Patient/caregiver was educated on measures to manage and prevent development of callus as follows:
- Your feet could slightly swell by the end of the day, with gravity all through the day contributing to pooling of blood in the lower extremities. Consequently, foot measurements can slightly change accordingly, turning your properly fitting shoe for the day into ill-fitting for the evening. This can result in increased friction on the feet and development of calluses. Shopping for shoes during the evening can yield a better result with obtaining shoes that are appropriately fitting. Always wear properly fitting shoes, with appropriate room in the toe box, to accommodate all the toes without any crowding.
- Worn heel of the shoe can result in uneven pressure on the heel bone, leading to callus formation. Replace your shoes timely and avoid having shoes on with worn heel.
- Maintain 3 – 4 pairs of shoes, which will give you an opportunity to rotate the shoes. Rotation of shoes also helps with avoiding any undue pressure from the same shoe on the same site of the foot, due to continuous use of the same footwear. Individuals with history of bunion involving the great toe, bony spurs of toes, and hammertoes can choose to have open toed shoes, to avoid any pressure of the shoe on the toes and prevent development of callus.