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admin 30.08.2014

Only once before in the 15 plus years of publishing an email newsletter and this blog have I shared information that has the potential to save a life. In the December newsletter, Susan shared a story they experienced while hiking the John Muir Trail.
His wife became so weak that she could no longer walk – even without her pack and with help.
Susan says, This is a reminder of the importance of avoiding infection in any open sore – especially under trail conditions. Bacteria causing the infection can come from your skin, from the environment, or from anything that gets inside the blister. The take-away here is that we need to understand how to properly clean and care for blisters, have the right materials to patch them, and know the signs of infection. In my 2007 Fixing Your Feet newsletter I wrote, I think this is the most serious and important issue yet. Going to look up mole skin because since I lost 90+, my sneakers were huge on me and I didn’t realize it so after the bursitis incident I walked a few miles and had horrible blood blisters that were UBER painful.
I get the cheap Monistat anti-chafing cream and put that on my blister prone areas, and it works perfect! We always wore two thinner pairs of socks in high school if we had history of blisters… one pair inside and it worked like a charm. I gave up on running because of constant and ongoing blisters, I tried several shoes etc nothing helped, I loved running but those blisters were so painful, what is moleskin? To heal the latest blisters I had to pop them as they were so big I couldn’t put shoes on.
I have ran a ton of marathons and have stopped getting blisters when I purchased a good pair of socks and bought my shoes a size and a half bigger. Knee high pantyhose along with powder maybe but the pantyhose should protect your feet from the friction. I hate to hear that girl…I run in Asics, and those socks I told you about and have never had a blister…sorry feel better girl!
I grease my toes and footpad down with simple cocoa butter Vaseline before any run or distance walk!
As the author of Fixing Your Feet, I’ll comment that some of what has been suggested here is good but some is not what I would recommend. Later, I emailed Jenny and based on what she described and the picture of the blister, here is my response to her. Something else I see is that the bottom edge of the blister is right at the edge of where the insole hits the side of the shoe.
Something to understand, that I preach all the time, is that what works for one person will not necessarily work for another.
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I wish I had taken a few pictures of his feet but I was too involved in getting his feet patched so the team could continue. I think I can count on my fingers how many times I have advised racers to stop because of foot problems. Another issue is whether the athlete has he right supplies in his foot care kit to patch the blister.
I tell athletes that normally blood blisters are not lanced because that is the wise thing to say. In these instances, clean around the blister with an alcohol wipe and lance the blister with a sterilized pin, scissors, or scalpel.
Once a blister is open, using soap and water, and an antibiotic ointment or Betadine is important for avoiding infection. At the closing ceremony, I noticed Monica, a runner from Brazil, was favoring her right heel. What started as a small blister, one that could have been treated to prevent it from getting bigger, was now an enormous blood blister. We debated the issues and gave Monica advice on how to take care of the blister for her trip home. What I want to emphasize here is that this never should have reached the size it was and worse yet, filled with blood. Too tight, too high, and too pointed, bad footwear is one of the main causes of foot problems. Disclaimer: All content on this website is for informational purposes only and should not be considered to be a specific diagnosis or treatment plan for any individual situation.
First off, if you’re looking for tips on athlete’s foot, in-grown toe nails, or just plain stinky feet, see our guide to common foot problems and prevention. Like most running socks, dress socks are made of moisture-wicking, breathable materials like nylon, acrylic, and spandex that will keep your feet dry and hug your foot tightly. Hopefully now you know how to address those blisters and keep off the couch and on the playing field. Mosquitoes, fleas, ticks and bed bugs can lead the appearance of red and itchy bumps on the skin. As the skin becomes more thick and dry with the passing of time, itchiness can be one of the most upsetting symptoms and, as it was already mentioned, only scratching can bring temporary relief. The treatment depends on the underlying condition that has led the itchy red bumps to appear on the feet in the first place. Calming lotions with menthol and camphor can be used in order to soothe the skin after insect bites.
For eczema – topical skin creams are recommended in order to keep the skin moist and they also have the benefit they maintain a normal skin pH.
As you have seen for yourself, when it comes to treating itchy bumps on the feet, it is important to treat the underlying pathology first. Susan and her husband Ralph have done hikes on the Pacific Crest Trail, the John Muir Trail, the Camino de Santiago, and more. He was going out on the east side and then going to find a way over to the hospital in Fresno. In 2007 I wrote an article about another hiker on the Pacific Crest Trail who had to be evacuated out and spend a long time recuperating from a serious infection.
The web spaces between the toes have more skin bacteria and open blisters here present an increased risk of infection. The Facebook post below started a long chain of responses – all suggestions on what the poster could do to eliminate her blister problem.
