on the affected area, expose the corns, sprinkle salicylic acid powder, and then seal it with rubber bandage. Generally 3 to 5 days to change the medicine once, each time before changing the medicine to remove the residual powder, after soaking the foot with hot water, and scrape off the softened keratin, until all the removal of corns. Chinese medicine paste with fresh half-summer, crow gall seed kernel and other traditional Chinese medicines pounded paste, the same method as above. In addition, commercially available corns cream, corns Kang, crystal cream or WuMiao Narcissus cream on the corns, outside the cover of the adhesive tape fixed, generally 3 days to change the medicine 1 time, until the shedding of so far. And so on can also be applied. Excavation [method 1] pain obvious feasible corns excavation, local anesthesia, with a sharp scalpel along the edge of the keratinous plugs for a circular incision, with teeth tweezers clamped, peeling, the corns will be dug out, and then bandaged with disinfected gauze. If the callus is thick, it can be soaked in hot water and then peeled off with a knife, or externally use a keratolytic agent such as 25% salicylic acid flint gel or retinoic acid ointment. [Method 2] first along the corns on both sides of the pike-shaped skin incision, cut to the subcutaneous after the use of tissue forceps to lift the skin flap, visible corns were yellowish-white cone-shaped, hard, and the surrounding tissue demarcation is obvious. Along the periphery of the corns blunt separation until the root, such as near the root fracture, can be used to pick out the tip of the knife, not residual, so as to avoid recurrence. Do not ligate the bleeding point, suture the incision can stop bleeding. Use a large curved triangular needle to close the incision. Cauterization method Before bedtime, the paper smoke, moxa, incense sticks or flammable sticks lit, close to the corns smoked, there is a burning pain can be a little far away. If the surface is hardened, touch the affected area with the tip of the fire. Each continuous smoking for 3 minutes, and then soak the affected area in hot saline water for 30 minutes for several days, the corns can fall off by themselves. Liquid nitrogen freezing Liquid nitrogen freezing method of treatment is less painful and quicker. The use of low-temperature liquid nitrogen will freeze the corns locally, and after two to three days, the corns will turn black and fall off to achieve the therapeutic effect. The method is only slightly uncomfortable in the freezing process. Relatively speaking, the cost is a little more expensive than the external application of drugs. Acupuncture and moxibustion method Take silver needles and heat them with an alcohol lamp and then needle them as if they were at the corns, then use the alcohol lamp to heat the end of the silver needles, and then remove the silver needles after a few moments. Fire needle method Routine disinfection of the skin, take 5 ml disposable syringe, extract 2% lidocaine hydrochloride 3 ml, line corns local infiltration anesthesia, anesthesia plays a role, the left hand holding tweezers clip a burning alcohol cotton ball, the right hand holding a disposable syringe, to be the head of the needle in the alcohol flame burns red, fast stabbing the center of the corns, the bottom of the deep to see the bleeding point shall prevail; corns are smaller, a needle can be, the big ones around the additional stabbing three needles If the corns are small, one needle is enough, and if the corns are big, 3 needles should be added around the corns; then put alcohol cotton balls at the eye of the needle, and fix it with adhesive tape. Acupuncture point injection treatment Suffererer's side of the corns point (about 3.3cm above the back of the ankle) after disinfection, with a No. 7 needle, vertical piercing, acid numbness and distension sensation after injection of 10% dextrose solution 10ml, massage for 5 minutes. Repeat the injection after half a month. Usually used in the treatment of multiple and recurrent corns. Excision [Indications] Corns are conical shaped swellings with hyperplasia of the skin stratum corneum that extend into the dermis, and they occur on the soles of the feet and lateral toe pressure areas. Generally small corns can be cured with medication. For those who are located in the weight-bearing parts of the foot and metatarsal, walking with severe pain, ineffective treatment by drugs, or repeated infections, after the inflammation subsides, they should be surgically excised. For large corns that cannot be sutured