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JACK CHIILENCARIAN Medicine A Surgery Of The Foot A Ankle Calluses are caused primarily from improper weight distribution through the feet during walking and may cause extreme pain and subsequent lim­ ping by the patient. Conservative measures consist of "trimming" the callus in conjuction with padding, which affords temporary relief. Orthotics can be fabricated in an attempt to stabilize and align the bone structures on the foot. This may relieve the symptoms and reduce the painful callus formation. Surgery may be considered to relieve the condition, in an effort to lift the affected metatarsal bringing it into alignment and reducing the pressure area. Painful corns on the toes are commonly caused by bony spurs, or hammered or crooked toes, which will not lie flat in a shoe. Surgical ireatment is con­ sidered when the toe becomes locked into a ham­ mered position. Relief can be attained by surgically removing the section of bone, unlocking the joint and flattening the toe to a more normal position.