A ‘Durlacher corn‘ is a particular type of pressure corn that occurs about the fifth toe. It is just like any other corn which is a result of a lot of pressure, however what is different about this corn is it is pushed up on the side of the nail on the fifth toe and may regularly be wrongly identified as a toe nail. This particular corn is termed after Lewis Durlacher (1792-1864) who had been a chiropodist from the United Kingdom. In America, this specific kind of corn is referred to as the Lister’s corn. Any corn on the feet are a region of skin accumulation as a result of too much pressure. When this pressure on the skin is greater, the skin becomes thicker to shield itself and eventually the skin gets so thick it can be painful. Exactly the same process occurs in the Durlacher corn, the higher pressure on fifth toe next to the nail will cause the corn. There will probably be a variety of factors behind this higher pressure to the fifth toe. It could be as a result of kind of deformity with the small toe. It may be because of an enlarged bone inside the little toe. It may be as a result of fit of the shoes, particularly the dimensions of the toe area. Any of these factors can cause greater pressure to result in the corn. The usual signs or symptoms are increasing pain near the nail on your small toe and on assessment it just looks like an extra piece of nail. This very much the same look has brought about some to point out that this can be a toenail instead of a pressure Durlacher corn.

The therapy for Durlacher corns will need to be directed at the sources of the greater pressures. It is not difficult to take out the corn and a Podiatrist may easily remove the corn to provide immediate alleviation. However, that's not actually the answer because the pressure which triggered the corn in the first place continues and the corn can reoccur once again unless something is carried out to take out that higher pressure which is causing the problem. It is really an issue in all corns which means that if whatever caused the corn in the first place is still there it will return and will need to be taken off or it is going to hurt once again. Corns on the foot do not have roots which they come back from in the event the root is left in. They come back again because what caused all of them (the greater pressure) remains. The medicated corn patches having acids within them are not likely to be helpful as they just eat away the corn and normal skin and do nothing to address the cause of pressure triggering the Durlachers corn. That increased pressure can be handled with the use of adhesive felt pads, silicone gel tube pads or customized moulded silicone pads that will get pressure off the area or alter the position of the toe. The pressure will be relieved with the aid of much better fitted footwear. Additionally, it might mean a surgical removing of the increased bit of bone tissue that's resulting in the pressure.