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Itchy Feet Driving You Nuts?

Posted by: Dr. Marybeth Crane Posted Date: 06/01/2010

Why do my feet itch so much? Why does it seem to happen more in the summer time even though I'm not wearing closed in shoes? Why does it itch more some days but not others? All good questions! Let's talk a little about itchy feet.

 

Many people have itchy feet from simply dry skin. Their skin is drier in the summer because they are either going barefoot or wearing sandals all of the time. They also don't habitually put moisturizer on like they do in the winter time. They also may be predisposed to dry skin from underlying medical problems like diabetes, poor circulation or hypothyroidism. Luckily dry skin has a simple fix. Exfoliate your feet with a combination of a cream or lotion that contains urea or lactic acid coupled with a gentle buffer or sand paper. If you do this a few times a week, it should alleviate all the itching of alligator feet.

 

But you don't think you simply have dry skin? Perhaps you have a fungal infection. Chronic itchy feet from an underlying tinea pedis (also known as athlete's foot fungus) is extremely common. It is more common in the summer due to increasingly sweaty feet. Fungus loves sweaty feet! Take a look at the skin on the bottom of your feet and in between your toes. Do you have a wet whitish peeling look to the skin in between your toes? This is called maceration. It happens when you toes are wet a lot or have been submerged in water for a long time; but it is also a hallmark of interdigital tinea pedis or fungus in between your toes. Check out the bottom of your feet. Does the skin have little red bumps or scaling skin in the pattern on very small circles? This is also indicative of fungus. The great thing about athlete's foot fungus is that it is easily treated with a topical medication and then decontaminating your shoes. Keep your feet clean and dry and make sure you change your socks if you sweat a lot.

 

So you don't think its dry skin and really don't have the hallmark signs of fungus? Another common problem is contact dermatitis. You may have contact dermatitis if you have a red, scaly, itchy rash and it is in the pattern of your new sandals or perhaps socks. You can also get contact dermatitis from a new cream or tanning lotion. Any kind of topical allergen can cause a skin reaction. I've even seen dermatitis from an ankle bracelet! Contact dermatitis is usually a new problem and a little detective work will help you find the culprit! Topical treatment with a steroid cream coupled with removing the allergen usually rapidly relieves the itchy rash. Rarely an oral steroid is needed to calm down the itching and alleviate the rash.

 

Other causes of itchy feet can be any kind of skin problem like eczema or psoriasis. Most people will see a telltale skin rash prior to the itching and are familiar with the symptoms they have in other area of their skin. Treatments vary depending on the underlying skin problem.

 

So these are the top reasons for itchy feet: chronic dry skin, tinea pedis, or a dermatitis or skin disorder. Itchy feet driving you nuts? If your detective work falls short, and your itching persists; it is time to visit your podiatrist. Skin scrapings or a biopsy can often help find the culprit and eliminate the annoying itch!

 

Barefoot Passengers in Disgusting Airports

Posted by: Dr. Marybeth Crane Posted Date: 11/09/2008
 

I was returning this morning from Ft. Lauderdale and going through security with a few hundred other sun-kissed travelers when it hit me that most people were actually BAREFOOT going through the security line. I had my trusty socks on, but the majority of people were barefoot on carpeting that probably saw at least several thousand stinky sweaty feet a day. Disgusting! Don’t people realize that walking barefoot in an airport even for a short period of time puts their health at risk? I guess not. 

 

Let’s talk about this. You would never walk barefoot in an airport bathroom, right? No. That would be completely gross to most Americans. Yet, the bathroom floor probably is cleaner than the carpeting in the security line. The bathroom floor gets cleaned several times a day with disinfectant. The carpeting in security might get vacuumed once or twice a day, but most likely gets actually cleaned very sporadically and only when something gets spilled. I can’t confirm this because the TSA agent working the security line had no idea when or even if the carpeting was ever cleaned!

 

What’s at risk? Let’s make the assumption that you are a very healthy person with no chronic diseases that would hamper your immune system. What could you possibly pick up from a dirty carpet? Let’s just talk about the really common things because the list could actually be quite lengthy!

