I accept that there are various treatment modalities for corns however I
suspect that the majority of the profession would agree that pressure
relief should form the central thrust of therapy.
The reason for my question to Simon, was that I am astonished how many NHS
podiatry patients are managed for years without orthoses ever being
actively considered.
Simon indicated in his original post, that the pilot study had found
increased pain levels 6 weeks after enucleation of corns (no pressure
relief) and reduced pain 6 weeks after issue of pressure releiving EVA
insoles (no ennucleation). This hints that ennucleation without pressure
relief worsens the symptoms experienced and could increase demand for NHS
Podiatry....Addiction to ennucleation ;o))
I think it's a real shame that this, and other, undergratuate research is
not published.
Sometimes our interest in the high-tech end of podiatry can cause us to
forget for a moment that alot of the basic tennets of podiatry practice
could benefit from equal scrutiny.
Best regards
Bryan Watters
On Wed, 28 Jan 2004 06:14:41 EST, David Holland <[log in to unmask]> wrote:
>Manesty Foster has done some work on this (pub in Pod Now, but sorry, can't
>find a ref).
>The problem is that simply treating the lesion, without addressing footwear
>or biomech, is not particularly successful.
>I don't think, in looking for a cure, or what makes the lesion worse, we
can
>look at one factor only, in a, usually, multifactorial etiology.
>Regards,
>David H
>
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