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The other way around. See the link above. If put on an intact blister when you remove the bandage it has a good chance of ripping the blister's roof off.Hello
Compeed is to be worn on unbroken blisters - never on ruptured ones! You put it on clean dry skin and wear it until it comes of on its own.
If you read the small instruction inside the packet it explains so.
Hi Lynne
They do become goopy if shower with them on. I treated myself to a new patch each day.
I also found that putting some tape over the top of them prevented them from sticking
to my socks.
Hope you don't need them!
Buen Camino
Hello
Compeed is to be worn on unbroken blisters - never on ruptured ones! You put it on clean dry skin and wear it until it comes of on its own.
If you read the small instruction inside the packet it explains so.
The other way around. See the link above. If put on an intact blister when you remove the bandage it has a good chance of ripping the blister's roof off.
The wording actually says to be used on deroofed blisters. Where the skin is already gone.If you put them on ruptured blisters, the create a nice warm and moist environment for germs to grow. When you put it on the unbroken it creates a small cavern around the blister to create pressure relieve. You are not supposed to remove it until it comes of by itself, which it will when there is new skin on the blister.
That is the theory behind the compeed....
That's not the theory behind Compeed. And it's designed to keep bacteria out of the wound.If you put them on ruptured blisters, the create a nice warm and moist environment for germs to grow. When you put it on the unbroken it creates a small cavern around the blister to create pressure relieve. You are not supposed to remove it until it comes of by itself, which it will when there is new skin on the blister.
That is the theory behind the compeed....
Hello
Compeed is to be worn on unbroken blisters - never on ruptured ones! You put it on clean dry skin and wear it until it comes of on its own.
If you read the small instruction inside the packet it explains so.
Honestly, I don't know why one would use Compeed on a blister with an intact roof. The hydrocolloid nature of Compeed does nothing when in contact with intact skin. If it's the cushioning of the Compeed that you are looking for put some guaze and tape (I prefer Omnifix) over it.In my experience... All blisters are not created equally. As such, they should not be treated equally.
Examples (from my experience)....
Heel Blister: An ill fitting shoe, allows rubbing.
See below...
Toe Blister: One of your other toes stepped on it all day (my favorite way to get a blister)
-switch to sandal with your toes open and free
-lace your boots, first two eyes loose, they a one-over twist, then lace tighter over the ankle
-every morning, grease your toes with Petroleum Jelly so they slip over each other
-use slippery medical tape, like 3M Transpore First Aid Tape (Compeed won't stay on toes)
Bottom of the Heel Blister: Pounding on hard uneven surfaces
-avoid Roman Roads
-pretape with KT tape
My take on Heel Blisters.
Your feet talk to you.... you need to listen.
First, there will be a bit of sensitivity or a “hot spot”.
-The “hot spot” needs to be protected with something like Leukotape Sports Tape.
-You need to watch a video on how to correctly tie your shoes.
-You need to cool your feet more, and also change your sweaty socks for dry ones.
Ok.... You misread (ignored) what your foot was saying, and you now have a Blister (an intact, roof on blister).
Now you need Compeed.
It sticks to your foot (and your sock, and your blister), has some medicinal properties that “promotes” healing, it is slippery on the outside, and has a bit of padding. It is exactly the easy solution you're looking for (pay some money, stick it on, all fixed).
Oh.... but there are problems. Compeed loves sticking to socks. If it get wet, it starts to go gummy. A sweaty sock makes it “wet”. The gummy edges will start to curl, sticks to your sock, curl some more.... The curled edge will rub, and cause a new blister.
So, if you use Compeed, you must cover it with KT Tape. Use lots. KT tape sticks best to it's self. When protecting a heel, wrap it around your ankle with an inch overlap. I found KT tape at Spanish Pharmacies to be very pricey. Buy some on Amazon, and bring it with you.. (it's light to carry)
Next problem. If you take a Compeed off, it will also take off the top of the Blister, and now... you are in really some deep do do.
Solutions... Leave the Compeed on until it falls off (in a shower) after 2-3 days, or soak your foot in water and it will come off. Be patient and gentle. A roofless blister is the last thing you want on the Camino.
If you do rip the roof off... use Compeed (as above) except be very clean. You are about to keep an open wound, in a dirt sweaty boot, all day. That is the same boot that rubbed you, the exact wrong way, to start with.
