Foot Ulcer after Unsuccessful Excision of a Corn Managed with Homoeopathic Medication Calcarea Fluorica

Ulceration of foot is among the most common health issues, and its prevalence has increased recently.[1] Ulcers result from breaks in the dermal barrier, with subsequent erosion of underlying subcutaneous tissue.[2] It is one of the major causes of amputations, particularly in patients with uncontrolled diabetes.[3] A corn, also known as a “clavus, “heloma,” or “focal intractable plantar hyperkeratosis,” is a type of callosity, which are uncomfortable, thickened skin lesions that result from repeated mechanical trauma due to friction or pressure forces.[4] The incidence of corns on the feet has been reported to be ranging anywhere from 14 to 48%.[5] Here, in this case, a 36-year-old female patient presented with the complaint of painful ulceration over her left sole for the last 5 months. About 7 months ago, she underwent a surgical procedure by a quack physician for the excision of a corn. Following that, she developed a foot ulcer with burning pain along with the discharge of yellow pus. By occupation, the patient was a housewife, and she had no history of diabetes mellitus or hypertension.

The patient had a good appetite and a desire for pickles and sweets. She was sensitive to cold, damp weather, drafts, and weather changes. The patient drank 2.5 to 3 L of water per day and had a moist, cracked tongue. She perspired moderately all over her body, with no offensive odor or unusual staining. She also had small bony outgrowths on her forehead and legs. She had trouble in falling asleep and woke up feeling unrefreshed with dreams of the death of relatives.

Mentally, she was mild, but she had a peculiar fear that her family might suffer from monetary loss.

After analysis and evaluation of the case, the repertorial totality was framed according to the philosophy of the synthesis repertory. Then, the case was repertorized using synthesis repertory 9.1 in the Radar Opus software.[6] Following repertorization, Calcarea fluorica covered every symptom and scored the highest. Considering the repertorial result, and referring back to homoeopathic Materia Medica[7] along with the presence of cracked tongue, yellow pus, sensitive to any kind of cold, and unrefreshing sleep, Calcarea fluorica was prescribed.

• First prescription (02.01.2025): Calcarea fluorica 1M/1 dose followed by placebo for 2 weeks ([Fig. 1]).

• Second follow-up (31.01.2025): The burning pain and yellowish discharge from the ulcer was much better, along with that the unrefreshed sleep and fear of financial loss was also better than before ([Fig. 2]).

• Third follow-up (20.02.2025): The burning pain and yellowish discharge from the ulcer was much better. Along with a significant amount of healing was noted in the ulcerated part. The unrefreshed sleep along with the fear of financial loss was also much better than before.

• Fourth follow-up (02.03.2025): The burning pain and yellowish discharge from the ulcer disappeared, and the ulceration was completely healed. The sleep disturbance issue was resolved ([Fig. 3]).

Fig. 1 Before treatment image.

Fig. 2 During treatment image.

Fig. 3 After treatment image.

Patients' Consent

The authors certify that they have obtained all appropriate patient consent forms for use of the images and other clinical information to be reported in the journal. The patient understands that her name and initials will not be published and due efforts will be made to conceal her identity, but anonymity cannot be guaranteed.

Publication History

Article published online:
24 July 2025

• References

• 1 Boulton AJ, Armstrong DG, Albert SF. et al; American Diabetes Association, American Association of Clinical Endocrinologists. Comprehensive foot examination and risk assessment: a report of the task force of the foot care interest group of the American Diabetes Association, with endorsement by the American Association of Clinical Endocrinologists. Diabetes Care 2008; 31 (08) 1679-1685
• 2 Sumpio BE. Foot ulcers. N Engl J Med 2000; 343 (11) 787-793
• 3 Abid A, Hosseinzadeh S. Foot Ulcer [Updated 2024 Mar 13]. In: Stat Pearls [Internet]. Treasure Island, FL: Stat Pearls Publishing; ; January 2025
• 4 Al Aboud AM, Yarrarapu SNS. Corns. July 24, 2023. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; ; January 2025. PMID: 29262147
• 5 Farndon L, Barnes A, Littlewood K. et al. Clinical audit of core podiatry treatment in the NHS. J Foot Ankle Res 2009; 2: 7
• 6 Schroyens F. Synthesis Repertorium Homeopathicum Syntheticum. 9.1th ed.. New Delhi: B. Jain Publishers Pvt. Ltd; 2021
• 7 Boericke W. New Manual of Homoeopathic Materia Medica with Repertory. 3rd revision.. New Delhi: B. Jain Publishers Pvt. Ltd; 2016