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Calluses are thickened layers of skin caused by repeated pressure or friction. A callus may develop on the soles of the feet in areas where pressure or friction occur. The thickening of the skin is a protective reaction designed to provide protection. People with bunions often develop a callus over the bunion because that part of the toe has become very prominent and rubs against the shoe.

    Common Causes:
  • High heeled shoes
  • Mal-allignment of the metatarsal bones
  • Abnormalities of walking pattern
  • Flat feet and High arched feet
  • Excessively long metatarsal bone
  • Obesity
  • Bony prominence
  • Loss (atrophy) of fat pad on the underside of the foot
  • Short Achilles tendon
  • Skin abnormalities: thick, hardened, flaky and dry
  • Pain when walking
    Possible Modalities:
  • Functional custom made orthotic with soft top cover - Anti-shearing like Spenco or leather
  • Functional custom made orthotic with sub metatarsal accommodation
  • Functional custom made orthotic with metatarsal pads
  • Excavation of orthotic
  • Wedging
  • Control range of motion at metatarsophalangeal joint