  1. Warts. Plantar warts (verruca vulgaris) are a caused by a virus that infect the skin. This virus is very hardy and if you have children (or ever were one) you probably have seen or had a wart somewhere. They are annoying, but probably won’t kill you.
  2. Herpes. Yes, the herpes virus is also quite hardy and cutaneous herpes can be passed from individual to individual but certainly not as quickly or easily as the wart virus. Again, annoying but not deadly.
  3. Fungus. You know well the athlete’s foot fungus from your childhood. Hasn’t everyone’s mother warned them not to take a shower in the locker room barefoot so they won’t catch foot fungus? Same idea…..but again, annoying but easily remedied. PS. Fungus in your toenails can take up to A YEAR to eradicate! (Yes, it’s the same fungus)
  4. Staph. Our friend the staph bacteria is growing stronger and infecting more people every day. If you have any doubt on how nasty this bacteria can be you should read my article on “Deadly Pedicures”. Staph can kill you and only needs a small opening in the skin to give you a major infection. MRSA (the really nasty staph) is more common than every before.

But you say you don’t have any cuts or holes in your feet so it’s probably OK for you to boldly walk through security at the airport barefoot. Think again! Let’s take a look at your feet. Any dry skin? Tiny little blisters? Maybe a rub mark from a sandal or a tight shoe? A minor ingrown toenail? These can provide openings for all our little microscopic friends that want to join us on our airplane journey. And let’s not forget. You are BAREFOOT! You could easily step on something, drop a piece of luggage on your foot or stub your toe on a bag and provide an easy opening…hello puncture wound!

 

So the next time you are traveling by air, either wear or bring a pair of socks. If you forget them, many airports will provide you with little booties to place on your feet to go through security. Your mother always told you not to go barefoot in a locker room. Common sense keeps you from going barefoot in a public bathroom. So why go barefoot through security? You may actually be saving your life with a pair of socks! Bring an extra pair and save a friend!

 
 

Tips on Treating Ingrown Toenails

Posted by: Dr. Marybeth Crane Posted Date: 08/30/2008

Avoid Bathroom Surgery on Ingrown Toenails

 

Almost everyone, at one time or another in their life, has suffered from an ingrown toenail. Often, this first occurs during adolescence, but can occur at any age. The toenail curves into the skin, causing redness, irritation and pain. Most kids don’t complain until their toe is swollen, red, and dripping pus! Don’t worry, Mom, they hide it until they can’t stand the pain anymore. Some older kids (yes, I mean you!) do the same thing with their spouses. Don’t delay ingrown toenail treatment, you don’t have to live with the pain. There are answers, and they are simple, when the toenail is first aggravated, and becomes more complex the nastier the infection. In diabetics and those patients with poor circulation, an ingrown toenail can lead to a toe amputation. Seek treatment when it is a minor annoyance!

 

What causes ingrown toenails?

Toenails can be slightly deformed due to hereditary reasons (blame Mom and Dad).  It can also occur from trauma, shoe pressure and toenails that are improperly cut; usually too short  Fungus in your toenails can also cause ingrown toenails and tight or pointy-toed shoes can also be to blame. Runners are the worst when it comes to making a disaster out of their toenails! Black toenails, yellow and even brown little mountains are common from trauma and fungus! 

 

Simple tips for controlling ingrown toenail:
  1. Treatment for ingrown toenails can be as easy as reducing the pressure on the skin by trimming the toenail (with sterile instruments, not in your bathroom!) and then encouraging the skin away from the toenail as it grows.
  2. Try a shoe with more toe room or a bigger toe box.
  3. Clean the area with antibacterial soap and apply antiseptic once a day
  4. Soak your toe for 15 minutes in Epsom salt and warm water, then cut the nail straight across (do not dig in the corner) and gently massage the skin away from the nail. Remember that the old wives tale of cutting a notch in the toenail rarely works

Surgical solutions are commonly needed because most people will delay care until the toe is significantly infected. Surgical decompression of the infection, with removal of the nail spicule, is usually needed; followed by a permanent nail ablation procedure utilizing a chemical, laser, or other technique to remove the nail root in chronic cases. Antibiotics are often prescribed and local wound care is needed to treat the surgical wound and infection after surgery.

 

Even in the worst cases of ingrown toenails, most people are back to activity in just a few hours or days depending on pain tolerance and the extent of the infection. Rarely is the infection so severe that hospitalization and IV antibiotics are needed to prevent toe amputation.

 

Run Happy! And try to avaoid ingrown toenails!

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