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Molly Maloof, MD

Director of Clinical Content

Any idea for my feet?

How big of lesion can be? Should I continue to use TCA gel or change to use Acid pads? If I press on lesions it hurt but it not painful as I stand for long time. Is it cause of pressure? Health center here just let me treat the corn but not find out what the cause is. So I am not sure to cut the corns out and it will not come back. After stop treatment it painless but still not walk or stand for long. I have to move my feet often to make sure pressure not still.
  • Female | 48 years old
  • Complaint duration: 90 days
  • Ethnicity: Other Asian
  • Medications: nose spray xylometazolin hydrochlorid 0,5ml
  • Conditions: Allergy, dust, cat can lead to asthma.

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Almost all corns are caused by biomechanical dysfunction, or areas of pressure where the skin is getting trapped and sheared by the underlying bones. There are cases, however, where some patients are prone to getting these lesions, possibly from 'clogged sweat glands,' or other dermatologic conditions. It is difficult to discern from you photo. Unfortunately, when corns like these are removed, they usually come back. You may have to continue to see a physician regularly to have them trimmed and continue to use creams. But if there is a biomechanical issue, it might be resolved through surgical movement of the bones. This is surgery, though, and you must have the situation evaluated properly
Treat the tinea pedis
I would definitely not be treating these lesions on your own. The area does look inflamed and there appears to be several lesions present. A podiatrist first needs to diagnosis the problem prior to treatment. These may not be corns but may also be warts or other skin condition. The actual treatment depends on the actual diagnosis so seek help from a professional
From the picture it appears that your feet have several area that appear red on this photo; the bottom of your toes and ball of your foot. If you have any type of vascular disease, diabetes you should NOT be using any plasters patch with any chemical unless told to by your doctor. I agree with the other doctors, you should see your podiatrist or dermatologist before you potentially harm yourself. Cheers.
Gary S. Scheinin
If the TCA gel has not resolved these painful lesions I agree with all above. Seek professional help to get a definitive diagnosis. This will be the quickest way to resolve your condition.
Seth Steber
They could be small warts (miliary warts) or cysts. Have an evaluation by a foot specialist. In our practice, often to resolve these, we use a pulsed laser (no anesthesia) to remove them - it's painless.
Sloan Gordon
I agree you should get this properly evaluated by a podiatrist or a dermatologist. Sorry for your pain.
Nicole Kessel
I agree fully with the other doctors that the lesions should be evaluated by a podiatrist (or dermatologist) to get a definitive diagnosis and treatment plan. Excision of the lesions may be necessary, but other office treatments or prescriptions may be beneficial. All will depend on the formal in-person evaluation by the podiatrist (or dermatologist). Pictures and online discussion are typically not going to provide adequate information in this type of situation.
Recommend seeing a podiatrist or dermatologist for an accurate diagnosis and treatment. You should not play around with them.
Jay D. Helman
It's difficult to determine with picture submitted whether these are verrucous(wart) lesions or porokeratotic lesions. Although often times they are treated the same way the underlying causes are different. I would not recommend cutting these out yourself they should be done professionally and depending on the type of lesion need to be adjunctively treated with off loading areas, keratolytic creams and possibly strong chemical medication to areas. Get a proper diagnosis of the lesions first then proper treatment with follow!
Joseph Bava