
As most of you know, blisters are caused by friction. In the case of running, the blisters form on your feet and toes because your socks are rubbing against the surface layer of your skin. Over time, this continued friction causes the top layer of skin to separate from the second layer of skin forming a blister. I have noticed that the few times I have had blisters from hiking my socks had simply gotten too wet from my feet's sweating even though I had wicking socks on at the time. The friction can also be caused by seams on your socks rubbing against your feet and toes as you run.
One of the warning signs of a blister forming is what most people call a "hot spot". You feel it where the blister is starting to form. It can be visually identified as redness on your skin. Once this starts to happen, fluid will form between the top two layers of skin to protect your skin from the continual rubbing. As the fluid builds up beneath the part of the skin being rubbed you will start to experience pressure and pain at that spot. I always seemed to develop blisters on and between my toes. You may experience them on the sole of your foot or your heel.
The common cause is your feet getting hot and sweaty thus causing your socks to adhere to your feet. Once this happens, your sock and foot rub against each other and the inside of your shoe. This causes the "hot spot". You should be able to feel this as you run. New shoes are a common cause of blisters forming. And, of course, they are also a common problem for runners especially those runners who participate in long running events such as half marathons, marathons and ultra marathons.
Since no one wants to get blisters, the question is how can you avoid them especially during these hot summer days. The key to preventing blisters is to reduce the friction on your skin in the first place. The best way to do this is to make sure you are wearing shoes that fit properly and socks made of a synthetic fabric that will wick the sweat from your feet. In addition, you can put petroleum jelly on problem spots prior to running or use foot powders to reduce the moisture. Some people use bandage strips or blister block adhesive tape which you can find in almost any sporting goods or specialty running store. Finally, you could try to put antiperspirant on your feet. I have heard that after spraying it on your feet for several days it helped to prevent blisters.
Once you are out on the road and you have used one of these various methods to prevent blisters, you need to be aware of any "hot spots" that may form during your run. If you feel them, it is important to stop and treat them right away to prevent the blister from developing. If you can, bring along an extra pair of socks and change socks before continuing. If you can't do this, your next best option is to apply moleskin over the sensitive area. I typically carry a small jar of petroleum jelly in my fanny pack on long runs and simply apply a little to the area to reduce friction.
Even if you do all of these things, you may still get a blister. If you do, the main goal is to keep the blister from getting bigger and avoiding infection. For small unbroken blisters it is best to leave them alone to heal on their own. This is because the best protection against infection is a blister's own skin. Eventually, they will form new layer of skin beneath the blister, and eventually the blistered skin dries up and peels away. However, if the blister is particularly large and painful you may want to drain it as long as you keep the top layer of skin intact and covering the blister.
The key to draining a blister is to make sure that you do not remove the top layer of skin. This will help to prevent infections. If you decide to drain the blister, make sure to clean the blister and the surrounding area with rubbing alcohol, hydrogen peroxide or antibiotic soap and water. Make sure you sterilize the pin or needle before puncturing the blister. You can do this by holding the pin or needle over a flame until the tip glows red and then allow it to cool. Once sterilized, you can then puncture the blister with a very small hole at the edge of the blister and drain the fluid by applying gentle pressure. Once your blister is drained, place antibiotic ointment on the blister and cover with a sterile bandage and let it heal. Most blisters heal on their own in a few days. But, if pressure or friction continues in the area, it could take two weeks or longer for the blister to go away.
I hope that none of you experience any blisters. But, if you do, I hope these simple tips will help you treat them properly. Keep your feet dry and comfortable and you will most likely never have to deal with blisters.
July 18 – 10.20 miles (1:35:04, 9:18 pace)
July 19 – 6.10 miles (55:18, 9:04 pace)
July 20 – 3.50 miles (28:31, 8:08 pace) – Speed work, 5k pace
July 23 – 6.10 miles (52:46, 8:39 pace)
July 24 – 10.10 miles (1:32:50, 9:11 pace)
Total Miles: 36.00 miles
2010 YTD Miles: 962.80 miles