Pinch Callus (Tyloma) Removal – Why These Hurt So Much This video shows our podiatrist carefully

Pinch Callus (Tyloma) Removal – Why These Hurt So Much This video shows our podiatrist carefully removing a painful pinch callus (tyloma) from the inside of the big toe of a truck driver. Unlike a typical callus that builds up on flat skin, a pinch callus forms where the skin folds or pinches together. When the toe bends inside the boot, the skin creases and pressure concentrates along that ridge. Over time the hard skin grows inward, which is why these can become particularly sharp and painful when standing or walking. In this case the pressure comes from two things: • Pinching from the work boot • Pinching when the toe bends during walking or standing Because the callus grows inward, the pressure focuses on a small point, which is why patients often describe it as feeling like they’re standing on a sharp stone inside the toe. In the clinic we carefully remove the thickened skin using a Number 15 scalpel blade, taking the pressure off the area and relieving the pain. This one is a recurring issue for this patient, so we’ll review it again in about 8–10 weeks. To help prevent it returning as quickly we usually recommend: • Wide and deep fitting work boots so the toe isn’t compressed • Good arch support insoles to reduce pressure through the forefoot • Cushioning over the area to reduce friction • Regular moisturising to keep the skin flexible • Periodic podiatry care if it tends to recur If you’re getting painful calluses, corns, or pressure spots in your work boots, it’s often a sign that the boot shape or support isn’t right for your feet. Learn more about podiatrist-designed arch support work boots here: https://ergonx.com.au #podiatry #callusremoval #footpain #tyloma #workbootproblems