directly, simple excision should not be used, so as not to cause the incision to be unable to suture, leaving painful scarring, which affects the function even more. Non-surgical treatment should be actively used; if ineffective, then excision and flap repair should be performed. For corns on toe (finger) joints and palmar surfaces of fingers, scarring is easy to form after excision, which affects the activity or tactile sensation of finger ends, and non-surgical treatment is appropriate. For corns caused by metatarsal and phalangeal deformity or protrusion, corns should be considered only after correction of deformity or excision of bone protrusion. [Preoperative preparation] 1. Clean the local skin. If there is fungal disease on the skin and toenails near the lesion, it should be treated first before surgery. 2. Soak in hot water and remove the superficial thick skin. [Anesthesia] local anesthesia (with 1% procaine, with the corns as the center of the local diamond-shaped infiltration anesthesia, or directly injected into the root of the corns in the subcutaneous tissue). [Surgical Procedure] Corns excision (Figure 3) (1) along the corns on both sides of the shuttle-shaped skin incision, cut to the subcutaneous, with tissue forceps will be lifted up the skin flap, can be seen corns are yellowish-white cone-shaped, hard, and the surrounding tissue demarcation obvious. Along the periphery of the corns blunt separation until the root, such as near the root fracture, can be used to pick out the tip of the knife, not residual, so as to avoid recurrence. Bleeding points do not need to be ligated, suture the incision can bleed. Close the incision with a large curved triangular needle [Fig.] (2) Shuttle excision (3) suture [postoperative treatment] 1. 10 ~ 14 days after the operation to remove the stitches, too early to remove the stitches easy to make the incision cracked. 2. Keep the wound clean, avoid premature weight-bearing walking to avoid cracking. [edit this paragraph] prescription prescription external treatment paste method formula 1 composition of purple skin garlic 1, onion white 1 root. Usage **** mashed compress corns, bandage fixed, every two days to change the medicine 1 time, even with 3 to 5 times. Mainly treats corns. Formula 2: Appropriate amount of garlic. Usage: Pound it into a little salt and mix it well, put it on the affected area, cover it with gauze, fix it with adhesive tape and change the medicine once a day. Mainly cures corns. Formula 3 Composition of 1 garlic head, 10 cm of white onion, pepper 3 to 5 grains. Usage *** mashed as mud on the affected area, toilet paper rolled a thin strip around the mud, and bandaged, sealed, 24 hours after the drug, 3 days after the corns become black, gradually fall off, up to half a month that is completely off. Mainly treats corns. Fang 4 composition of water chestnut 1, onion 1. Usage of water chestnut and scallion head wash, drain water, *** put the milk bowl pounded into paste; paste in the corns, to rubber paste fixed, every night before going to bed after washing the feet to change the medicine 1 time. Efficacy of soft knot warts, so that the skin keratinized cells soften and fall off. The main treatment for corns. Fang 5 plum dressing composition salt 9 grams, 30 grams of plum, vinegar a little. Usage salt dissolved in water, will be immersed in salt water, a day and night to take the core, plus vinegar mashed. Apply to the affected area, with rubber paste paste. Efficacy soft knot erosion warts, so that the skin keratinized cells soften and fall off. Mainly cure corns. The source of the tour new, et al. Common diseases treated with home remedies. Nanchang: Jiangxi Science and Technology Publishing House, 1995, 356 Square 6 taro slice Composition taro 1. Usage taro cleaned and sliced. Take the raw taro slice rubbing the affected area, 3 times a day, 10 minutes each time. Efficacy soft knot erosion of warts, so that corns, warts softened off. The main treatment of corns, warts. Note with this method, after a few days can make the corns, warts softened off. The source of the folk prescription. Square 7 water chestnut and scallion head dressing composition water chestnut 1, scallion head 1. Usage: Wash the water chestnut and scallion head, drain the water, *** put the milk bowl and pound it into a paste; put the paste on the corns, fix it with a rubber plaster, and change the medicine once a night after washing the feet before going to bed. Efficacy of soft knot warts, so that the skin keratinized cells soften and fall off. The main treatment for corns. Source Gao Hansen. Disease diet therapy. Guangzhou: Guangdong Science and Technology Publishing House, 1993, 139 Fang 8 castor salt ginger dressing composition castor 10, salt ginger 1 small piece. Usage castor seeds and salt ginger **** pounded into a paste, applied to the corns, external adhesive tape Effect of soft knot warts. [2] folk treatment 1. raw taro slices, rubbing the affected area, three times a day, each rubbing ten minutes or so, the treatment of warts, corns. 