A method of making a medical guidewire including providing a wire having a length that includes a proximal length and a distal length. The method further includes applying cold work to the distal length and not applying cold work to the proximal length, thereby imparting to the distal length a diameter that is smaller than the proximal length diameter; and applying a reducing process to the wire whereby the proximal length is reduced to have an outer diameter that is the same as the outer diameter of the distal length. The proximal length has an inner diameter and the distal length has an inner diameter that is less than the inner diameter of the proximal length.