If you have ripped the top off, you are obviously not good a listening to your feet and you might want to consider a day or two of rest, with some antibiotic cream.
Please correct me if I am wrong, but.... I read once that the EU allows for stickier adhesive then North America. The Spanish Pharmacies band-aids and their Compeed stick a lot better.
1. The Compeed instructions, and its stated indications for use, clearly state that Compeed is to be used for open/popped/deroofed blisters. It is a hydrocolloid dressing, and that is how these types of dressings are designed to be used. They keep open wounds from infection by bacteria, they create a moist environment that also absorbs excess fluid loss, and it protects the wound from further mechanical damage.
It is less clear about Compeed being used on 'roofed' or skin-covered blisters, although there is little value to doing so, and potential worsening of the blister as well.
2. Using Compeed for hotspots and protected blisters can be done, but it is not ideal. A wrench can be used as a hammer, or a screwdriver can be used as a pry bar, but the right tool does a better job and won't have problems doing it.
3. Anecdotal success using Compeed in an atypical application is not the same thing as it working for everyone when doing so, or even for a good percentage of those using it in an atypical application. I have seen lots of folks attempt to use hydrocolloid coverings like Compeed, Second Skin, Band Aid (yup, they have a version of Compeed) for the ways mentioned above. It worked for some, for others it created more aggravated blistering, even tearing open 'roofed' blisters.
If Compeed was advised for the atypical applications which have been mentioned, the manufacturer would have jumped on that bandwagon long ago in order to expand the sales of the product to a wider base of marketing.
4. While the mechanical source for a blister may be different, the basic cause is the same: shear force friction. Proven strategies for its prevention have been posted before, even very recently. I'd be happy to repost those if so requested. A less likely source of blistering is severe and concentrated mechanical 'pinching' trauma; the type of injury where one gets a piece of loose skin caught in a vise-like force. Many of us have experienced blood blistering as the result of this type of wound.
The medical community has a term, at least in the US, to describe how to approach treatment issues. It is called "Best Practices". This term recognizes that there may be a variety of options which can and have been used for dealing with a medical concern, but that there is a specific protocol for treatment which has seen the best results, which has objectively been measured to produce the best outcome, and which also works to minimize harm to the patient.
Compeed is currently not the 'best practice' for dealing with either hot spots or intact blisters. On the other hand, if all I had on hand was Compeed to place on a hotspot or intact blister, then that's what I would do. Fortunately, I wouldn't be in that situation, but as someone said, for the short term, Compeed is better than nothing.
1. The Compeed instructions, and its stated indications for use, clearly state that Compeed is to be used for open/popped/deroofed blisters. It is a hydrocolloid dressing, and that is how these types of dressings are designed to be used. They keep open wounds from infection by bacteria, they create a moist environment that also absorbs excess fluid loss, and it protects the wound from further mechanical damage.
It is less clear about Compeed being used on 'roofed' or skin-covered blisters, although there is little value to doing so, and potential worsening of the blister as well.
2. Using Compeed for hotspots and protected blisters can be done, but it is not ideal. A wrench can be used as a hammer, or a screwdriver can be used as a pry bar, but the right tool does a better job and won't have problems doing it.
3. Anecdotal success using Compeed in an atypical application is not the same thing as it working for everyone when doing so, or even for a good percentage of those using it in an atypical application. I have seen lots of folks attempt to use hydrocolloid coverings like Compeed, Second Skin, Band Aid (yup, they have a version of Compeed) for the ways mentioned above. It worked for some, for others it created more aggravated blistering, even tearing open 'roofed' blisters.
If Compeed was advised for the atypical applications which have been mentioned, the manufacturer would have jumped on that bandwagon long ago in order to expand the sales of the product to a wider base of marketing.
4. While the mechanical source for a blister may be different, the basic cause is the same: shear force friction. Proven strategies for its prevention have been posted before, even very recently. I'd be happy to repost those if so requested. A less likely source of blistering is severe and concentrated mechanical 'pinching' trauma; the type of injury where one gets a piece of loose skin caught in a vise-like force. Many of us have experienced blood blistering as the result of this type of wound.
