Management of Plantar Corn and Onychomycosis

Diagnosis and Assessment

The British Journal of Dermatology recommends conservative debridement of plantar corn using appropriate technique to avoid overdebridement and tissue damage 3
Biomechanical assessment with pressure distribution analysis is necessary to identify causative factors of plantar corn 3
The British Journal of Dermatology suggests that pressure redistribution interventions, including cushioning and orthotic recommendations, can help prevent corn recurrence 3
Assessment and management of second MTP joint deformity/bunion is crucial for patients with plantar corn and MTP joint inflammation 3

The British Journal of Dermatology recommends oral terbinafine 250 mg daily for 12 weeks as first-line systemic therapy for toenail onychomycosis 4
Baseline liver function tests and complete blood count are required before initiating terbinafine therapy 4
The British Journal of Dermatology suggests that patients with onychomycosis should discard old contaminated footwear or decontaminate them with naphthalene mothballs 5
Applying antifungal powders inside shoes regularly can help prevent onychomycosis recurrence 5

The British Journal of Dermatology recommends wearing cotton, absorbent socks and changing them daily to prevent onychomycosis recurrence 5
Keeping toenails trimmed short and avoiding sharing nail clippers can help prevent onychomycosis 5
Wearing protective footwear in public bathing facilities, gyms, and hotel rooms can help prevent onychomycosis 5
Patient education on proper foot care, nail hygiene, and prevention of corn recurrence is essential for effective management 2