Lesson 5:-
While blisters appear to be a very minor complaint (relative to other injuries), they can be a major source of morbidity and can prevent a player from being able to train or play. The heel and ball of the foot (the plantar surface of the 1st MTPJ) are generally the most common (and debilitating) locations in football. There are a variety of different strategies that can be used to both prevent and treat this problem.
Closed blister: The following strategy can be used to treat a closed blister. It is important to realise that there are many different ways to do this. Clinicians are encouraged to develop their own strategies. When faced with a painful blister which is likely to limit a player’s ability to compete, follow the following steps:
- drain the fluid with a needle and syringe;
- inject into drained blister space with diluted betadine (not full strength) and leave in until it stops stinging;
- drain out betadine solution;
- the blister should be flat and sticking (down due to tackiness of betadine);
- dry skin for 30-60 seconds;
- create a foam donut and place around the blister;
- cover the hole in the foam donut with 2nd skin (or similar);
- secure the whole dressing with hypafix tape (or similar).
Open blister: An open blister should be carefully cleaned with antiseptic soap and then dried. Ideally it should be left open when not training (at night, for example). During training, the injured area can also be offloaded by making a foam donut (as described above).
Some practical strategies to try to prevent blisters from occurring include:
- carefully break in new boots (and other footwear) by alternating between new and old boots;
- do not take new boots to tournaments;
- choose the right socks;
- wear different pairs of boots and shoes;
- keep your feet dry;
- tape problem areas (before blisters occur);
- be especially careful during pre-season.
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Jatin Tyagi 