I switched from running in Nike Air Pegasus years ago to Mizuno Wave Riders with little to no blistering.
I NEVER get blisters anymore and I’ve completed two marathons and two Ironmans in them.


Make sure you get fitted a good running shoe store, and tell them up front that you have a problem area. I finally stopped getting them when I went to a actual running store, they fitted me with a pair of Sauconys with a wide toe box and laced them just from the middle of the shoe and up. A lot of times, athletes tell me that have blisters and yet, after cleaning their feet, none are visible.
I usually drain blood blisters and with clean skin and a dab of antibiotic ointment – in a 24-hour race, I’m comfortable doing that. Repeated heavy pressure (friction) or simply long periods of pressure can turn an ordinary blister into a blood blister. You may have to pad the area to take the pressure off the blood-filled skin. You need to now how to manage a ruptured blood blister. The problem with blood blisters is that by draining them, the athlete’s circulatory system is opened to possible infection. If everyone thinks they can simply lance them, without fully understanding how to care for them, we’ll have a lot of people with infected feet.
An infection will be indicated by any of the following: redness, swelling, red streaks up the limb, pain, fever, and pus.
Whether on the heel, forefoot, or under a toenail, these ornery blisters require special attention. Doing so creates the risk of a serious infection as bacteria is easily introduced into the dermis layer of skin and into the blood system.
After expelling the blood, apply a layer of antibiotic ointment, and then cover with tape or a blister patch. Though you may not use these on an open blister during a run or in the middle of the day while backpacking, at the end of the event or day, take the necessary time to properly treat the open skin.
I had met her several years earlier at a previous Badwater when I patched her feet at the 40-mile mark. For those wondering, a blood blister is bad because, once opened or torn, it can introduce infection into the circularity system if not kept clean. Unbroken skin over a blister provides a natural barrier to bacteria and decreases the risk of infection, blisters occur when the two top layers of skin rub against one another until they separate, producing a hollow which fills with watery liquid. Use of this website and the information contained herein does not create a doctor-patient relationship.
Choose a moisture-wicking material that keeps your feet dry like spandex, lycra, or acrylic. Your shoe should hug your feet tightly, but not too tight to allow for ample circulation from your ankle down to your toes. These are just few of the factors that make the skin on our feet susceptible to a wide range of medical problems, with itchiness being the main symptom.
These are common factors that can lead to the appearance of itchy bumps on feet but surely these are not the only ones.
If you happen to be diagnosed with scabies, then you should be extra careful as this is a highly contagious disease and you could easily pass it on to others. The best way is to take the medication for the underlying condition and use topical treatments to deal with upsetting symptoms, itchiness included. Every month I review her newsletter for tips and information that I can share with my readers.
He and his wife had reached Palisades Lake when she was suddenly hit with nausea, fever, and weakness.
We wondered for days how this had played out and were happy when they heard a subsequent report. First read my editorial, Blisters Can Lead to Serious Infection, and then the feature article, My Infected Blister – Almost My Life! Today I will be doing a GREAT amount of reading on not only how to treat but prevent this from happening again.
I found cleaning my skin with alcohol first helps it adhere the best and stays even after taking showers! It got me through my first marathon with no blisters and it rained that day and my feet were soaked. Turns out I needed a narrower toe box and the Nike Pegasus toe boxes would stretch a great deal over time.
But I would cover it up with something like the moleskin or a blister Band-Aid and wear good socks and shoes. In all the miles I ran after that never got another blister and my black toenails grew out and had no more problems with that either!
If the blisters are so large you can’t wear shoes, take a cleaned (alcohol) safety pin and drain.
Took a couple times to get used to the immediate feel, but now a year later with no blisters, I hardly notice I’m doing it any more! There is pressure there, creating friction, that cayses the blister, that builds from this bottom edge upward. As racers needed foot care, I carried my lounge chair and foot care box to where their team was set up and did what I could.
They started with a long paddle, followed with a long bushwack up a canyon, and then a really long bike section. His heels were fine, however he had major problems with blisters at the ball of the foot where the toes started.
I always ask the person if they are up to date with their Tetanus shots and give them instructions about infections. Changing socks, treating hot spots, earlier blister care, better socks, moisture controlling lubricants, airing feet at checkpoints, and better shoe fit.
If clear, the fluid can be drained, an antibiotic ointment applied, and a protective covering applied.
Applying an antibacterial topical ointment will help the open blister heal up to 40% faster. Fit runners, great crews, fantastic scenery through the harsh reality of Death Valley – and for me, lots of feet needing care.
Denise, as the Badwater Blister Queen, has seen everything and it takes quite a bit to faze her.
