If you are diabetic, self-treating a callus may lead to an open wound
A patient came in with a band aid on her big toe. I proceeded to ask her what happened, I thought she was going to tell me about an injury or an accident. It turns out she had used a "pedi egg" to attempt to remove a callus from the bottom of her big toe. The pedi egg is a battery operated foot file that advertises easy removal of dead skin on your foot. In a person without diabetes or with good sensation, if you go too far, you will feel pain as a sign to stop before an open sore is created. However in a diabetic with neuropathy and poor sensation, the pedi egg will file down and remove the callus and skin build up - but go too deep and remove the layer of good skin as well, leaving an open sore. With a visit to our office and a thorough treatment plan, this patient was able to heal the sore. But lesson learned - do not try to self treat any callus. Leave that to the specialists.
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