Individualised Homoeopathic Treatment in Plantar Callosities: An Evidence-Based Case Report

Abstract

Callosities are circumscribed areas of hyperkeratosis due to intermittent pressure or friction over a bony prominence. They are often present on the soles and toes due to physical activity, poorly fitting shoes and foot deformities. Its prevalence is more in the above 65 age group, and primarily females are affected. Scalpel debridement and regular application of topical keratolytics like caustic and acidic compounds are the treatment options in conventional medicine, but it is impractical for older people with diabetes mellitus. A case of plantar callosities cured with Sulphur without topical application, recurrence or adverse effects is presented here. The main complaints and overall well-being were assessed using the Measure Yourself Medical Outcome Profile (MYMOP2) and Outcome Related to Impact in Daily Living (ORIDL) scale (+4). The causal relationship attributed to modified Naranjo criteria for homoeopathy (MONARCH) score (+9) suggested clinical improvement through homoeopathic intervention only. This evidence-based case report exhibits the importance of individualised homoeopathic treatment in plantar callosities.

Keywords

plantar callosities - individualised medicine - homoeopathy - sulphur - case report

Patient Consent

The authors certify that the patient and her son gave consent for her medical images and clinical information to be reported anonymously to publish in the journal. The patient and her son understand that her name and face conceal her identity.

Publication History

Article published online:
31 March 2023

• References

• 1 Omidian M, Omidian E. Callosity of ankles among people with the habit of sitting with crossed legs: a cosmetic problem. Dermatol Rep 2011; 3 (02) e24
• 2 Hashmi F, Nester CJ, Wright CR, Lam S. The evaluation of three treatments for plantar callus: a three-armed randomised, comparative trial using biophysical outcome measures. Trials 2016; 17 (01) 251
• 3 Dunn JE, Link CL, Felson DT, Crincoli MG, Keysor JJ, McKinlay JB. Prevalence of foot and ankle conditions in a multiethnic community sample of older adults. Am J Epidemiol 2004; 159 (05) 491-498
• 4 Ranade SR, Hulekar S. Common skin disease corns with effective homeopathic medicine Silicea. Int J Hum Sci 2021; 5 (02) 9-10
• 5 Pennycook KM, McCready TA. Clavus. [Updated 2021 July 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022. Jan-. Accessed January 26, 2023 at: https://www.ncbi.nlm.nih.gov/books/NBK546598/?report=classic. Accessed on 16.03.2022.
• 6 Panesar K. Corns and calluses: overview of common keratotic lesions. US Pharm 2014; 39 (06) 47-50
• 7 Booth J, McInnes A. The aetiology and management of plantar callus formation. J Wound Care 1997; 6 (09) 427-430
• 8 Freeman DB. Corns and calluses resulting from mechanical hyperkeratosis. Am Fam Physician 2002; 65 (11) 2277-2280
• 9 Helfand AE, Cooke HL, Walinsky MD, Demp PH. Foot problems associated with older patients. A focused podogeriatric study. J Am Podiatr Med Assoc 1998; 88 (05) 237-241
• 10 Short KA, Fuller LC, Higgins EM. Double-blind, randomized, placebo-controlled trial of the use of topical 10% potassium hydroxide solution in the treatment of molluscum contagiosum. Pediatr Dermatol 2006; 23 (03) 279-281
• 11 Uçmak D, Akkurt MZ, Kacar SD, Sula B, Arica M. Comparative study of 5% and 2.5% potassium hydroxide solution for molluscum contagiosum in children. Cutan Ocul Toxicol 2014; 33 (01) 54-59
• 12 Balanowski KR, Flynn LM. Effect of painful keratoses debridement on foot pain, balance and function in older adults. Gait Posture 2005; 22 (04) 302-307
• 13 Landorf KB, Morrow A, Spink MJ. et al. Effectiveness of scalpel debridement for painful plantar calluses in older people: a randomized trial. Trials 2013; 14: 243 . Published 2013 Aug 6
• 14 Singh D, Bentley G, Trevino SG. Callosities, corns, and calluses. BMJ 1996; 312 (7043): 1403-1406
• 15 Subhasish Sarkar, Asif Sardar, Medical officer, Dept. of AYUSH, AIIMS Bhubaneswar Homoeopathy- the method of gentle Healing. Accessed January 26, 2023 at: https://aiimsbhubaneswar.nic.in/pdf/HOMOEOPATHY.pdf
• 16 Kent JT. Repertory of the Homoeopathic Materia Medica, enriched Indian edition, reprinted from Sixth American edition. 30th impression. New Delhi: B. Jain Publishers Pvt. Ltd; 2018. -954
• 17 van Haselen RA. Homeopathic clinical case reports: development of a supplement (HOM-CASE) to the CARE clinical case reporting guideline. Complement Ther Med 2016; 25: 78-85
• 18 Schroyens F. ,Synthesis Treasure edition 2009v, Radaropus 2.2.16-licence:121347, Zeus Soft sprl. Belgium, 2020
• 19 Close S. The Genius of Homoeopathy, Lecture and Essays on Homoeopathic Philosophy, reprint edition chapter XIII- Homoeopathic Posology. New Delhi: B. Jain Publishers Pvt. Ltd; 2001: 192-195
• 20 Polus BI, Kimpton AJ, Walsh MJ. Use of the measure your medical outcome profile (MYMOP2) and W-BQ12 (Well-Being) outcomes measures to evaluate chiropractic treatment: an observational study. Chiropr Man Therap 2011; 19: 7
• 21 Reilly D, Mercer SW, Bikker AP, Harrison T. Outcome related to impact on daily living: preliminary validation of the ORIDL instrument. BMC Health Serv Res 2007; 7: 139
• 22 Lamba CD, Gupta VK, van Haselen R. et al. Evaluation of the modified Naranjo criteria for assessing causal attribution of clinical outcome to homeopathic intervention as presented in case reports. [published correction appears in Homeopathy. 2020 Oct 21;] Homeopathy 2020; 109 (04) 191-197
• 23 Dastagiri P. To study the miasmatic analysis in the clinical presentation of the type 2 diabetes mellitus (t2dm) patients. Int J Hum Sci 2020; 4 (03) 291-297
• 24 Hahnemann S. The Chronic Disease, Their Peculiar Nature and Their Homoeopathic Cure Theoretical Part with Word Index. Rearranged and augmented edition. Noida: B Jain Publishers (P) Ltd; 2018: 133
• 25 Allen JH. The Chronic Miasms Psora & Sycosis, Volume I & II, Sycosis. New Delhi: B. Jain Publishers Pvt. Ltd; 2002: 249
• 26 Kent JT. Lectures on Homoeopathic Philosophy, Reprint edition: Lecture XXXV Prognosis after Observing the Action of the Remedy. New Delhi: B. Jain Publishers Pvt. Ltd; 1999. 229