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Athlete’s foot, or tinea pedis, is a fungal infection that commonly affects the skin between the toes.

It thrives in warm, moist environments like sweaty shoes or communal areas such as gym showers, which is why it’s often associated with athletes.

Symptoms

Symptoms include itching, redness, and cracking of the skin, which can sometimes spread to the soles or sides of the feet.

  • Itching, stinging, and burning between the toes, which may worsen after taking off socks or shoes.
  • Red, scaly rash, especially between the toes, with the skin becoming dry and flaky.
  • Cracking, peeling, and sometimes blistering of the skin, which can be painful.
  • Dry skin and thickening, particularly on the soles or sides of the feet, which may lead to peeling.
  • Unpleasant odor due to fungal growth.
  • Discolored toenails that may become thick, brittle, or yellow.
  • Raw skin or ulcers in severe cases, especially between the toes where the skin can appear white and soggy.

Types of Athlete's Foot

There are different types of athlete’s foot. The most common is the interdigital type, which occurs between the toes. Moccasin-type athlete’s foot affects the soles, causing dry, scaly skin that may crack. Vesicular athlete’s foot, though less common, involves fluid-filled blisters.

Interdigital Athlete’s Foot:

  • The most common type.
  • Affects the skin between the toes, causing itching, scaling, and maceration (softening and breaking down of the skin).

Moccasin Athlete’s Foot:

  • Affects the soles of the feet.
  • Causes dry, thick, and scaly skin that may crack and lead to discomfort.

Vesicular Athlete’s Foot:

  • Characterized by fluid-filled blisters.
  • Often appears on the instep or other areas of the foot and may be more severe.

General Interventions

Treatment is straightforward but requires persistence. Over-the-counter antifungal creams or sprays usually work well, but more severe cases may need prescription-strength treatments. Keeping your feet clean and dry is essential for both treatment and prevention. It’s also helpful to wear breathable shoes, change socks frequently, and avoid walking barefoot in communal areas.

Over-the-Counter Treatments:

  • Antifungal creams, sprays, or powders containing terbinafine, clotrimazole, or miconazole are commonly effective.
  • Regular application is essential even after symptoms improve to prevent recurrence.

Prescription Medications:

  • For more severe or resistant cases, oral antifungal drugs like terbinafine or fluconazole may be prescribed.
  • Topical corticosteroids may also be used for inflammation.

Hygiene Measures:

  • Keep feet clean and dry by washing daily and drying thoroughly, especially between the toes.
  • Wear moisture-wicking socks and breathable shoes.
  • Avoid sharing footwear or towels to prevent spreading the infection.

Preventative Practices:

  • Use antifungal powders or sprays in shoes and socks.
  • Wear flip-flops or sandals in communal showers and locker rooms.
  • Rotate shoes daily to allow them to air out and dry completely.

Athlete’s foot is usually treatable with proper care and attention but requires consistent management to prevent recurrence. Early intervention can stop the infection from spreading or worsening.

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Cornerstone
New Zealand Society of Cosmetic Medicine
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