The Unrelenting Callus

I have a male patient whom I have been treating for several years for a painful callus on the inside of his 5th little toe. Under the callus is a prominent little bone, which pinches the skin when it is caught between the 5th and 4th toes. The callus is produced for the resulting pressure. In spite of trimming the callus and applying many different types of pads to take pressure off the area, the painful callus still returns, and is becoming more and more painful as time goes on. I suggested he consider surgical removal of the small bony prominence to remove the cause of the pressure and the callus. This can be done under local anesthesia and often in a doctor's office surgery room. He will likely get great relief from this procedure.