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Intractable Plantar Keratosis

Intractable Plantar Keratosis. The most common cause for this scenario is what is known as an intractable plantar keratoma, commonly referred to as an ipk. This is due to the dirty nature of the sole of the feet.

Pain Under Your Foot Could it be Intractable Plantar
Pain Under Your Foot Could it be Intractable Plantar from delraybeachpodiatry.com

Depending on the underlying cause, a custom orthotic can be built to take pressure off the ipk. The callus is usually 1 cm in size and occurs beneath the metatarsal heads. • intrinsic—due to congenital bone defects, which is distinctly rare.

Many Patients Will Respond To Conservativ.


Orthopedic clinics of north america 1973, 4 (1): This is because the metatarsal or forefoot is mostly under pressure especially if you wear shoes that are tight fitting. Pain at the second, third, fourth, and fifth is usually pressure metatarsalgia.

This Pain Can Be Very Specific And Localized.


These hyperkeratotic lesions can be exquisitely painful and, as the name suggests, can be difficult to eradicate. Inflammation of the 5th metatarsal at the base of the little toe; Metatarsalgia is a broad term meaning pain at the ball of the foot.

Plantar Keratosis Has The Same Appearance Like Every Other Forms Of Keratosis.


Intractable plantar keratosis are caused by pressure and shear force rather than shear force alone. As i mentioned in the beginning of this discussion, it is imperative to treat all of these intractable plantar keratoses conservatively with proper shoes, metatarsal supports, and local care of the lesion before considering any type of surgical intervention. Pain is exacerbated when the individual is barefoot;

Intractable Plantar Keratosis Or Ipk’s Are Usually Much More Painful Calluses Though Similar In Superficial Appearance.


Pain on the plantar aspect (bottom) of the first metatarsal head can be sesamoiditis. It also comes with the appearance of a hanging grain of rice. The condition is known as intractable because this painful callus will not simply go away by itself.

Keratosis / Diagnostic Imaging Keratosis / Pathology Keratosis / Surgery* Ligaments, Articular / Surgery Male Middle Aged


Depending on the underlying cause, a custom orthotic can be built to take pressure off the ipk. Many patients will respond to conservative management, and it is certainly the treatment of choice if the patient is satisfied. This can either be focused or diffused, depending on the callused region being subjected to excessive pressure and friction.

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