- #15 disposable scalpel blade
- Good lighting
- Comfortable place for patient to put their feet up
- Comfortable seat for the provider
- Non-sterile gloves
- Protective eyewear
- 2 X 2 and 4 X 4 gauze bandages
- Stabilize the foot with one hand.
- With the other hand, use scalpel blade with short strokes to gradually take off little pieces of the callus with a shaving motion.
- Start in the center and move to the periphery.
- Palpitate intermittently to determine the depth of the callus and where the healthy skin is.
- Use an alcohol wipe to help demarcate the normal tissue from the callus tissue.
- Grasp the scalpel handle close to the blade for optimal control.
- As you continue, the callus becomes softer and easier to debride, with a pinkish color.
- Start working on the edges of the callus, being mindful of the healthy tissue.
- Center of the callus may be mushy.
- Process can take up to 5 minutes.
- Calluses do reoccur; see patients monthly for additional debridement.
- Instruct patient to wear appropriate footwear to reduce friction; can reduce the rate of growth of the callus.