Effect of scalpel debridement on the pain associated with plantar hyperkeratosis

A Redmond Division of Podiatry, University of Western Sydney-Macarthur, Campbelltown, New South Wales, Australia.

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N Allen Division of Podiatry, University of Western Sydney-Macarthur, Campbelltown, New South Wales, Australia.

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W Vernon Division of Podiatry, University of Western Sydney-Macarthur, Campbelltown, New South Wales, Australia.

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Seventy-nine subjects from 14 centers in eight English National Health Service Trusts recorded their levels of preoperative and postoperative pain and perceived change in pain on 100-mm visual analog scales before and after scalpel debridement of painful plantar hyperkeratosis. A significant reduction in pain was reported following treatment, and there were highly significant differences between the preoperative and postoperative scores. There were no age- or sex-related differences in any of the preoperative, postoperative, or perceived-change scores. The objective data support the anecdotal evidence that scalpel debridement of painful plantar hyperkeratosis is immediately effective in the palliative management of such patients.

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