The medical community has a term, at least in the US, to describe how to approach treatment issues. It is called "Best Practices". This term recognizes that there may be a variety of options which can and have been used for dealing with a medical concern, but that there is a specific protocol for treatment which has seen the best results, which has objectively been measured to produce the best outcome, and which also works to minimize harm to the patient.
Compeed is currently not the 'best practice' for dealing with either hot spots or intact blisters. On the other hand, if all I had on hand was Compeed to place on a hotspot or intact blister, then that's what I would do. Fortunately, I wouldn't be in that situation, but as someone said, for the short term, Compeed is better than nothing.
Again , this is my experience, and therefore anecdotal -Ok, you are now not only my go-to shoe guy, with this post you become my go-to blister guy. I didn't have any blisters on this year's camino, thanks in no small measure to your suggestions on shoes (so these two expertises do interact in a positive way!). But I have had blisters in the past and long ago gave up on Compeed. I hate it. But that may be just me. My question, though, has to do with my treatment of choice, which I learned from some Dutch peregrinos on the LePuy route many years ago. Their advice, which I have followed successfully for years, is this -- cut open the blister as soon as you get it, when it is SMALL. Wash it carefully, and use Betadine. If you are walking and not near a good water source and soap, just do your best and bandage it up after using betadine. After you arrive, wash carefully and bandage with gauze and anti-bacterial cream. I have done that for more than 10 years on caminos and have never had a problem. But as you are so fond of pointing out, anecdotal evidence is not scientific evidence. Do you have an opinion on this practice, or have you seen any good medical evidence on this practice?
I know that when I suggest it on the forum, people start warning me about infection, etc, but I can't imagine why the risk of infection with a blister would be any different than the risk of infection that happens every time I slip and fall and cut myself or have other camino mishaps. Then the skin is removed as well, and I just bandage it up using the same steps I use for blisters. But I may be missing someting here! Thanks again for all your help, buen camino, Laurie
......Their advice, which I have followed successfully for years, is this -- cut open the blister as soon as you get it, when it is SMALL. Wash it carefully, and use Betadine. If you are walking and not near a good water source and soap, just do your best and bandage it up after using betadine. After you arrive, wash carefully and bandage with gauze and anti-bacterial cream. I have done that for more than 10 years on caminos and have never had a problem. But as you are so fond of pointing out, anecdotal evidence is not scientific evidence. Do you have an opinion on this practice, or have you seen any good medical evidence on this practice?
Ok, you are now not only my go-to shoe guy, with this post you become my go-to blister guy. I didn't have any blisters on this year's camino, thanks in no small measure to your suggestions on shoes (so these two expertises do interact in a positive way!). But I have had blisters in the past and long ago gave up on Compeed. I hate it. But that may be just me. My question, though, has to do with my treatment of choice, which I learned from some Dutch peregrinos on the LePuy route many years ago. Their advice, which I have followed successfully for years, is this -- cut open the blister as soon as you get it, when it is SMALL. Wash it carefully, and use Betadine. If you are walking and not near a good water source and soap, just do your best and bandage it up after using betadine. After you arrive, wash carefully and bandage with gauze and anti-bacterial cream. I have done that for more than 10 years on caminos and have never had a problem. But as you are so fond of pointing out, anecdotal evidence is not scientific evidence. Do you have an opinion on this practice, or have you seen any good medical evidence on this practice?
I know that when I suggest it on the forum, people start warning me about infection, etc, but I can't imagine why the risk of infection with a blister would be any different than the risk of infection that happens every time I slip and fall and cut myself or have other camino mishaps. Then the skin is removed as well, and I just bandage it up using the same steps I use for blisters. But I may be missing someting here! Thanks again for all your help, buen camino, Laurie
For a long time, the thought was to leave the fluid filled blister intact; it would provide some cushioning, protect the wound underneath, and help prevent infections. Most of that has proved not to be the case.
Leaving a blister filled with fluid can actually make healing time longer, the fluid is not necessarily sterile and can have bacteria introduced through micro-abrasive entries that which are too small to readily notice and will seal up fairly quickly after they are opened; this will cause the fluid to become a danger to the underlying tissue.
The recommended treatment now is very similar to what you are doing with a blister.
- Wash the area with a disinfecting solution. Betadine is fine. Alcohol works, too.
