Carolethecatlover
Member
- Time of past OR future Camino
- June 2018
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BACKGROUND:
The aim of this study is to assess the prevalence of blisters on the foot during hiking and the factors associated with this condition.
MATERIAL AND METHODS:
A cross-sectional observational comparative study was conducted of 315 patients treated at two hostels, located on the Way of Saint James, in northern Spain. The study participants were interviewed and clinically examined to obtain sociodemographic and clinical variables. The variables recorded concerned the type of terrain covered (asphalt or dirt trails), the weight carried (backpack), the footwear used (weight, type, impermeability), the type of socks worn and the hydration of the skin obtained. The inclusion criteria were at least 18 years and to walk at least 20 km in the last five days.
RESULTS:
74% (n = 233) of the hikers presented a bullous lesion on the foot after completing several stages of hiking. The most frequent locations were the first or second metatarsal head and the fifth toe. Logistic regression showed that risk factors for the appearance of blistering were the number of kilometres walked on asphalt (p = .001 [95% CI (1.019-1.064)]) and having wet socks at the end of the day (p = . 006 [95% CI (1.286-4.479)]). The protective factors identified were walking on a dirt, grass or gravel surface (p < .001 [95% CI (0.982- 0.995)]) and using customised plantar orthoses (p = .001 [95% CI (0.085) - 0.512)]).
CONCLUSIONS:
The type of terrain is a determining factor in the appearance of blisters. Walking on a dirt trail reduces the risk. Using custom made insoles and controlling humidity are other factors that should be considered as preventive measures.
Prevalence and risk factors associated with the formation of dermal lesions on the foot during hiking.
Chicharro-Luna E et al
J Tissue Viability. 2020 Apr 27
I walked the Portuguese camino out of Porto to Santiago. Yes, lots of cobbles and setts, but I had no blisters. Our feet are all different...just like we are. ☺I think most repeat Pilgrims could have told them that
My 'Dearly Beloved' is a sight to behold on Camino.
She will find the softest part of the track/road if only 5 cms wide! Anything to prevent walking on Asphalt or Concrete. That narrow strip of grass at the edge of the road, or that slight build up of gravel...
3 Caminos, no blisters yet, touch wood.
(Change socks midday, double layer socks, hikers wool and vaseline, stay hydrated)
And avoid any hard surfaces...
It's actually one of the reasons the Portuguese does not appeal to me.
Lots of hard surfaces and cobblestones I hear...
I agree. Great site. Especially the unequivocal advice on the correct use of Compeed (and similar Hydrocolloid dressings):...I really appreciated the website https://www.blisterprevention.com.au/ for its advice, most of which I follow.)
Do not use hydrocolloid blister dressings on blisters with an intact or torn roof!
Right. And Compeed plasters should not be used as a preventative. There are other products that cost less and work better for that, such as tape, moleskin, lubricants like petroleum jelly and Glide, etc.I agree. Great site. Especially the unequivocal advice on the correct use of Compeed (and similar Hydrocolloid dressings):
How To Use A Hydrocolloid Dressing... Properly!
A hydrocolloid dressing is brilliant at getting a certain type of blister to heal. So why do so many people hate them? Avoid these common mistakes.www.blisterprevention.com.au
¡Buen Camino!
few professionals really retire...they just go on practicing without needing to purchase insurance, or go to the office and will accept a bottle of fine single malt whisky, great homecooked meal, or a goat for payment.That's why, as a retired podiatrist, I posted it. Stating the obvious.
Use this with our horses if they get an abscess in a hoof.Got blister under heel walking around lake nearby and despite piercing it with needle & antiseptic it was still filling up, sore and hot - after a week advised by friend to try a poultice of bicarbonate of soda ( I mixed it with neat liquid antiseptic) and surprise! Next morning blister reduced and no pain - anyone else tried this?
I visited una farmacia for advice and products and although there was a huge (Compeed made) display of Compeed products the lovely senorita did not even glance at it. She provided dressings and a bottle of antiseptic (some of which I still have, though likely out of date) and even though I carried on walking the blisters healed and I had no more. I had used Compeed prior to that and they seemed to promote both pain and a nasty gunk underneath after a few hoursAnd Compeed plasters should not be used as a preventative.
I have used compeed several times on hot spots with great results. It stayed on in the shower and after a couple of days all was fine. I never had any blisters, so for me it's been great. I can see where its wonderful adhesion would be a huge negative if used on a full blown blister.I had used Compeed prior to that and they seemed to promote both pain and a nasty gunk underneath after a few hours
Chrissy, I had two very problematic blisters (others too but less problematic!). One was a full blown, burst blister which had rubbed away. Yes, very ouch!!. The other was under the hard pad of skin on the side of my foot toward the rear. I don't doubt Compeed works for many, they would not be successful if they did not but not for me at the timeI have used compeed several times on hot spots with great results. It stayed on in the shower and after a couple of days all was fine. I never had any blisters, so for me it's been great. I can see where its wonderful adhesion would be a huge negative if used on a full blown blister.
Prevalence and risk factors associated with the formation of dermal lesions on the foot during hiking.
Chicharro-Luna E et al
J Tissue Viability. 2020 Apr 27
Got blister under heel walking around lake nearby and despite piercing it with needle & antiseptic it was still filling up, sore and hot - after a week advised by friend to try a poultice of bicarbonate of soda ( I mixed it with neat liquid antiseptic) and surprise! Next morning blister reduced and no pain - anyone else tried this?
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