Plantar Callus Treatment Case Report: Managing Hyperkeratotic Foot Lesions in Katy & Houston, TX

By: Dr. Ashely Baldree

Thickened skin on the soles of the feet is a common concern, especially in active adults. At Village Dermatology, we frequently evaluate lesions on the plantar surface to determine whether they represent benign calluses, warts, or more concerning growths. This case highlights the evaluation and treatment of plantar calluses in a patient seen in Katy and Houston, Texas.

Patient Presentation

A 38-year-old male presented as a new patient for evaluation of a skin lesion on the right plantar surface of the foot. The lesion had been present for several months and was:

• Asymptomatic

• Stable in size

• Not previously treated

• Not associated with a family history of melanoma

The patient requested evaluation to ensure the lesion was benign and to discuss treatment options.

Clinical Examination

A focused dermatologic examination of both feet was performed using dermoscopy.

Findings included:

• Hyperkeratotic plaques

• Located on pressure-bearing areas:

  • Right medial plantar midfoot

  • Left medial plantar heel

The appearance and distribution were consistent with plantar calluses caused by friction and pressure rather than a neoplastic process.

Assessment

Callus
Hyperkeratotic plaques on pressure-bearing surfaces of the feet.

Treatment Plan

The patient was reassured that the lesions were benign calluses resulting from chronic friction.

Recommended Treatment:

• Urea 40% topical cream, applied nightly to the soles

• Samples of urea lotion provided in-office

• Continue use of keratolytic agents such as:

  • Amlactin®

  • Duofilm®

  • Mediplast®

Urea 40% helps soften and break down thickened skin, improving texture and comfort over time.

Patient Counseling & Education

Why Calluses Form

Calluses develop due to:

• Repeated friction

• Pressure from footwear

• Abnormal weight distribution

Expectations

• Improvement typically occurs with consistent keratolytic therapy

• Reduction of friction (proper footwear, insoles) is key to prevention

• Calluses may recur if pressure persists

When to Contact the Office

• If lesions worsen

• If pain develops

• If no improvement after several months of treatment

Follow-Up

• Follow up as needed if symptoms worsen or fail to improve.

Expert Foot & Skin Care in Katy & Houston

At Village Dermatology, we evaluate all plantar lesions carefully to rule out warts, atypical growths, or precancerous changes. Whether you're dealing with calluses, dry cracked heels, plantar warts, or other foot skin conditions, our dermatology team provides personalized, evidence-based treatment.

If you have thickened or persistent skin lesions on your feet, schedule an evaluation with Village Dermatology in Katy or Houston, Texas.