- Cut a slit at the base of the blister along most of the side you are cutting. You want a slit which won't seal up so that any fluid will continue to drain. A small. disposable scalpel blade or a one sided razor blade will do the trick. A scalpel blade will come in a sterile packet. Use a bit of alcohol on either blade. One can also use a lighter to sterilize the blade of the razor.
- Leave the 'roof' of the blister if possible; it will help protect the wound underneath. You just want to make sure fluid doesn't build up again.
- If the 'roof' has been torn and is just flapping around, carefully trim it off. A loose flap of skin can cause more damage to the wound by rucking up and rubbing it.
- Carefully put an antibiotic cream directly on the roof of the deflated blister. This does two things: it provides a bit of prophylaxis against bacteria. It also will keep adhesive from sticking to the roof of the blister.
- Make sure the area surrounding the blister is free of debris and body oils (alcohol).
- I like to apply tincture of benzoin to the skin surrounding the blister. This increases the adhesive holding power of the dressing that will be placed on the blister. Tincture of Benzoin comes in tiny ampoules so it takes up little space in a first aid pouch.
- Any number of dressing applications can work here. I happen to favor Molefoam. A bit of absorbent pad goes directly over the blister. A circular cut piece of Molefoam goes over that and to the surrounding skin with the benzoin on it. Moleskin, Leukotape P, Omnifix, white athletic tape, etc. can also work.
- At the end of the day, carefully remove the blister dressing. There should be no tugging or pulling of the blister 'roof' because of the precautions previously taken. Carefully evaluate the wound for any evidence of infection or additional trauma. Showering or swimming is fine; when done re-apply antibiotic ointment and dressing if you will be walking around in the evening. If you can remove the dressing while sleeping, that will help the healing process.
- Any adhesive for medical applications can have allergic properties to an individual. So after removing the dressing, check your skin that was in contact with the adhesive for signs of redness, irritation, rash, etc. Any indication of an allergic reaction or skin breakdown must be looked after. It can be as simple as changing the adhesive bandaging that you are using.
That's why I like Omnifix. It's so thin and flexible, and adheres well. It has a paper backing that you peel off, and when you cut it you can round off the corners to keep it from having a corner that mighty peel up.Also, I haven't used tape before, but I would worry that the edges my curl and irritate my skin. Is this a concern?
Lynne
You are such a great help. As I read #8, I just want to clarify...You put moleskin, tape, etc over the blister so it covers the surrounding area. You don't put anything else over the blister itself? And the tape will not adhere to the roof of the blister if I put an antibiotic cream on it?
Do you use a pretty good size piece of adhesive?
Also, I haven't used tape before, but I would worry that the edges my curl and irritate my skin. Is this a concern?
Lynne
I have really sharp but tiny embroidery scissors that I use instead of a needle, I do a tiny wee snip at the side of the blister, so that I can leave the roof relatively intact but drain out the fluid. Sounds like davebugg uses a blade. I find a needle doesnt make a big enough hole, plus the scissors can be used for other things as well.
Though when my sister got blisters, she freaked out and wouldnt let me touch her toes with the wee scissors, and preferred persevering with a needle. (The tips of the scissors are needle sharp anyway).
Edited to add. I cover the dressing with a piece of kinesiology tape (personal choice), it's soft and stretchy and you can smooth it out, and round off the corners. It stops the dressing sticking to socks or curling. Just washes off in the shower.
I usually use it for pre-taping to avoid blisters.
I just take my small scissors and cut off as much of the top covering as one snip takes. That way there is a hole that is too big to close up. I find that using a needle to drain it means that the small pinhole will close up by itself and the blister reforms. But I would do what @davebugg says, he is far more knowledgeable.Hi,
When you say "cut open" a blister, do you use a needle to drain it? Can you explain in more detail?
Thanks,
Lynne
Do you sterilize the nail scissors in some way?I just take my small scissors and cut off as much of the top covering as one snip takes. That way there is a hole that is too big to close up. I find that using a needle to drain it means that the small pinhole will close up by itself and the blister reforms. But I would do what @davebugg says, he is far more knowledgeable.
Do you sterilize the nail scissors in some way?
I try to deal with blisters in an albergue where we have acess to a clean environment, hot water etc.
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