Blisters from walking?
Hello, Dr.
Huang! I would like to ask a question and hope for your response.
Thank you! I am studying in Taipei, and due to certain reasons, I have to walk frequently.
However, I have developed blister-like lesions on the soles of my feet that are painful when pressed.
If I don't address them, walking becomes uncomfortable (and the problem remains unresolved).
So, I used scissors to cut them open, and a clear, white fluid came out.
I then applied breathable tape over them.
I am considering placing something in my shoes to reduce pressure, but I'm unsure what to use.
Also, will cutting them open lead to an infection? How should I manage this now and in the future? I hope you can guide me! I apologize for taking up your time and causing inconvenience.
Zhao Zilong, 20~29 year old female. Ask Date: 2003/11/04
Dr. Huang Junxiong reply Surgery
Hello: 1.
There are indeed donut-shaped dressings that can be applied to the affected area to prevent continuous pressure, but such products are rarely seen in Taiwan.
I recommend checking with larger medical supply stores.
2.
The main concern with puncturing a blister is inadequate disinfection, which can lead to secondary infections, so it is generally not advisable to do it yourself.
If the blister has already burst, ensure proper disinfection and dressing changes to prevent bacterial invasion.
If you experience redness, swelling, pain, or suspect purulent discharge, seek medical attention promptly.
3.
The formation of blisters on the soles of the feet is primarily due to excessive shear force and friction.
To prevent similar occurrences in the future, I suggest: (1) Wearing better socks, such as athletic socks, which are thicker and reduce excessive sliding and shear forces.
(2) Wearing ergonomic shoes with a larger contact area, soft materials, and good shock absorption.
A good pair of shoes and socks is definitely not an extravagant waste; they are essential companions for those who rely on their feet for work.
(3) Taking adequate rest to avoid overexertion; moderation is key in all activities.
4.
If the wound is not healing well, I recommend seeking medical attention promptly to prevent minor issues from becoming serious problems.
Dr.
Huang Jun-Hsiung
Reply Date: 2003/11/04
More Info
Managing blisters from walking can be a common issue, especially for those who engage in prolonged walking or are not accustomed to it. Blisters are fluid-filled sacs that form on the skin as a protective response to friction, heat, or pressure. Here’s a comprehensive approach to managing and preventing blisters effectively.
Understanding Blisters
Blisters typically form on areas of the skin that experience repeated friction, such as the feet. When you walk, especially in ill-fitting shoes or without proper cushioning, the skin can become irritated and eventually form a blister. The fluid inside the blister serves to protect the underlying skin, allowing it to heal.
Immediate Management of Blisters
1. Do Not Pop the Blister: While it may be tempting to pop a blister, it’s generally not recommended unless it's large and painful. Popping can increase the risk of infection. If the blister is intact, it acts as a natural barrier against bacteria.
2. Keep It Clean: If the blister does burst, gently clean the area with mild soap and water. Apply an antiseptic ointment to prevent infection.
3. Cover the Blister: Use a sterile bandage or blister-specific dressing to protect the area. Hydrocolloid dressings are particularly effective as they provide cushioning and promote healing.
4. Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate discomfort.
Preventing Blisters
1. Proper Footwear: Ensure that your shoes fit well. They should provide adequate support and cushioning without being too tight. Consider getting fitted for shoes at a specialty store.
2. Moisture Management: Keep your feet dry. Moisture can increase friction, leading to blisters. Consider moisture-wicking socks, and change them if they become damp.
3. Use Blister Prevention Products: There are various products available, such as blister pads, moleskin, or blister prevention sprays, that can be applied to areas prone to blisters before walking.
4. Cushioning Inserts: If you’re experiencing blisters frequently, consider using gel inserts or orthotic insoles. These can help distribute pressure more evenly across your foot.
5. Gradual Increase in Activity: If you’re starting a new walking routine, gradually increase your distance and intensity. This allows your skin to adapt to the increased friction.
Long-term Care
If you find that blisters continue to be a problem despite taking preventive measures, it may be worth consulting a healthcare professional. They can assess your foot structure and gait, and recommend custom orthotics if necessary.
Psychological Aspect
It’s understandable to feel anxious about recurring injuries or discomfort. To manage this anxiety, consider the following:
- Educate Yourself: Understanding the nature of your condition can help alleviate fears. Knowledge about proper foot care and blister management can empower you.
- Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help reduce anxiety and improve your overall mental well-being.
- Seek Support: If your anxiety about injuries is overwhelming, consider talking to a mental health professional. They can provide strategies to cope with your fears.
Conclusion
In summary, managing blisters involves a combination of immediate care and preventive strategies. Avoid popping blisters unless necessary, keep the area clean, and protect it with appropriate dressings. Invest in proper footwear and consider using blister prevention products. If blisters persist, consult a healthcare professional for further evaluation. Additionally, addressing any anxiety related to injuries through education and support can lead to a more positive experience as you continue your walking routine.
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