This makes foot care a huge issue because any foot infection suddenly becomes a huge health issue. Always consult with your own doctor in connection with any questions or issues you may have regarding your own health or the health of others. Whether it’s on your heel or your toe, we all can’t wait til that nagging pain goes away so we can get back to the normal training regimen. The more your foot slides to and from the wall of your shoe, the more rubbing occurs to cause blisters.


Business socks paired with a cotton athletic running sock combine for a Batman and Robin-like blister-fighting team.
The cotton sock will rub against the dress sock, but your dress sock won’t rub against your skin.
As a matter of fact, the skin is pretty vulnerable to different types of infections, including bacterial and viral.
However, proper hygiene should be maintained to avoid the fungus from returning to the site of infection.
There are many creams, ointments and gets available, some of them being recommended in case of inflammation, dry or cracked skin.
Initially he thought it was exhaustion, but the next morning his wife was worse so they did a layover day.
He and two others tried to carry her out, but found it impossible because of the narrow trail.
After four days in the hospital on antibiotics, the lady was ready to be flown home – not entirely well, but no longer in danger.
This is at the stage where you are getting irritated in a certain spot, not of course after the blister has formed!
In a team event, such as adventure races, every member of the team must help the other members with foot care.
However out on a trail, or somewhere where the athlete may be unable to keep his feet clean, it’s a different story. I told him to shower and be careful of popping it and to come see us in the medical room if it did pop. A gauze 4×4 was placed over the top and then the foot was wrapped with Coban, a wrap material that sticks only to itself. Check your local drugstore for a broad-spectrum antibiotic ointment like Neosporin or Polysporin that provides protection against both gram-positive and gram-negative pathogens. But before we dive into how to prevent foot blisters, we first need to understand what causes blisters. Typically blisters occur when a grippy, wet sock pulls against the skin repeatedly for an extended period of time. Quite often, small sports store owners have enough sport experience to make professional recommendations, and running store specialists can analyze which shoes best fit the way you walk or run. In particular, running shoes should be a half size to a size bigger than your normal size to eliminate blisters in the front of your toes during those long runs.
Plus, the weight of the entire body is supported by the feet and this is even more disturbing the more weight we gain. Moreover, the biggest tendency is to scratch these itchy bumps and even though this brings temporary relief, one will also notice that the matters are made worse.
A helicopter was brought in and she was airlifted out in a basket to Deer Meadow, where she was put inside the helicopter and taken to the hospital. The hospital did not do tests to determine the cause, but only treated symptoms, so the cause of the problem was up for speculation. I think you’ll agree with Denise Jones, the Badwater Blister Queen, who told me, ‘This is indeed sobering and shocking (literally). When running distance, your feet swell so much, you need the space to be able to accommodate it.
What’s important is fit, socks, trimmed and filed nails, reducing calluses, and a high-quality lube if needed to reduce friction.
I often add an Engo Blister Prevention Patch to their insole underneath the tender area on their foot.
The blisters were in a hard area to patch and it would especially be one long patch at the base of all his toes. I gave the runner a Zip-Lock bag with a small tube of ointment, several more 4x4s, a Popsicle stick to apply the ointment.
Brave Soldier Antiseptic Healing Ointment is an excellent all-purpose salve to have on hand for blister care. If you’ve had blisters from shoes with a certain feature, don’t buy shoes with that feature again! In fact, scratching will surely cause the itchy bumps to be infected with different types of bacteria. Her husband thought that an infection had probably entered her blood through blisters in her feet – most likely the source was open blisters and their soak in hot springs. I think people need to see this because I do not think they take blisters very seriously!’ I urge you to fully digest the articles, then read the articles on Blood Blisters and Infections, Staph Facts and Cellulitis Facts. Motrin for the pain may seem extreme but if you r in so much pain and start altering your stride you’ll get even more blisters. Over time, after that, the top layer of skin may slough off but by then, the possibility of infection is over. There were blisters at the base of the toes from one side of the foot to the other side – on both feet. In solo races where athletes are racing alone, they need to be constantly aware of their feet. A blood blister on the side of the heel is not as problematic as one on the bottom of the foot. When this happens, your sock can’t hug your foot tight enough to prevent pulling and rubbing. And most important, the blood in so many blisters, even with the blisters lanced and patch, would increase the chances of an infection. And where there are crews, these important people must ask questions about the condition of the athlete’s feet. The opened blister is exposed to dirt, grime and any bacteria on whatever is touching the skin. Then I asked him if his Tetanus was up to date after which I gave him the usual infection speech. In addition, several of the toes had blisters on the bottoms or sides, several with blood inside. Plus, if his feet took a beating during the trek, the blisters would become a huge open unpatchable mess (for lack of a better term).



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