Review *** (31/01/2019 01:36)
BLISTER advice
There are a number of dermatological conditions which result in blistering to feet/body. However, most people will suffer blisters as a result of ill-fitting footwear/hosiery, activity, hot weather, foot deformity.
Blisters on the feet usually occur because of something called 'shear force' applied to tissues during activity. As your foot hits the ground it decelerates and the soft tissue (skin, fat pad) moves against the footwear. Dependent upon the force... of the foot strike or constant repetitive motion (hard surfaces) the resultant shear force can overwhelm tissue resilience. If you add in heat and moisture then mechanical fatigue of the skin occurs.
So..you start to feel what is known as a 'hot spot' which indicates the start of a blister. If you continue with activity then a layer of the upper skin surface separates at that point of pressure and fluid leaks into the space. See photo. The breakdown in skin integrity and accumulation of fluid increases the pain level. You may sometimes getting blood leaking into the intraepidermal/dermal space.
Prevention is not only about getting the right footwear/hosiery, but also being aware of temperature and moisture levels on your feet.
1. If you feet get moist in footwear/hosiery then try anti-perspirant on the tops and bottoms of your feet before activity (caution is advised if you suffer from dry skin conditions such as eczema). 2. Wickable hosiery such as Drymax, Coolmax, Armaskin to keep feet cool throughout activity and reduce moisture levels next to the skin. 3. Try a cushioned insole to decelerate impact force during activity if blisters occur on the bottom of your feet. Materials such as poron or Spenco are recommended. 4. If your feet get wet during activity - especially in the wet weather - make sure that all footwear and hosiery are dried and that you change out of wet footwear/hosiery as soon as possible. Don't start activity wearing damp/wet footwear. 5. Try Engo patches in footwear which stick to the inside of footwear/inner liner to reduce shear force during activity on the areas of your feet which suffer from blisters. 6. If you wear blister plasters, then ensure it's for the duration of the activity only. The material can encourage moisture build-up when applied to the skin for prolonged periods.
If you have a blister ensure that you keep the area covered with a dry dressing and seek advice from your podiatrist, especially if you are diabetic. Please don't forget that blisters/wounds could increase the chance of infection.
The type of activity, intensity of activity levels, hyperhidrosis or gait may also contribute to the development of blisters. Again, your podiatrist will be able to advise.
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Review *** (18/11/2018 21:30)
PLANTAR WARTS (VERRUCAS) ADVICE FROM BRITISH ASSOCIATION OF DERMATOLOGISTS
What are plantar warts or verrucas? Warts are localised thickenings of the skin, and the term ‘plantar warts’is used for those that occur on the soles of the feet (the ‘plantar’ surface).
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