Name of the Procedure:

Paring or Cutting of Benign Hyperkeratotic Lesion (e.g., Corn or Callus)

Summary

In this procedure, a healthcare provider removes thickened, hardened skin (a corn or callus) that has formed as a result of repeated friction or pressure, typically on the feet. The removal is done with a scalpel or special cutting tool.

Purpose

This procedure addresses the discomfort and pain caused by hyperkeratotic lesions, such as corns and calluses. The goal is to relieve pain, improve mobility, and prevent further skin complications.

Indications

• Pain or discomfort from a corn or callus
• Difficulty walking or wearing shoes due to the lesion
• Recurrent or persistent corns and calluses despite conservative treatments
• Hyperkeratotic lesions that may lead to secondary infections

Preparation

• No specific fasting or medication adjustments are generally required.
• The area may be assessed for existing infections or other underlying conditions.
• Cleaning the affected area might be necessary before the procedure.

Procedure Description

1. The affected area is cleaned and sanitized.
2. Local anesthesia may be applied if needed to minimize pain.
3. Using a sterile scalpel or cutting tool, the healthcare provider carefully pares or trims away the thickened skin.
4. The area is inspected to ensure all excess skin is removed, then possibly dressed with an antibiotic ointment and bandage.

Duration

The procedure typically takes about 15 to 30 minutes, depending on the size and number of lesions.

Setting

This procedure is usually performed in an outpatient setting, such as a podiatrist's office, outpatient clinic, or dermatology office.

Personnel

• Podiatrist or Dermatologist
• Medical Assistant or Nurse

Risks and Complications

• Minor bleeding at the site
• Pain or discomfort during and after the procedure
• Risk of infection
• Potential for recurrence of the lesion

Benefits

• Immediate relief from pain and discomfort
• Improved ability to walk and wear shoes comfortably
• Prevention of further complications and infections
• Quick procedure with minimal downtime

Recovery

• Keep the area clean and dry.
• Follow any specific wound care instructions provided by the healthcare provider.
• Avoid activities that may cause friction or pressure on the treated area.
• Follow-up appointments may be needed to monitor healing.

Alternatives

• Over-the-counter treatments like salicylic acid pads or gels
• Custom orthotics to relieve pressure
• Regular foot care and proper footwear to prevent lesion recurrence
• Surgical removal if the lesion is severe and persistent

Patient Experience

During the procedure, patients may feel some minor discomfort and pressure, particularly if local anesthesia is not used. Post-procedure, some soreness or tenderness at the site is expected, which can be managed with over-the-counter pain relief if necessary. Most patients experience significant relief from symptoms shortly after the procedure.