Corns
by Sandra
(New York)
Recently went to purchase shoes and noticed that one foot is wider the the other. I have had a burning sensation on my left foot. I now see a corn starting to form. is this why it's burning? what can I do to stop the progression of the corn growing?
RESPONSEHi Sandra,
If the burning is originating from the site of the corn then yes, it is from the corn. Being a bit more specific the burning may possibly be coming from irritation of the nerve that travels just below the corn. This is most common on the fifth toe.
Since a corn is a build up of thick tissue in response to an irritant, in this case a shoe, the skin has basically become inflamed and it is no surprise that some of them burn; others just hurt and even some are painless.
Corns are almost always caused by shoes that are too tight and since you have one foot that is wider than the other, I am assuming the corn is occurring on the wider foot, because that is where there would be more pressure from the shoe.
Since there is this difference in the width of your foot you would be wise to always try and buy shoes to fit the wider foot so that you are not cramping your foot into the shoe. This will cut down on the pressure on your toe and will not aggravate the problem.
Along these lines you also need to think about the style of shoe that you purchase. I never want to be my patient's fashion consultant when it comes to buying shoes, but you have to be smart about the style you wear. Shoes that are too narrow in the front or have a high heel tend to exacerbate corns as does material that has no give to it, such as patten leather shoes for example.
The other problem you are going to have is with your narrow foot. If you buy shoes to fit your wider foot then there is going to be "wiggle" room with the narrow foot. What happens here is that since the foot moves around somewhat in the shoe, that motion also creates friction of the toes against the shoe and that too can lead to the formation of corns.
So depending on how fashionable your shoe selection is, you may have to consider taking your narrow shoe to a shoe maker to add some padding to the shoe so that the foot does not move around too much.
Marc Mitnick DPM
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