Question
Sometimes I get a sharp pain in the callus area of my right big toe, sometimes on the side of the callus, and sometimes toward the top of the callus, always on the underside. It lasts several days on and off, then goes away for months and months. I looked at gout but I have no swelling and no warmth, and the pain is not that extreme. It is most frequent when I walk (but not constant), but I can still feel it when not on my feet. I have not changed shoes in about six months, but I have a habit of not wearing socks. I have had no injuries that I can think of. Could it be because of not wearing socks? I was planning to soak my foot and use a callus stone.

Thank you, Dr. Katz

Answer
Hi Kat,

Callouses on the side of the big toe are common.  They result from abnormal foot function and sometimes from deformities such as bunions.  Wearing socks and getting new shoes may be helpful.  The callous may due to friction or enlargement of the bone.  This is likely not gout. A pumice stone may provide temporary relief. I would see a podiatrist and have an exam and x-ray.  You may want to consider custom orthotic devices and padding to the area.  If all else fails surgery may be an option.

Sincerely,

Marc Katz, DPM
Tampa, FL
Advanced Podiatry
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