A clinical masterclass in how structural misalignment dictates dermatological pathology, proving that true relief requires addressing the bone rather than just the skin. It effectively bridges the gap between biomechanical theory and practical podiatric intervention.
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Callus On The Tippy ToeAñadido:
If you have hammer toes and they're stiff, you need to check this out.
The hammer toe or claw toe deformity puts the end of the toe in direct contact with the ground. So instead of walking on the fleshy pulp of the toe, the bone puts a lot of pressure on the skin and this callus can develop. You have this callus on the tip of your second toe.
>> Yeah.
>> And the reason why you have it is because you have this hammer toe here.
>> Not only do you have a hammer toe, >> but the hammer toe is what we call semiflexible. It's not flexible flexible. You got this beginning of the corner on the top of your toe.
>> Mhm.
>> But what's happened is that as you're walking around >> Yeah. Instead of walking on the what we call the pulp of the toe, the the fatty part of the toe right here, >> you actually because of the deformity >> walking on the tip of the toe.
>> Yeah.
>> And underneath the tip of the toe is a bone. That's why you get >> this call is formed here.
>> Okay. So, we're going to shave it down here.
>> All right.
And what we'll notice as we shave it down >> Yeah.
>> is that there's a core in the middle.
>> Yeah.
How long you been doing?
>> Hm.
>> How long you been doing?
>> 27 years, brother.
>> Huh?
>> 27 years.
>> Damn.
>> Long enough, right?
>> You man.
>> I try to do it.
>> Huh?
>> I try to keep up, man.
>> Mhm. Straight.
Oh yeah, he got a pretty actually large core.
>> Mhm.
>> With the tip of a toe.
>> Mhm.
>> [ __ ] for all.
>> Mhm.
>> What I said, man. This [ __ ] [ __ ] me up.
>> Going back my heels and [ __ ] >> What? tipping this [ __ ] I'm saying >> I hear you, >> man.
See you here now.
Take this core out. Relax.
Okay, it's coming out now.
Coming out without too much fuss.
>> It's coming out without too much fuss.
>> Mhm.
>> Coming out.
>> Yep.
And >> there it is.
>> Yeah.
>> Pretty big piece.
>> Mhm.
>> Right there.
>> Mhm.
>> Fairly deep, too.
>> Deep.
>> Yeah.
That's why it >> it's so painful to walk on.
>> Yeah.
How's that feel now?
>> Yeah.
>> Is it better?
>> Yep.
>> All right. Excellent.
So this one, this callus with the core in the middle, what we call killing me, man.
>> Yep. It's what we call a intractable poreo kerattosis or IPK for short. which is callous with the core right in the middle cuz it lies right underneath the bone.
>> Yeah. Right in the bone.
>> Mhm. The head of the metatarsils which >> and it puts pressure here because of the hammer toes that you have.
>> Yeah.
>> Hammer toes can cause what we call retrograde pressure.
That is because of the deformity in the toe. The proximal phallance of the toe puts pressure on the head of the metatarsal, pressing it downward. Over time, after many steps a day, hundreds, maybe thousands, day in day out, weeks, months, and years, this callus underneath that bone and the ball of the foot can develop. And if the pressure is very pointed, it can cause this porocarottosis.
So as I deb breed the callus here or shave it.
>> Yep.
>> As you can see >> Mhm.
>> the uh core.
>> Mhm.
>> We can see how big it is. We can see how deep it is.
>> Mhm.
Mhm.
All right. Now, let's >> take this core out. This middle.
>> Yeah.
>> Try to keep very still for me. This blade is very sharp.
Okay.
And right on out, >> baby. Good.
Good.
Yep. Okay.
>> Now I got to file it down. We're done.
>> Yeah.
Heat up here.
Heat. Heat.
Heat. Heat.
All right, my man.
A whole lot better now.
>> Oh, yeah.
>> One of the things we have to do, >> you got a toe sleeve. We recommend use a toe sleeve on the second.
>> And you're going to need some insoles for what's happening on the bottom of this right foot here.
to keep coming back.
>> Yeah.
>> Otherwise, we'll end up with having to do surgery and to I know you don't want to do that.
>> Yeah.
>> Okay. Getting better.
>> Yeah. Feel good. I know it feels good.
That's for sure.
>> My man.
I see this problem quite often, especially in our older patients, because the fat on the tip of the toes tends to get thinner as we age.
Share this video with somebody you know who has this very problem. Thank you for watching this video and like it with a big thumbs up. Subscribe to the channel and again, share with your family and friends. But most importantly, take care of your feet.
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