2. Raw white fruit mashed compressed on the affected area, the treatment of corns (must first pick the corns bleeding and then compressed). 3. Composition: 1 purple garlic, onion white 1. Usage: *** mashed compress corns, bandage fixation, every two days to change the medicine 1 time, even with 3 ~ 5 times. 4. Ingredients: garlic in appropriate amount. Usage: pounded into the salt a little mixed, applied to the affected area, covered with gauze, fixed with adhesive tape, change the medicine once a day. 5. Ingredients: several eggs, rice vinegar. Usage: boil the eggs and remove the shells, soak the vinegar for 24 hours, take 2 eggs and drink 2 spoons of vinegar every morning on an empty stomach. 6. Ingredients: 1-2 grams of jasmine tea. Usage: Chew into a paste, compress corns, adhesive tape fixed tightly, every 5 days for 1 time, 3 to 5 times for a course of treatment, straight compress to the degree of corns fall off. [2] [Edit paragraph] diabetic patients how to prevent and control corns or callus 1. diabetic patients to prevent the occurrence of callus, corns measures Buy shoes should choose shoes with a wide tip, toes can be completely straight and can be a little bit of activity is appropriate. The ventilation of shoes should be good, with cloth shoes and canvas shoes being the best, and it is best to have 2 to 3 pairs of shoes for replacement to avoid squeezing the protruding or deformed parts. New shoes should be tried on, and the time of trial should not be too long, if there is no discomfort, the time of daily wear can be gradually increased until you get used to it. The insole made according to the shape of the foot and the foot cover (sock) should be soft to avoid excessive squeezing and friction and the occurrence of callus or corns. Once callus or corns occur, you should go to the hospital for examination and receive regular treatment. 2. The general treatment principle of callus or corns in diabetes mellitus patients (1) The basic treatment principle of this disease is to control blood sugar. The control of blood sugar is directly related to the result of infection treatment. In addition, this kind of patients generally have high blood lipid, should actively control hyperlipidemia, and application of pro-fibrinolytic drugs, in order to alleviate hypercoagulable state, dredge the blood flow. (2) Prohibit smoking. Because smoking can cause vasoconstriction and reduced blood supply to tissues. (3) Warm and comfortable shoes, socks and pants should be worn so as not to induce vasoconstriction of the lower limbs and affect the blood supply. (4) Maintain foot hygiene. Wash your feet every night with soft soap and warm water (the temperature should be lower than 40 degrees Celsius), and generally do not soak your feet for more than 5-10 minutes. Dry the feet thoroughly with a soft towel to keep the callus and corns dry and prevent the callus and corns from becoming infected with adverse consequences. Once there are signs of infection, you should go to the hospital in time. For the infected area, generally do not use irritating disinfectant solution, such as iodine. (5) Surgical treatment of callus and corns: at present, there are many treatments for callus and corns, but the fundamental principle for diabetic patients is that they must control their blood sugar and receive surgical treatments in regular hospitals, and don't wait until the infection to go to the hospital. The method of surgery should be decided according to the patient's physical condition, the size of the lesion and so on. After the operation, it is necessary to keep the blood sugar stable to prevent local infection from producing adverse consequences. [edit paragraph] Prevention Prevention is a key to the complete treatment of corns: 1. Wear loose, appropriate size and soft shoes, or a small piece of sponge pads with holes to protect the local to avoid pressure, such as flat feet should be wearing orthopedic shoes. 2. After exercise, more hot water to soak the feet, to increase their blood circulation. 3. Good luck.
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