(music) Hey guys! How’s it going? I just want to
say hi to all my toes out there. This is Jonathan, a.k.a. The Toe Bro, and first off
I just want to say again thank you for all the views and all the comments! This
is my first time ever having to try to put videos together, do some editing,
making graphics on a video. So this is something completely new. I’m trying my
best. I hope you guys are enjoying the videos.
Keep giving the great feedback! I want to make these videos not on the weird side
of YouTube. I want this to be educational, fun, you guys learn something, you guys
can use some of the advice or tips I I’m going to be giving you to help prevent
some foot problems. That’s what I’m really looking to do and make feet fun
because everyone thinks their feet are gross but you know the feet are so important!
So today I’m going to do something a little different; instead of showing you
a surgical procedure I do in my office, I’m actually going to show you more of
some routine treatments that I do every single day and what we’re doing today is
removing a painful corn from elderly man’s fifth baby toe. So a little background
about this patient, he’s been suffering from a lot of foot pain on his right
foot for a few years. He’s tried to scrape it down himself, he’s tried using
acid pads, but nothing’s really worked and he hasn’t had anyone treat this in
the last couple years. So as you can see, quite a large mass of growth of hard,
hard skin. So a quick little side note: I know some of you might be saying,
“Oh my gosh! He’s using a nail nipper to cut said hard skin!” So a little
background information. My father was a foot specialist for over 30 years and I
was lucky enough to grow up going to his office, watching him work, and always talking about work, and he showed me so many
little tips that you learn after practicing for so many years and instead
of taking all this time using a scalpel to try to take off the hard part and top layer, it’s sometimes quicker just use a nail nipper to cut down the top so we can get
a little bit deeper quicker, and then use a scalpel to remove the remaining amount. So when you work with hard skin and
calluses and corns all the time, you get pretty good at knowing the different
levels of the skin. So by carefully going level by level, I can make sure that
I’m cutting off just the top layer skin and not actually cutting into the flesh.
“Look how big this thing is! Whooh!” So like I said, today what we are doing is removing a
corn and how is the corn really caused? So something like this,
there’s only one way you can get it and that’s from too much pressure on the
side of the foot, and the only way you can have too much pressure on the side
of the foot is that your footwear isn’t fitting properly. If you have a
shoe that is too narrow or too pointy or the top of the shoe too shallow, meaning
expanding on the top of your toes where the shoe itself is a very firm material,
all these things are going to put too much pressure on the side of the toe,
and that’s what it’s going to cause the body to build a hard skin to protect that
area from the pressure. A callus or corn is sometimes the body’s
mechanisms to protect itself from too much pressure. So the big question we
always have is is it a corn or is this a callus? People really don’t know what
they have on their foot when they have this hard skin growth and this is the biggest question I get when it happens: is this a corn or a callus? I called this video
“A Corn Removal” and a lot of people might look at it and they say, “Hey, that’s not a corn, that’s a callus.” A callus, you know, you have this big mound of hard
skin. While people are used to hearing about a corn having some sort of hole
or core. So you guys are pretty good to say this is a callus but the
difference, and we’ll see throughout the video, is after removing this hard skin,
we’re actually going to see a core that was underneath, and this has been here
for so long, that’s actually created permanent damage to the skin creating a
scar. So usually if this was a true corn, we’d have a clear core of dead hard skin.
But because of this long standing or chronic corn, the bottom layer of the skin has
turned into a scar. Therefore a corn has not been able to form causing the hard
skin to grow up and above similar to a callus. So that’s why I’m calling this a
corn removal but it does look very similar to a callus. So why do corns
usually have a core of dead hard skin and calluses don’t? That’s because of
the type of pressure that’s causing this hard skin to form. Calluses are usually
caused by direct pressure from standing on a certain spot for too long.
That’s why calluses are usually yellow, there’s no core, they’re diffuse, and
they don’t have any sort of definitive border to them. Corns, on the other hand,
are usually caused with pressure and torsion or so a twisting motion and this
is what pushes that hard skin or calluses into the body forming a core. So
corns are usually very localized, very defined, very circular. Looking back at
the video at this moment, you can see there’s a very localized circular lesion.
That pink, pink skin in the middle is that scar tissue very, very delicate thin
skin. So right now I have to be very very careful that I don’t go down too much or
it could definitely cause a cut or an injury to the skin. So why do we have to
treat these corns? The reason we have to treat these corns is we have to remove
that pressure from that hard skin that’s burying itself into the body. If we don’t,
that hard skin build up will actually cause the tissue underneath to break
down and turn into a wound. That way we can actually have an abscess or a
wound underneath this hard skin that starts to form and then we can get an
infection and, if depending on the patient profile, if they’re diabetic or
if they have a poor immune system, this can definitely lead to a serious
infection and even possibly an amputation. So yes, now we’ve taken down the core and everything is looking better. A lot of people say, “Great! Will this ever come
back? and I say “It all depends on you.” What we’ve done today is we’ve treated
the symptoms and not just not the problem. The symptom that we treated today was a hard skin build up because there’s a pressure but if we do not
remove the pressure, the hard skin will grow right back. So this is an important
part after doing any sort of routine care is going through the advice with
the patient to make sure they understand what they need to do to prevent a corn
from forming again. So here are a few ways that you can reduce your chance of
getting a corne again: number one, using some sort of nail file or emery board to
regularly file down the hard skin build-up. That’s going to kind of remove
some of that dead skin so it’s not getting too thick, too hard, and too
painful. I would advise to not use some sort of pumice stone or anything with a
razor because you can always cut your skin and nail files are safe and easy to use. The skin is a living organism. The more moisture it has, the more it can stretch and move and it doesn’t build up as much pressure when it’s a soft skin dry skin
and when you apply pressure to dry skin, that’s going to either cause it to crack
or build up corns pretty quickly and the last and most important thing to
minimize a corn is to change the footwear making sure that you’re
reducing the amount of pressure on that toe. The less pressure on a baby toe, the
less hard skin buildup you’re going to get. That’s why footwear is so important.
So there you go, guys. Another video done. I hope you like this
one; something a little bit different than a surgical procedure. In the future,
I hope to give you guys some more preventative video stuff, information,
some exercises, things that you can really use to prevent foot problems before you
have to come to see someone like me. I really enjoy making these videos and
spreading some knowledge to all you guys. So again, give me some feedback. I hope
you loved it. Let me know what you want to see next. Toe Bro, out.

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