Can Athlete's Foot Be Cured? Common Questions and Treatment Tips - Dermatology

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My athlete's foot?


I initially saw a doctor last May, and after treatment, I was feeling better, but I wasn't completely healed.
Then during last summer, it flared up again, so I bought over-the-counter medication and applied it for about a month.
I thought I was cured, but then in November, it returned...
I went back to the doctor, who said it wasn't serious and that it would heal with two weeks of medication, but I still haven't recovered.
Can athlete's foot really be cured? My family members don't have athlete's foot, and I don't share slippers.
I have so many questions...
When I bought the cream, should I apply it to my entire foot, including the heel and the sole? (Previously, I only applied it to the affected area.) If I apply the cream and then go to bed, will it still be effective if it gets on the sheets and blankets? Also, regardless of whether I apply the medication, will sleeping on the same bed every day prevent me from ever getting better? Should I wash the sheets and pillowcases? But I can't wash them every day...
I'm also really worried about it spreading to other parts of my body! Could my legs get infected too? (Is it really only going to infect my toes and nails? I've heard it can also affect the groin...) What should I do? Can I apply the cream and then wear socks to sleep, or will that make it worse...? I've already used three different medications; could it be that one of them is no longer effective? (Resistance?) I'm feeling really down...

A Bu, 20~29 year old female. Ask Date: 2005/02/01

Dr. Jiang Zheen reply Dermatology


Athlete's foot is a contagious condition that can recur even after successful treatment if re-exposed.
If topical treatments are ineffective, oral medications can be considered.
When applying topical treatments, it is important to cover all areas of the foot that are peeling or blistered.
The medication is absorbed within 20-30 minutes after application, so there is no need to worry about it coming into contact with other surfaces.
Another possibility is that it may not be athlete's foot; sometimes, a microscopic examination is necessary for accurate diagnosis, so consulting a dermatologist is recommended.
Wishing you safety and may God bless you.

Reply Date: 2005/02/01

More Info


Athlete's foot, also known as tinea pedis, is a common fungal infection that affects the skin on the feet, particularly between the toes. It can be persistent and frustrating, as you've experienced. The good news is that athlete's foot can be effectively treated and cured, but it often requires a comprehensive approach to ensure that the infection does not return.


Understanding Athlete's Foot
Athlete's foot is caused by dermatophytes, a type of fungus that thrives in warm, moist environments. This is why it is commonly found in athletes and individuals who frequently wear tight shoes or socks that do not allow for proper ventilation. Symptoms typically include itching, burning, redness, and peeling skin, particularly in the spaces between the toes. In some cases, it can also lead to blisters or cracked skin.


Treatment Options
1. Topical Antifungal Medications: Over-the-counter antifungal creams, powders, or sprays are often effective for treating mild cases of athlete's foot. It's crucial to apply the medication not just to the affected areas but also to the surrounding skin, including the soles and sides of the feet, to prevent the spread of the infection.

2. Prescription Medications: If over-the-counter treatments are ineffective, a healthcare provider may prescribe stronger topical antifungals or oral antifungal medications. This is particularly important if the infection is severe or recurrent.

3. Proper Foot Hygiene: Keeping your feet clean and dry is essential. Wash your feet daily with soap and water, and make sure to dry them thoroughly, especially between the toes. Consider using antifungal powder to help keep your feet dry.

4. Footwear Choices: Wear breathable shoes and moisture-wicking socks to reduce the risk of fungal growth. Avoid wearing the same pair of shoes every day; allow them to air out. If possible, wear sandals or open-toed shoes to promote airflow.

5. Avoiding Contamination: Since athlete's foot is contagious, it's important to avoid sharing towels, shoes, or socks with others. Regularly wash your bedding and towels, especially if you have been treating an infection. While it may not be feasible to wash your sheets daily, doing so weekly can help reduce the risk of reinfection.


Addressing Your Concerns
- Application of Medication: Yes, it is advisable to apply the antifungal cream to the entire foot, including the heel and sole, not just the affected areas. This helps to ensure that any fungal spores that may be present are treated.

- Effectiveness After Contact with Bedding: If the medication comes into contact with your bedding, it may still be effective, but it’s best to allow the medication to absorb fully before going to bed. Washing your bedding regularly can help minimize the risk of re-infection.

- Infection Spread: While athlete's foot primarily affects the feet, it can spread to other areas of the body, including the groin and hands, especially if you scratch the infected area and then touch other parts of your body. Maintaining good hygiene and treating the infection promptly can help prevent this.

- Using Different Medications: It is possible for fungi to develop resistance to certain antifungal medications, especially if they are used improperly or not for the full recommended duration. If you find that your current treatment is not effective, consult your healthcare provider for alternative options.


Conclusion
Athlete's foot can be cured with the right treatment and preventive measures. If you continue to experience symptoms despite treatment, it is essential to follow up with your healthcare provider for further evaluation. They may recommend a different treatment approach or investigate other underlying issues that could be contributing to the persistence of the infection. Remember, patience and consistency in treatment are key to overcoming athlete's foot.

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