Why isn't my corn getting better after it broke and started bleeding?

After a corn is ruptured, bleeding may be difficult to heal due to several key factors: repeated local pressure and friction, wound infection, poor healing environment, slow repair of damaged blood vessels, and weakened individual healing capacity. Seek medical attention promptly if bleeding lasts more than 10 minutes, or if the wound becomes red, swollen, pus-filled, or increasingly painful.

1. Repeated local pressure and friction: Corns develop from prolonged pressure and rubbing. Even after rupture, the area may still be compressed by footwear or rubbed during walking, causing repeated tension on the wound and preventing stable healing.

2. Wound infection: The foot's moist environment easily promotes bacterial growth. When a ruptured wound contacts contaminants, it can become infected, leading to redness, swelling, and pus formation, which damages healing tissue and prolongs recovery.

3. Poor healing environment: If the wound is not kept clean and dry, continuous irritation from sweat and dust can interfere with granulation tissue growth, impairing scab formation and tissue repair.

4. Slow repair of vascular damage: The skin beneath a corn contains a dense network of small blood vessels, which are easily damaged when the corn breaks open. Healing of these microvessels takes time, and repeated irritation can worsen vascular injury and delay recovery.

5. Weakened individual healing ability: Elderly individuals, people with diabetes, or those who are malnourished often have reduced skin metabolism and impaired tissue repair capacity. As a result, their wounds naturally heal more slowly, making recovery from a ruptured corn even more challenging.

Treatment involves first cleaning the wound and applying sterile gauze to stop bleeding. After hemostasis, apply an antibacterial ointment to protect the wound. Wear loose, breathable shoes to reduce local pressure, avoid strenuous physical activity, and keep feet dry. Minimizing irritation and preventing infection are essential for promoting wound healing.