00:00A tall young man came to us with this unusual problem on the second toe of only one foot.
00:08He has this kind of difficulty, he has already removed this corn several times.
00:13Yes, this scary growth is a corn, but it doesn't just appear there for no reason,
00:18so you can remove it an endless number of times, just like he did.
00:22But the problem won't be solved, so today the video is about how we send the client to a surgeon.
00:28Of course we did everything first, just as we should.
00:32We're going to trim it now, make an incision, find where it ends and everything will be fine,
00:38but this corn will definitely come back, meaning it will keep repeating in a cycle.
00:43And now I'll explain why this happens.
00:46Well, at least in this particular case the corn appears because of the congenital feature of his toe.
00:53His second toe on the right foot is hammer-shaped, meaning it's longer than the others and slightly bent downward.
01:01And let's remember, yes, that he is quite tall and his two feet are a bit different from each other.
01:07And apparently he still has this.
01:09And the push-off leg or the supporting leg, whatever it's correctly called in general,
01:14the leg a person usually relies on, so it's called the supporting leg.
01:18I think I said everything correctly.
01:20And naturally it turns out that in shoes, in absolutely any shoes,
01:26no matter how he chooses them, he still ends up with increased pressure.
01:31That is, all calluses always happen only because there is constant excessive pressure on a certain point.
01:39That's exactly what happens to him.
01:41That's why he removes, cleans, cauterizes and does various procedures to them.
01:47And this callus keeps coming back and will keep coming back even after our super magical cleanings.
01:53I said that in quotes, I think you got it.
01:56And here it was decided to recommend that this young man see a surgeon to correct his toe.
02:06I don't really know what this operation is called in surgical or scientific terms.
02:11But some measures need to be taken to correct the shape of the toe so that it doesn't rub anymore.
02:18Indeed, any podiatrist would be powerless in this situation.
02:21We can endlessly make offloading devices.
02:24We can even suggest, for example, buying two pairs of shoes at once,
02:29one in his true size and another with extra room and fix it there.
02:34But, you know, all of this will be very difficult and probably in this situation
02:38it really would be easier and more logical to consult a surgeon.
02:43Well, and for those who aren't listening and are just enjoying watching the picking,
02:47at least give us a like.
02:49I think that right now you paid attention to me.
02:52Well, we'll continue here.
02:54A logical question that arises here is how exactly to carry out such cleanups
02:59and why hasn't blood been spilled yet?
03:02By the way, he also had this question.
03:04Why wasn't blood gushing everywhere after we cut off such a big chunk?
03:09The thing is, as pathologists, we actually don't work with any living tissues.
03:14We always work only with dried specimens.
03:18And a callus is actually compressed old dry skin cells, which we calmly cut off with special clippers.
03:26And nothing will happen to us for that.
03:28In fact, nothing will happen to anyone for that.
03:29Of course, as long as you know and understand where and how you can cut something.
03:35In case you don't know this, I advise you to turn to specialists like podologists.
03:42After all, I get a lot of requests and messages like,
03:45help, what's wrong with my toe? What can I do at home?
03:48Most often, my answer to such a question is nothing.
03:52Just like this young man, he also can't handle it at home,
03:55because he doesn't have the special tools and, of course, he doesn't have the skills.
04:00It's been five minutes already and Aliona is still digging.
04:05As you can see, almost half a finger has already been cut off here,
04:09but nothing terrible has happened so far.
04:11This will actually continue.
04:13For such cleanings, we use both cutting tools and so-called rotary tools, which are rotating burrs.
04:20In short, in our way, in Russian, in a normal way, that's why we'll be sewing,
04:25cutting, grinding and doing everything else.
04:28By the way, pay attention to the nail.
04:31It has also already deformed and has a changed structure.
04:34We can't definitively say if there's an infection present.
04:38Visually, such conclusions are not made in order to understand if there is anything at the junction.
04:44Mushrooms, specifically fly agarics.
04:46Of course, you need to take a sample for analysis, take it to the laboratory,
04:51and there smart people who do such research will handle it.
04:54We will get a report that will say yes or no,
04:57and if yes, then which ones?
04:59This is another reason you must get tested.
05:01Knowing if you have infections or fungi is not enough.
05:05It's important to know which, for example, types of fungal spores you have,
05:09so that the dermatologist can prescribe the right medication for you.
05:13Because just smearing on, pouring or soaking yourself in whatever those clueless people
05:18advertised on television must start like Megadaryl, Exodaryl and all those other
05:22Daryl products without thinking isn't the right approach.
05:25This can often be dangerous and in fact a lot of people end up with burns from this,
05:31meaning it can actually cause burnt skin.
05:33Of course, it takes a long time to heal and it's definitely not good.
05:37So please be careful and take care of yourself and don't try to treat yourself,
05:43especially when it comes to an ingrown toenail.
05:46Because this is just some kind of disaster in my direct messages, guys.
05:516 minutes, 58 seconds and the corn is still not gone.
05:55I didn't cut anything out on purpose,
05:58so that it's clear how many manipulations are actually being done.
06:03Usually when I'm editing, I cut something out and everyone thinks,
06:05oh how fast, oh how simple, oh how easy.
06:08So why do your podology services cost so much and are so expensive?
06:12Actually, it's always work, it's just that when you're catching micro pieces,
06:16we call them millimeters because everything is really tiny,
06:20but here everything is greatly magnified.
06:22Sometimes we even film under macro, but unfortunately when it's live work,
06:27when we're just working with clients, it's not possible to film in macro mode.
06:32As a rule, if it's macro, then it means...
06:35And I sat down and got really stressed out because there's a lot of work,
06:39but there's very very little space for us to work.
06:43But sometimes I try to treat you with these little goodies.
06:47Now those who are watching from the beginning have noticed that the shape of the fingertip cushion
06:51is starting to change and we're seeing a big dent.
06:54By the way, all the leftovers!
06:56And while she's finishing up the tape!
06:58Now we're taking, by the way, a carbide burr, which can also be used on the skin,
07:03if of course the skin is this dry.
07:06Len sawed for a while and decided that he could cut something else there.
07:10In general, regarding changing the shape of the pad itself, actually,
07:14in all cases, really in others, when offloading is applied and shoes are changed,
07:20we remove the constant pressure from this area.
07:23The core corn disappears after cleaning and the skin restores its shape.
07:28But here, as I mentioned above, nothing will change because there is an anatomical feature.
07:35The toes and the nail, the toe, they are deformed and only a surgeon can help us here.
07:43Additionally, we also clean the nail a little. It needs to be made a bit thinner, of course.
07:48It is also keratotic and in the end it looks shorter.
07:52It's as if we cut it off. Oh my, that's terrible. Am I really going to say that?
07:56Well, anyway, you get what I mean, right? You know what it was cut with.
07:59Of course, it looks scary, but at least it won't hurt him now.
08:03He has been given all the recommendations. He was referred to a surgeon.
08:07Fortunately, there are specialists.
08:09Despite my so-called disdainful attitude toward doctors,
08:14I truly believe that there are those who are gifted by God
08:17and those who really do their work well and conscientiously,
08:20not just cutting something off a person.
08:23That's all I have to say. There's no real ending to the video.
08:26What you see is what you get.
08:29Share your opinion. What do you think about these kinds of conditions?
08:32Maybe you've even seen something like this somewhere? I'm curious.
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