Foot Sensations: Are They Signs of Hidden Wounds? - Internal Medicine

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Follow-up question?


Hello doctor, thank you for your response.
It seems that since I am not bleeding, I shouldn't worry.
However, after I took a shower, I applied hydrogen peroxide to the soles of my feet to check for any small cuts.
Although it doesn't hurt or bubble, I feel a bit of a tingling and itching sensation.
Is this a sign of a small cut or is it a normal reaction? I also notice this sensation in areas where I didn't step on anything.
Thank you!

Li, 10~19 year old female. Ask Date: 2020/10/05

Dr. Hong Yuanbin reply Internal Medicine


Hello, what you described is a normal wound phenomenon.
However, I recommend using regular povidone-iodine for disinfection, as hydrogen peroxide can be too harsh on the wound and is not recommended.
Thank you for your inquiry.

Reply Date: 2020/10/05

More Info


When it comes to foot sensations after stepping on sharp objects, it’s important to understand that even if there are no visible wounds or bleeding, there can still be underlying issues that need to be addressed. The sensations you are experiencing, such as tingling, itching, or a prickly feeling, can be indicative of several conditions, including minor skin injuries, nerve irritation, or even the presence of foreign bodies that may not be immediately visible.

Firstly, let’s discuss the possibility of hidden wounds. It’s quite common for small puncture wounds to occur without significant bleeding or visible damage to the skin. These types of injuries can lead to localized inflammation and irritation, which may cause sensations like itching or tingling. The use of hydrogen peroxide on your foot may cause a mild stinging sensation, especially if there is any minor abrasion or irritation present, even if it is not clearly visible. This reaction can be a normal response to the antiseptic, but it’s also a sign that your skin may be sensitive or slightly damaged.

Moreover, if you stepped on something sharp, like glass or metal, it’s possible that a small fragment could have embedded itself in the skin without causing a noticeable wound. This can lead to ongoing discomfort and sensations as the body reacts to the foreign object. If you continue to feel these sensations, it would be wise to consult a healthcare professional who can perform a thorough examination, possibly including imaging studies, to rule out any retained foreign bodies.

Another aspect to consider is nerve involvement. The foot is richly supplied with nerves, and trauma can lead to nerve irritation or damage. This could explain why you are experiencing sensations in areas that did not directly contact the sharp object. If the nerves are compressed or irritated, it can lead to symptoms such as tingling, numbness, or a prickly feeling. This is particularly relevant if you have a history of foot injuries or if you have been compensating for pain in other areas of your foot, which can lead to abnormal pressure on the nerves.

In addition, it’s essential to monitor for any signs of infection, especially if you notice increased redness, swelling, warmth, or discharge from the area. These symptoms could indicate that a small injury has become infected, which would require prompt medical attention.

In summary, while the absence of visible wounds and bleeding is reassuring, the sensations you are experiencing warrant further observation. It’s advisable to keep an eye on your symptoms and seek medical advice if they persist or worsen. A healthcare provider can perform a detailed examination and may recommend imaging studies or other diagnostic tests to ensure that there are no underlying issues that need to be addressed. Remember, it’s always better to err on the side of caution when it comes to foot injuries, as they can lead to complications if not properly managed.

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