Athlete's Foot


What is it?
Athlete's foot, tinea pedis, is a very common fungal skin infection of the foot.  It often first appears between the toes.  It can be a one-time occurrence or it can be chronic.  The fungus known as Trichophyton thrives under warm, damp conditions so people whose feet sweat a great deal are more susceptible.  It is easily transmitted in showers and pool walkways.  Those people with immunosuppressive conditions, such as diabetes mellitus, are also more susceptible to Athlete's foot.
Signs and symptoms:
Ø    Itchy feet.
Ø    White or red and soft scaling on the feet, usually between the toes.
Ø    Small blisters may be present.
Ø    Bad foot odor.
Ø    Very rare simultaneous involvement of the hands (called an ID reaction)

Treatment:
Ø    Diagnosis is via symptoms or sometimes by examining skin scrapings under a microscope.  A bacterial infection may also be suspected in which a skin culture will confirm this. 
Ø    Try a non-prescription antifungal powder or cream available in drug stores.  Your doctor can prescribe a stronger antifungal medication if necessary.
Ø    Oral antibiotics can be prescribed to a possible bacterial infection.
Ø    Keep feet as dry as possible!  Change socks twice a day if necessary and make sure are made of natural fibers, such as cotton.  Go barefoot when you have a chance or wear sandals.  Dry thoroughly in between toes after swimming or bathing. 
Ø    A special powder to absorb moisture on feet is available at most drug stores.  Ask the pharmacist about this. 
Ø    Spray your shower at home with a 10% bleach solution after bathing.  This may help from spreading it to other members of the family.
Ø    Wear sandals or flip flops in public showers and around pools.
Ø    Keep in mind that it may take up to a month or more to get rid of your Athlete's foot.  Be diligent using antifungal medication.  Unfortunately, recurrence of Athlete's foot is common.  Luckily, the condition does not cause serious problems for the majority of people who have it. 
Ø    Call the office if your Athlete's foot spreads or worsens despite treatments.