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Large callus on right heel - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3629 Questions
User :   My daughter had a blister on her right heel and before I realized it she had a hard callus develop. I thought it was cleared but today noticed her limping and when I checked her heel, the callus is is larger, rock hard, black and another blister above it and that appears to go under the callus. Because of brain damage she rolls her right foot. I cannot get her in to see our family doctor (nurse practitioner) and we are looking at freezing rain and ice overnight. I was wondering about using a pumice stone on it and putting ichthammol ointment 20% that I have on hand.
Doctor :   Hi,
Doctor :   Dr here
User :   Hello, Dr. . Are you in receipt of my concern regarding my daughter?
Doctor :   yes, i am reading your post
Doctor :   May i know her age ?
User :   She is 31 and is mild MR from congenital brain damage but is very functional. I am her guardian.
Doctor :   ok,
Doctor :   Yes pumice stone and the icthammol oint will help
Doctor :   but on a temporary basis , as it do not clear the problem completely
User :   Should I soak it in anything prior to treating it? I am trying to keep her off of it and see that it is well padded. Anything else, please? I am very concerned about infection although she does have good circulation in her foot.
Doctor :   yes soakin does help , also let her wear a soft slipper wear
Doctor :   which avoid the friction of the heel with the ground
User :   Okay. Soak just in warm water or with something in it. We live in rural, out in the country and the weather is becoming a factor in case I need to get in to town for something. Thank you.
Doctor :   yes, warm water with few drops of antiseptic in it ( like savlon )
Doctor :   do not soak for long , as sofetning of deeper layers may cause extra peeling during paring with the stone
User :   I'm sorry. What is savlon? and if I cannot find it is there a substitute?
Doctor :   apply a bandage tape over the area after tge procedure
Doctor :   savlon is a cetrimide antiseptic
User :   I apologize for my ignorance. I'm not familiar??
Doctor :   substitutes like DETTOL, pottaisum permonganate solution can also be used
User :   This should be available at the pharmacy without prescription?
Doctor :   Iodine tincture also serves the purpose
Doctor :   yes, they are over the counters
Doctor :   you will get them without prescription
User :   AHHH! Now that I have. Tincture of iodine. I will contact my pharmacy in town to have them ready at the drive-thru. Dr. , I thank you and feel comfortable that I am on the correct course for her.
Doctor :   yes, you are on correct course
Doctor :   just take care that she do not bleed more during paring with the stone
Doctor :   a slight amount of blood spotting is ok
User :   Thank you and the weather should get above freezing by Friday so I can get her in. Yes, I will not soak very long and may, in fact, just use warm moist packs on the area. I will definitely watch for the issue of bleeding and be very, very careful. THANK YOU!
Doctor :   You are welcome
Doctor :   Thanks for consulting me , kindly provide your feedback
User :   Where ever you are, have a blessed day and, again, thank you. She is a very special person and I want only her good care. Will I be asked for feedback at the end of our chat session? I'll be glad to do that.
Doctor :   I wish her all good health
Doctor :   TAKE CARE
Doctor :   Bye for now
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