Have you ever experienced a sharp pain between your 4th and 5th toe? This may be due to a condition known as Heloma Molle or more commonly called “kissing corns.” This occurs when there is a corn on your 4th toe that is rubbing against a corn on your 5th toe. Since you have nerve endings in this location on your toes, it can cause pain in your web space. This pain can be debilitating and cause you to limp and favor your foot to try and prevent your pain. Heloma molles can occur in between any of the toes but it is most common between the 4th and 5th toes. A heloma molle can result from one of the bones in your toe being wider than the others. Most toe bones are wider at their ends and tapered in the middle. In some people with heloma molles the ends of their toe bones will be wider than typical. This is what causes the additional pressure on your toe forming the heloma molle. It is also possible though that you can have completely normal toe bones and still get a heloma molle. If they continue to recur, a X-Ray can be taken to find out what shape your toe bones are. When a lot of people think of corns, they think of hard corns, but a heloma molle is a soft corn. It just looks like a change in the pigment of your skin.
There are several forms of treatment for heloma molles, including conservative and surgical treatment. The conservative treatment involves your podiatrist using a blade to shave off the corn. This procedure is done without any numbing of your toe, because it is a virtually painless procedure. Once this is done, a small wedge can be put in between your toes to separate them and try to prevent the toes from rubbing and forming the corns again. Wider shoes can also be considered to prevent your toes from rubbing together and causing the friction that results in these corns. The surgical treatment of this condition involves shaving down the bones to make them not as wide. It is a very low intensity surgery that you will recover from quickly. If the heloma molles continue to occur, this surgery can be considered as a treatment plan.
If you live in the North Andover, Lowell, Methuen, Bradford or Boston Massachusetts and have any of these symptoms, our staff would be more than happy to help relieve your pain and treat your condition.
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