The 7 Myths of Foot Blister Prevention

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The 7 Myths of FOOT BLISTER PREVENTION A publication of

description

Foot blisters - do you suffer? “Many myths continue to be propagated regarding the prevention and treatment of friction blisters” D Richie DPM (2010). THE 7 MYTHS OF FOOT BLISTER PREVENTION “... many myths continue to be propagated regarding the prevention and treatment of friction blisters” Douglas Richie DPM (2010) MYTH 1 BLISTERS ARE A BURN The reality is … Friction blisters do not resemble thermal burns either clinically or histologically And experimental blister studies show only moderate increases in skin temperatures of between 41-50 ºC (insufficient to cause a burn) Friction blisters do not resemble thermal burns either clinically or histologically MYTH 2 FRICTION IS RUBBING The reality is … (Friction is misunderstood) Friction is the force that resists rubbing As the bone moves one way, the force of friction opposes this to keep the surface of the skin stationary. The result is all the soft tissue in between stretches. This is shear and this is what causes blisters. You don’t need rubbing to form blisters! Rubbing adds an abrasion injury (deroofed blister). Blister Cause = Shear Deroofed Blister Cause = Rubbing MYTH 3 WEARING COTTON SOCKS WILL STOP BLISTERS The reality is … (This is the worst thing you can do!) Cotton is a hydrophilic (water-attracting) fibre It keeps moisture trapped near the skin Moisture increases friction levels So cotton increases blister incidence MYTH 4 POWDERS STOP FRICTION The reality is ... (This won’t work for long) Feet perspire a lot (especially when you exercise) Powder absorbs as much perspiration as it can Then it clumps together and increases friction levels MYTH 5 LUBRICANTS ARE THE BEST WAY TO STOP FRICTION The reality is … (This one is a semi-myth) Initially friction reduces Then friction increases MYTH 6 HEAT, MOISTURE AND FRICTION CAUSE BLISTERS The reality is … (This is an over-simplification) There are 4 factors required to produce blisters: Thick and immobile skin High coefficient of friction (friction & pressure) Moving bone Repetition It gets hot in your shoe which causes your feet to sweat. This moisture increases friction levels. But this is just one part of blister formation. MYTH 7 BLISTERS ARE A PART OF SPORT – WEAR THEM WITH PRIDE! The reality is ... (Blisters are not inevitable!) Blisters are not inevitable! Get the facts. The Advanced Guide to Blister Prevention - Download the Guide So you’re an athlete needing to solve your blister problem… Or you’re a sports medicine practitioner and need to improve your blister prevention outcomes … www.blisterprevention.com.au can help you with that! Using science and research to explain what causes blisters how preventative strategies work (and don’t work) “Information you can use with confidence to perform blister-free!” Get the facts! The Advanced Guide to Blister Prevention

Transcript of The 7 Myths of Foot Blister Prevention

Page 1: The 7 Myths of Foot Blister Prevention

The 7 Myths of

FOOT

BLISTER

PREVENTIONA publication of

Page 2: The 7 Myths of Foot Blister Prevention

“... many myths continue to

be propagated regarding the

prevention and treatment of

friction blisters”

Douglas Richie DPM (2010)

Page 3: The 7 Myths of Foot Blister Prevention

MYTH 1Blisters are a burn

[Are friction blisters a thermal burn?]

Page 4: The 7 Myths of Foot Blister Prevention

2 And experimental blister studies show

only moderate increases in skin

temperatures of between 41-50 ºC

(insufficient to cause a burn)

The reality is …

Friction blisters do not resemble thermal

burns either clinically or histologically

Page 5: The 7 Myths of Foot Blister Prevention

[Friction is misunderstood!]

MYTH 2Friction is rubbing

Page 6: The 7 Myths of Foot Blister Prevention

Friction is the force

that resists rubbing

As the bone moves one

way, the force of friction

opposes this to keep the

surface of the skin

stationary. The result is all

the soft tissue in between

stretches. This is shear and

this is what causes blisters.

The reality is …

Page 7: The 7 Myths of Foot Blister Prevention

Friction is the force

that resists rubbing

The reality is …

As the bone moves one

way, the force of friction

opposes this to keep the

surface of the skin

stationary. The result is all

the soft tissue in between

stretches. This is shear and

this is what causes blisters.

You don’t need

rubbing to form

blisters!

Rubbing adds an

abrasion injury

(deroofed blister)

Page 8: The 7 Myths of Foot Blister Prevention

Blister Deroofed Blister

Cause = Shear Cause = Rubbing

http://www.istockphoto.com https://www.flickr.com/photos/gromgull/3639396542/?rb=1

Page 9: The 7 Myths of Foot Blister Prevention

Wearing cotton

socks will stop blisters

[This is the worst thing you can do!]

MYTH 3

Page 10: The 7 Myths of Foot Blister Prevention

► Cotton is a hydrophilic (water-attracting) fibre

► It keeps moisture trapped near the skin

► Moisture increases friction levels

► So cotton increases blister incidence

The reality is …

Page 11: The 7 Myths of Foot Blister Prevention

Powders stop friction

[This won’t work for long]

MYTH 4

Page 12: The 7 Myths of Foot Blister Prevention

► Feet perspire a lot (especially when you exercise)

► Powder absorbs as much perspiration as it can

► Then it clumps together increasing friction levels

The reality is …

Page 13: The 7 Myths of Foot Blister Prevention

Lubricants are the

best way to stop friction

[This one is a semi-myth]

MYTH 5

Page 14: The 7 Myths of Foot Blister Prevention

► Initially friction reduces

► Then friction increases

The reality is …

Page 15: The 7 Myths of Foot Blister Prevention

Heat, moisture and

friction cause blisters

[This is an over-simplification]

MYTH 6

Page 16: The 7 Myths of Foot Blister Prevention

Thick and immobile skin

1

2

3

4

High coefficient of friction (friction & pressure)

Moving bone

Repetition

There are 4 factors required to produce blisters:

It gets hot in your

shoe which causes

your feet to sweat.

This moisture

increases friction

levels. But this is

just one part of

blister formation.

The reality is …

Page 17: The 7 Myths of Foot Blister Prevention

Blisters are a part of

sport – wear them

with pride!

[Blisters are not inevitable!]

MYTH 7

Page 18: The 7 Myths of Foot Blister Prevention

Blisters are not inevitable!

Get the facts

The Advanced Guide to

Blister Prevention

Download the Guide

Page 19: The 7 Myths of Foot Blister Prevention

Rebecca RushtonPodiatrist

@blisterprev

Page 20: The 7 Myths of Foot Blister Prevention

So you’re an athlete needing to solve your

blister problem…

Or you’re a sports medicine practitioner and need

to improve your blister prevention outcomes …

can help you with that!

Page 21: The 7 Myths of Foot Blister Prevention

Using science and research to explain:

• what causes blisters

• how preventative strategies work (and don’t work)

“Information you can use with confidence

to perform blister-free!”

www.blisterprevention.com.au

Page 22: The 7 Myths of Foot Blister Prevention

Get the facts!

The Advanced Guide to

Blister Prevention

Download the Guide