SATURDAY, June 21 (HealthDay News) -- Summer is here, and many
of you will be kicking off your shoes at home, at the beach or in
the park. But is that a good thing?
To sort the myths from the facts about your feet, Dr. Tracey
Vlahovic, associate professor of podiatric medicine and orthopedics
at Temple University's School of Podiatric Medicine, offers this
information about your tootsies with a caveat -- always check with
your doctor before starting any treatment:
Myth: Flats, flip-flops and going barefoot are good for your
feet.
Fact: "This is a common misconception, because we always hear
about the problems with high heels," Vlahovic said in a prepared
statement. "But these three present their own types of problems."
Flip-flops provide no support, which can cause plantar fasciitis,
ankle sprains and tendonitis. Wearing flats can lead to severe heel
pain and blisters, crowding toes and conditions such as hammertoes
and bunions. Walking barefoot leaves feet open to cuts, scrapes,
bruises, and puncture wounds along with skin issues or nail
injuries.
Diagnosis: Flip-flops or flats are fine for a few hours, but you
should stretch your Achilles tendon for a bit if you wear them for
longer than that, Vlahovic said. Save walking barefoot for around
your own home, unless you are at risk for diabetes or have
peripheral vascular disease. In those cases, always wear shoes in
and out of the house.
Myth: Over-the-counter scrubs and soaks for corns are safe and
effective.
Fact: "At-home soaks or scrubs would just exfoliate, not remove
corns," Vlahovic said.
Diagnosis: A corn is a buildup of skin with a hard center. This
often is caused by a hammertoe in which the toe knuckle rubs
against the shoe. To permanently remove a corn, the hammertoe must
be corrected so that it stops rubbing against the shoe. Or, just
wear shoes with a wider toe box.
Myth: Feet don't need sunscreen.
Fact: "Skin cancer on the legs and feet actually has a high
mortality rate due to people forgetting to do skin checks on that
area. It's often caught too late," Vlahovic said. "This is due in
large part to the fact that many people simply forget to apply or
reapply sunscreen to the lower extremities."
Diagnosis: Apply sunscreen with an SPF of at least 15 and with
both UVB and UVA protection every two to three hours to the feet.
Apply more often if you're going to be at the beach, in and out of
the water, or sweating.
Myth: All pedicure salons use sterile instruments, so it's fine
to use theirs.
Fact: "Unfortunately, this is not the case with all nail
salons," Vlahovic said. "As a result, the instruments can spread
germs that can cause nail fungus and bacterial infections."
Diagnosis: Invest in your own nail files, clippers and cuticle
sticks, unless you can be sure your nail salon sterilizes its
instruments after each use. Also ask the technician if they have a
clean bowl or basin or one with individual liners before sticking
your feet in the motorized tub.
Myth: It's best to trim your toenails straight across.
Fact: Doing this, and cutting them too short, can lead to
ingrown toenails, a true danger for diabetics. Untreated ingrown
toenails can lead to infection and possibly an abscess requiring
corrective surgery.
Diagnosis: Leave the nail slightly longer, trimming along the
natural curve of your toe.
Myth: Soaking your feet in vinegar clears up toenail fungus.
Fact: "Vinegar can't penetrate the layers of the nail to get to
the infection site. And without proper treatment, the infection can
spread to other nails," Vlahovic said.
Diagnosis: See your dermatologist or podiatrist so they can
perform a culture to see if it is definitely a fungal infection.
Follow their instructions to the letter to avoid a recurrence.
Myth: Athlete's foot and warts aren't contagious.
Fact: Both are highly contagious, and easily spread in
environments such as locker rooms or showers. They are often picked
up through small breaks in the skin of the foot bottom.
Diagnosis: Keep your feet clean and dry, don't wear dirty socks
and thoroughly clean your bath or shower area. "If one person in
the household has it, everyone should be cautious and take proper
precautions," Vlahovic said. If you must use a public shower, wear
flip-flops.
Myth: Duct tape removes plantar warts.
Fact: Studies have shown duct tape to be one of the many ways to
treat warts, but Vlahovic noted that several studies have shown
duct tape in no better than a placebo.
Diagnosis: "If you have a plantar wart, don't pick or perform
bathroom surgery on it," Vlahovic said "Don't put duct tape on it
and expect it to go away, since there is a specific protocol for
using it. See your dermatologist or podiatrist for this and other
treatment options."
More information
The U.S. National Library of Medicine has more about
foot health.