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Ask Dr.  Karpati
Foot Blisters  & Skin

adriana05
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1. Question:
My daughter has a small hard  blister-like growth on the bottom of her foot. It is transparent and painful if  squeezed or pushed on. Thought it might be a wart, but it doesn't look like any  pictures that I have seen. Any ideas?

Dr. Karpati's  Answer:
Every so often I come across a question that I wish I could  answer sight unseen. This is one of them! There are so many different types of  lumps and bumps that present on the feet that, without a visual, diagnosis is  very difficult. I have seen some warts that appear more "transparent" than  others, so it is not out of the question. There are also other lesions such as  Porokeratosis that present similarly. Your daughter may have also stepped on  something and could have a retained foreign body. Please refer to www.APMA.org  and click on the "Find a Podiatrist" icon. Your daughter really should have this  lesion evaluated.



2. Question:
I have a 5  yr old daughter and she has been suffering severly with dry cracked feet that  hurt her so bad she is miserable.iI have tried putting neosporin and clean dry  socks 2 times a day, i have tried covering her feet before bed with vaseline,  then putting clean white socks on her...... i have tried epsom salt, peroxide,  that stuff you put on that is a clear coat that is suppose to seal them and also  almost everrything, please, please help us my little girl is miserable and i  dont know what else to do!!!! i have also tried special expensive creams but her  feet especially her big toes and her heels acctually almost her whole foot(feet)  have major deep cracks...thank you

Dr. Karpati's Answer:
I am  sorry to hear your little girl is suffering from this problem! Do not delay in  seeing a podiatrist in your area for proper evaluation as dry, cracked feet may  be a hereditary condition verses something of a fungal nature resulting in  different treatments. A biopsy of the skin may be necessary for proper  diagnosis. Please stop the use of peroxide and Epsom salt as both are VERY  drying to the skin and may be exacerbating her condition.



3. Question:
I suffer from Morton's Neuroma. What is  the best solution for the burning sensation I get. Thank you.

Dr.  Karpati's Answer:
Supporting the foot to control the abnormal  biomechanics causing your Morton’s neuroma and offloading the forefoot is the  easiest conservative treatment for a true Morton’s neuroma. Please refer to  www.faant.com online store to order the Power Step metatarsal relief pads (I  believe it is #215 in our product line). This is a pad that helps to offload the  forefoot to relieve the pressure under the ball of the foot. Please try this  alone as well as in conjunction with an arch support (we have many available  online as well.) Your choice of arch support would depend on what types of shoes  you wear/activities you participate in. If this does not help, please appoint  back to your podiatrist where further evaluation can be performed.



4. Question:
I am a 35 year old woman. I work  everyday and my job involves standing for 8 hrs. a day. My feet are very dry and  brittle. I use different foot creams also my feet are very dark at the bottom  sometimes it looks as though I have leopard feet they have little dark circles  on the bottom. What can I do?

Dr. Karpati's Answer:
There are  a few products on my website that specifically address your problem with your  feet. Please visit www.faant.com and go to the on-line store. On the left side  you will see various conditions to choose from. Go to "dry and cracked skin". I  really like the Hydrostat cream as I have used the product before. It does not  feel greasy. Depending on the amount of dryness of your skin, you might also  want to consider the Callex ointment which may be greasier but even more  hydrating. Heel sleeves are also available to wear over night. A combination  approach of lotion or ointment during the day and the heel sleeve at night might  be best! As far as the little spots are concerned, you did not mention them  itching, which could indicate an athlete's foot problem, or growing, which could  be a more serious dermatological condition. They are probably nothing to worry  about. If they change in their appearance or become painful, however, I would  most definitely have them checked out.



5. Question:
I had a corn on my fifth toe. I use  keralyt gel and the corn is now gone, but the skin in my toe where the corn was  located has become discolored. Is there something I can use to bring the natural  color back to the skin on my toe. I don't want to lighten the skin. I just want  the natural color to return.

Dr. Karpati's Answer:
I think the  best thing you can do is to wait it out. You did not mention how long ago you  stopped using it. It may take a long time for your natural color to return. Mind  you, skin color is rarely normal from the corn having been there so long, so you  may never get the normal coloration back and there is no product that could  bring it back.



6. Question:
I have  always had the problem of developing blisters on my feet. Especially on my  little toe and around my other toes. But really, I have blistered almost  everywhere on the top of and on the sole of my feet at one time or another. What  causes this, and What can I do about it?

Dr. Karpati's  Answer:
If there is itching or dryness, flaking, and redness associated  with the blisters, this could represent a chronic athletes foot infection. Try  using over-the-counter Lamisil cream which needs to be used twice daily for one  month. Any less than one month and you may continue to have recurrences. If you  have already done this, please go to www.APMA.org to find a podiatrist in your  area to have this properly evaluated.



7. Question:
I have a blister-like growth on the  top of my 2nd toe (right at the cuticle-line of the nail). It's a gelatinous  bump that's been there for quite awhile (several months). It's definitely not a  blister, but that's what it looks like. If I push on it, it flattens for a  minute or so, then puffs back up. I finally got the nerve to stick a pin in it  (I know....not the smartest thing...). Clear gel-like stuff came out. A little  blood too, but VERY little. I squeezed it fairly flat, but after about 10-15  minutes, it was puffed up again like before. It looks like another one might be  popping up on the next toe, but is extremely small. I had a medical doctor look  at it, and suggested I got to a podiatrist. But I've just been really curious  about what it might be. Any ideas...?

Dr. Karpati's  Answer:
This sound like a mucoid/mucous cyst to me. I know, the name  sounds ugly, but this is simply a cyst formed from some fluid that has  "herniated" from the toe joint that lies under the cuticle. Some times a  cortisone injection zaps it and sometimes you need surgery to have it removed  since they do like to recur.



8. Question:
Hi. I have a large blister on the  BOTTOM of my heal. I'm not sure of the cause--I run and have been playing  pick-up basketball the past couple months. How do I heal this blister and how  can I prevent one from coming back? Thank you!

Dr. Karpati's  Answer:
Dear Lindsey, Try to avoid popping the blister if it's not  hurting. It should resorb in less than a week. If it is uncomfortable, the  safest way to pop a blister is to soak a needle in rubbing alcohol for a few  minutes then let it dry, or heat the tip of the needle until it glows red then  allow it to cool. Swab your blister with betadine (you can get this at any drug  store), then puncture the blister at the base in several areas and slowly drain  out the fluid. Do not remove the excess skin. Apply a thin layer of antibiotic  ointment (preferably Bacitracin which is also over- the- counter) then a large  non-stick bandaid. Keep it covered and change regularly until the area has dried  out and no more fluid accumulates. Watch for signs of redness, swelling or pus  which indicates infection. If this occurs, please see a podiatrist who may place  you on antibiotics. There are many sites on the web about blister prevention. A  favorite site has tips from marathon runner themselves at
http://www.ultrunr.com/footcare.html

Ask Dr. Karpati
If you would like  to ask Dr. Karpati a footcare or podiatry-related question, simply fill out the  form here. The majority of questions are  answered within a few days. Medical conditions are fact-dependent, so in  addition to Dr. Karpati's insights, it is important you consult with your  personal physician before undergoing any footcare treatment.

Dr. Adriana  Karpati is a trusted Summer Soles Advisor and frequently tests Summer Soles  products before they are brought to the public. Her practice is located in  Grapevine, Texas. For more information, visit:
www.faant.com

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