Corns: Javier’s Painful Toes
Our Patient:
Patient: Javier, Age: 42
Location: Bogotá, Colombia 🇨🇴
Diagnosis: Foot Pain – Corns
Background:
Javier, a street vendor in Bogotá, spends 12 hours a day walking on uneven pavement in worn-out shoes. He develops painful corns on the tops of his toes, making every step agonizing. Unable to afford new footwear, he uses over-the-counter corn pads that only provide temporary relief. A charity health clinic eventually treats him with proper debridement and educates him on foot care. Javier’s condition improves, but he remains at risk without supportive footwear.
Presentation of Symptoms:
Luis noticed thickened, painful skin on his toes months ago, which worsened due to repeated friction and pressure from his boots.
Key Symptoms:
– Painful thickened skin on the tops of toes.
– Difficulty wearing shoes.
– Chronic foot discomfort.
Diagnosis & Treatment:
– Diagnosis: Corns caused by friction and poor footwear.
– Treatment Plan:
– Corn removal via debridement.
– Better-fitting shoes recommended.
– Use of padding to reduce pressure points.
Diagnosis & Treatment
- Diagnosis: Corns caused by friction and poor footwear.
- Treatment Plan:
- Corn removal via debridement.
- Better-fitting shoes recommended.
- Use of padding to reduce pressure points.
Complications:
Recurring corns due to limited access to quality footwear.
Cultural and Family Support:
Javier’s extended family pooled funds to help buy better shoes.
Charity clinic provided free treatment.
Today Possible Outcomes:
- Good Outcome: Javier follows the treatment plan, reducing the corns and improving his comfort at work.
- Bad Outcome: Persistent corns lead to infections and forced time off work, causing financial strain.
