Calluses

Understanding Calluses

Calluses are thickened areas of skin that develop as a protective response to repeated pressure or friction, most commonly on the soles of the feet or the heels. While they’re often painless at first, calluses can become uncomfortable or even painful over time—especially when they harden or crack.

Though they may seem like a minor issue, persistent calluses can indicate an underlying biomechanical problem or be a warning sign for more serious complications in people with diabetes or poor circulation.

What to Look For

• Thickened, rough, or dry patches of skin—often yellow or gray in appearance
• Hard or raised areas on the heel, ball of the foot, or side of the toes
• A feeling of pressure, burning, or discomfort when walking
• Cracks or fissures in the skin (especially on the heel)
• Sensitivity or pain when wearing shoes

What Causes It?

Calluses form when the skin tries to protect itself from repeated friction, pressure, or irritation. Common causes include poorly fitting shoes, high heels, excessive walking or standing, or abnormal gait patterns that place uneven pressure on the feet. People with foot deformities such as bunions or hammertoes are also more likely to develop calluses.

In some cases, calluses can be made worse by medical conditions like diabetes, which affect skin health and circulation.

When to Seek Help

If your calluses are painful, cracked, or interfere with walking, it’s time to see a podiatrist. You should also seek professional care if you have diabetes or neuropathy and notice thickened or dry skin on your feet. Attempting to shave or remove calluses at home can lead to infection or injury, especially if you have reduced sensation in your feet.

How We Diagnose and Treat It

At Premier Foot & Ankle Specialists, we begin by evaluating the location, size, and cause of your calluses. We may assess your footwear and gait to determine if pressure points are contributing to the problem.



Treatment often includes gentle debridement (shaving down the thickened skin), custom orthotics to redistribute pressure, and footwear recommendations to reduce friction. In some cases, we may suggest padding, topical treatments, or address underlying conditions such as flat feet or high arches. For patients with diabetes, routine foot care and monitoring are essential to avoid complications.

If you’re dealing with painful or recurring calluses, let us help restore your comfort and protect your foot health. Schedule an appointment with Premier Foot & Ankle Specialists today to take the first step toward smooth, healthy feet.