Blisters on Your Little Toe

little toe blister
Causes

These are so common, those poor little toes get blisters most of the time and usually this is the first one you will get before the other areas follow suit. Footwear is the usual culprit, ie the width of the shoe is too narrow, or your foot increases in size during the day and the laces are not locked correctly.

Prevention of little toe blisters

Wear the correct size and fit of footwear

Draw around your foot on a piece of A4 paper, when standing, you will probably notice that one foot is slightly longer and wider than the other but that is normal. Then place your shoes over that template of the foot and see which bits of the drawn foot, stick out from under your shoe. These are the bits of the feet that are compromised by the shoe and cause the pressure within the space in between the toes.

Lock laces to prevent foot sliding forwards

Lace locking– it is important to lock your laces correctly to prevent the foot slipping forward into the toe box area and getting compression from the shoes

Use Engo Patches to reduce friction

Engo patches on the inside of the shoe to decrease the friction of the shoe, these are tricky to do, especially to not crease the patch and you need to undo the laces to get better access to that area. If you are using these on shoes that are going to get wet all the time, then bear in mind they won’t last as long as the adhesive will lose its effectiveness.

Gel sleeves for toes

Silipos sleeves help reduce the pressure between toes but any more than two on the foot increases the bulk in the toe box of the shoe and increases the pressure for the other toes.

2toms blister powder– which will also reduce the friction levels to that area

Taping – Taping for the little toe is easy to do and if placed correctly, will be very successful

Alpacca wool– This wool is the softest of all the animal wool and has virtually no lanolin in it, making it suitable to those who have sensitivity to lanolin. Wrap it around the little toe. The wool needs to be taken out after the activity has finished and caution needs to be taken if the wool gets wet, as it will shrink like your woolly jumper! Do not use on an open sore or wound. You can use it again and again.

Treatment

What is a blister “hot spot”?

Hotspot – If you have recognised a hotspot on the skin in time before a blister has developed then a simple island dressing will be enough to reduce the shear on the skin and hence reduce the blister from forming further and if you have them, apply an engo patch on the insole as explained in the prevention of blisters. Deflective padding works really well here to reduce the pressure on the joints.

Treating Bubble blisters

Bubble Blister – If the roof is still on then treat it in a similar way to a hotspot on the skin, by applying a sterile island dressing, if the blister bursts (pops) when the dressing is on, then you know the dressing is already sterile and will prevent an infection from getting into the open sore. If you decide to pop the blister, then follow the instruction on “how to pop your blister” and treat it as a roof torn blister. Use an Engo patch applied to the insole with deflective padding applied to the feet.

Treating broken blisters

Roof torn blister – now this type needs its roof (skin) to stay in place, the roof may be broken but your own skin is still important for healing, so use a sterile saline swab to clean the wound first, then apply the povidone iodine stick over the torn area as an antibacterial action and apply a sterile island dressing. Apply a deflective pressure relieving padding as shown in the video to prevent any further pressure and friction.

Treating “popped” blisters

Roof off blister – Hydrocolloid dressing is the only option for this stage of blister, swab the area with saline to make sure the wound is clean and dry before applying the hydrocolloid, add extra hyper fix tape to anchor it down and apply deflective padding if continuing an event or activity. Hydrocolloid dressings are great wound healers and Podiatrists have been using them for a long time in the management of ulcers, with great success. They are not used at any other stage of the blister treatment and can cause blisters if not applied at the correct stage. I like to use some fleecy foam padding over the dressing as it just gives a bit of cushioning to the blister area, which is always very painful.

Treating infected blisters

Infected blister this is the stage of blister that you need to recognise quickly, a bacterial infection has invaded the blister and it could look red, swollen, there may be yellow or green pus in the blister and it could smell? Extending into the skin around the blister might be red and hot with red lines tracking away from the blister. You may feel unwell in yourself and swing from having the chills or feeling quite feverish. This is the time to get medical help as the infection can easily travel into the blood stream causing the infection to move into the leg and cause sepsis.