Name of the Procedure:

Paring or Cutting of Benign Hyperkeratotic Lesion (e.g., Corn or Callus); 2 to 4 lesions

Summary

Paring or cutting of benign hyperkeratotic lesions involves the removal of thickened skin areas, commonly known as corns or calluses, from the feet or hands. The procedure helps alleviate discomfort and restore normal skin texture.

Purpose

This procedure addresses:

• Corns and calluses, which are thickened skin areas caused by repeated pressure or friction.

Goals:

• To reduce pain and discomfort.
• To improve functionality and aesthetics of the affected area.

Indications

• Persistent pain due to corns or calluses.
• Difficulty walking or using the hands.
• Noticeable thickening skin areas that do not respond to over-the-counter treatments.

Preparation

• Clean the affected area thoroughly.
• No fasting required.
• Patients should inform the healthcare provider of any medications or allergies.
• No specific diagnostic tests needed.

Procedure Description

1. The healthcare provider cleanses and sterilizes the affected area.
2. Local anesthesia may be administered to minimize discomfort.
3. Using a sterile scalpel or a similar instrument, the provider carefully pares or cuts away the thickened skin.
4. The process is repeated for each of the 2 to 4 lesions.
5. After removal, the area is cleaned again and a dressing may be applied.

Tools Used:

• Sterile scalpel or paring tool.
• Antiseptic solution.

Anesthesia:

• Local anesthesia is commonly used.

Duration

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

Setting

• The procedure is usually performed in an outpatient clinic or a podiatry office.

Personnel

• Podiatrist or a dermatologist.
• Medical assistant or nurse.

Risks and Complications

Common risks:

• Minor bleeding.
• Infection at the site of removal.
• Recurrence of the corn or callus.

Rare complications:

• Severe infection.
• Allergic reactions to anesthesia.

Benefits

• Immediate relief from pain and discomfort.
• Improved mobility and functionality.
• Smoother skin texture.

Recovery

• Keep the treated area clean and dry.
• Avoid excessive pressure on the treated area.
• Apply antibiotic ointment if prescribed.
• Follow-up appointments may be necessary to monitor healing.
• Full recovery typically expected within a few days.

Alternatives

• Over-the-counter treatments like salicylic acid patches or pads.
• Custom orthotic insoles to relieve pressure.
• Cryotherapy (freezing the lesion).
• Benefits: Less invasive, but may be less effective for severe cases.
• Cons: Longer time to see results.

Patient Experience

During the procedure:

• Mild discomfort due to local anesthesia injection.
• Minimal pain during the removal process.

After the procedure:

• Possible soreness or mild pain, manageable with over-the-counter pain medication.
• Immediate relief from the discomfort caused by thickened skin.
• Follow care instructions to avoid infection and ensure proper healing.