• Definition: Hyperkeratosis is simply a thickening or accumulation of dead skin cells.
  • Cause: Thickening skin is caused by pressure, friction, or micro trauma from bone prominence. Skin thickening causes increased pressure, more trauma to the skin, more thickening and pain.
  • Conservative Treatment: Trimming of lesion, padding, and Salicylic acid daily applications and weekly debridements. Advantages include no injections and limited pain. Disadvantages include long treatment time and usually temporary relief.
  • Surgical Treatment: Usually underlying bone must be removed to lessen the pressure exerted by the site. Advantages include fairly high success rate and short treatment time. Disadvantages include post operative pain, possible complications, need for additional surgical procedures.
  • Conservative measures are always recommended.

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