and Treating Water Bumps on the Soles of Your Feet - Rehabilitation

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Plantar blisters due to calluses?


It seems that there is fluid accumulation in the soles of my feet, and when walking barefoot, it feels like I'm walking on water balloons.
When wearing shoes, I can't wear them for too long because they feel too tight.
It feels uncomfortable as if there are calluses and fluid between the skin and muscles on the soles of my feet.
Doctor, what kind of treatment do I need? Do I need surgery or medication? Thank you.

Shu Juan, 50~59 year old female. Ask Date: 2003/07/03

Dr. Zhang Yuzhang reply Rehabilitation


The Dermatology Department of Tainan Hospital, Ministry of Health and Welfare, responded that calluses and blisters (fluid-filled) may be caused by excessive friction between the shoe upper and the skin on the soles of the feet, particularly after prolonged walking, running, or exercising.
As we age, the skin's ability to adapt to external forces decreases.
If a blister is large, it can be punctured with a sterilized needle to drain the fluid, followed by the application of an antibiotic ointment.
If calluses cause pain while walking, salicylic acid ointment or cryotherapy can be used to remove the thickened skin.

Reply Date: 2003/07/03

More Info


Water bumps on the soles of your feet can be quite uncomfortable and may indicate a few underlying conditions. The symptoms you describe—feeling like you're walking on water balloons, discomfort when wearing shoes, and the sensation of thickened skin or calluses—suggest that you may be dealing with a condition known as "blisters" or "bulla," which can be caused by friction, moisture, or underlying dermatological issues.


Possible Causes
1. Blisters: These are fluid-filled sacs that form on the skin due to friction, heat, or irritation. They can develop from wearing ill-fitting shoes or prolonged walking or standing.

2. Maceration: This occurs when the skin becomes overly moist, often due to sweating or prolonged exposure to water. The skin can become soft and wrinkled, leading to discomfort.

3. Calluses: Thickened areas of skin that develop in response to repeated friction or pressure. They can sometimes trap moisture underneath, leading to a sensation of "water bumps."
4. Dermatological Conditions: Conditions like dyshidrotic eczema can cause small blisters on the palms and soles, often triggered by stress, allergens, or moisture.

5. Fungal Infections: Athlete's foot or other fungal infections can lead to blistering and discomfort on the soles of the feet.


Treatment Options
1. Avoid Friction: Ensure that you wear well-fitting shoes that provide adequate support. Consider using protective pads or blister bandages to reduce friction on the affected areas.

2. Keep Feet Dry: If moisture is a contributing factor, keep your feet dry. Use moisture-wicking socks and consider foot powders to absorb excess moisture.

3. Topical Treatments: Over-the-counter creams or ointments can help soothe irritated skin. If you suspect a fungal infection, antifungal creams may be necessary.

4. Drain Blisters Carefully: If you have blisters, avoid popping them as this can lead to infection. If they are large and painful, you may consider draining them with a sterile needle, but it’s best to consult a healthcare professional for this.

5. Consult a Dermatologist: If symptoms persist or worsen, it may be necessary to see a dermatologist. They can provide a proper diagnosis and treatment plan, which may include prescription medications or specialized treatments.

6. Oral Medications: In cases where there is significant inflammation or infection, a doctor may prescribe oral medications to help manage the symptoms.


When to Seek Medical Attention
- If the bumps become red, swollen, or painful, indicating a possible infection.

- If you experience fever or systemic symptoms.

- If the condition does not improve with home care measures.


Surgical Intervention
Surgery is generally not required for water bumps unless there is a severe underlying condition that necessitates it, such as a persistent blistering condition or a structural foot issue. Most cases can be managed with conservative treatments.

In conclusion, while the symptoms you're experiencing can be bothersome, there are several treatment options available. It’s important to identify the underlying cause of the water bumps to tailor the treatment effectively. If home remedies do not alleviate your discomfort, or if you have concerns about the condition, please consult a healthcare professional for a thorough evaluation and personalized treatment plan.

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