Feet at Western States

July 2, 2017 by · 2 Comments
Filed under: blister care, Foot Care, Footcare, General, Health 

On June 12 I wrote a blog post Running a Wet 100 Mile Trail Run.

On June 24, I found out many runners ignored my advice, to their detriment. Maybe they didn’t read it, or didn’t see it, or simply read it and ignored it.

A typical year at WS has our foot care team at Michigan Bluff lancing and patching a goodly number of blisters. On toes, heels, ball of the foot, arches, and more. Maybe 50 to 75 blisters. Maybe more. We really don’t count.

This year I lanced and patched one blister. Yes, that’s right – ONE.

But this was not a typical year at WS. Instead of dry conditions, there were miles of snow, and mud, combined with heat so runners soaked themselves in streams and poured water over their hears and down into their shoes.

Maceration WS100I predicted the outcome. Maceration.

Runners came in to see us complaining of blisters and were surprised when we told them there were none. Just macerated feet.

So we powdered their feet, asked them if they had dry socks. And hopefully, dry shoes. We fixed and changed what we could and sent them on their way – wishing them well.

Were this year’s conditions not known in advance? I don’t think so. Runners and crews knew of the record snowpack. They should have expected water and wet conditions. For whatever reason, many ignored the warnings.

It’s unfortunate that so many runners jeopardized their opportunity for a buckle and a successful race on something that was manageable.

I’d love to hear from runners about what they thought. Send me an email.

In the meantime, click the link and read Running a Wet 100 Mile Trail Run.

Running a Wet 100 Mile Trail Run

In less than two weeks is the running of the Western States 100-Mile Endurance Run. I will be at the 55.7-mile Michigan Bluff aid station, along with Tonya Olson and others on the medical team. Our aim is to make sure you are healthy to continue on towards Placer High School and a good finish.

For the past six years, the mountains have been dry and the trails dusty. Feet get caked with dirt. Blisters are caused by the dust and dirt as an irritant inside shoes and socks.

2011 was the last snow year. I have looked a bit online and am unclear on snow conditions this year. But this much I am certain, there will be snow and feet will be wet. How much snow remains to be seen.

I am 100% certain that runners will have long sections of wet trail, either from the snow, snow run off, water on the trail, and stream crossings. That equals miles of running with wet feet. I’m also 100% certain that we’ll have lots of wet feet, blisters, and maceration. In fact maceration could easily be a bigger problem than blisters. Don’t forget to avoid pouring water over your head where it will run down your legs into your shoes, contributing to maceration. Lean forward rather then standing straight up.

A blister can be lanced and taped, and runners can continue without to many issues. Maceration is a different story. Once your feet are macerated – the skin shriveled like a prune, there is no quick fix.

With prolonged exposure, the skin on your feet goes through four stages as the maceration progresses to severe cracks and tears in the skin—that can be race ending. As the skin on your feet moves through the four stages, the skin folds over on itself and can crack or tear. This can be painful. Many runners come into aid stations complaining of bad blisters only to be told they don’t have any – it’s severe maceration.

I expanded the section on maceration in the 6th edition of Fixing Your Feet. Starting on page 188, are 12 pages with sections about Cold and Wet, Maceration, Trench Foot and Chilblains, Frostbite, and Snow and Ice. Included are tips and products to help with those conditions. If you have a copy, read the sections – and have you crew read them also. On page 101 is a section on High-Technology Oversocks like SealSkinz and Hanz, Serius, and eZeefit waterproof type socks. Another sock worth mentioning is ArmaSkin socks, which is used as a sock liner and fits tightly against your feet. They would be my choice for a wet race. I’d also wear gaiters to keep snow, dirt, and grit out of my shoes.

As far as skin preparation, here’s what I would do – expecting wet feet. My drop bags would have clean socks, small containers or baggies with powder to help dry wet skin, and container or tubes of any of the following: RunGoo, Trail Toes, Desitin Maximum Strength Original Paste, Boudreaux’s Butt Paste, or a strong zinc oxide paste. I’d also carry some in my hydration pack. I would apply a liberal coating of one of these from toes to up the heels and then roll my socks on. Rolling socks on will help prevent smearing and thinning the paste on areas of the feet.

Since proactive care is better than reactive, I’d check my feet at most aid stations, adding paste as necessary. If my feet were feeling bad at an aid station, I’d apply some powder to help dry the skin, and have some food while letting the powder do its job. Then apply more paste and clean socks. If your feet are badly macerated, it will take drying them, coating them with powder, and rubbing it in and letting it sit for a while, then stripping off the powder and adding more of your choice of paste. That may easily mean 15 minutes or more. If you don’t take care of macerated feet, they’ll get worse over time, requiring more care and longer time – and there may come a point when it’s irreversible in the time you have.

The time you take in aid stations does add up and it can quickly erase any time cushion you may have to finish within an allotted time. But skip quality care, rush too fast, ship hydration or eating, and you’ll pay the cost.

Remember your first line of defense should be your crew. They should know what you want for foot care and how to do it correctly. There aren’t enough medical people to take care of everyone’s feet and we may be busy with others, adding more time to your aid station visit.

Yes, as I said earlier, I will be at Michigan Bluff and Tonya and I will do our best to help you. But heed my warning. We cannot work miracles when you have failed to take care of your feet from the start. In the same way we cannot take away the pain and problems with black toenails and toe blisters caused by your not trimming your toenails, we cannot repair badly macerated feet when you have not tried steps to control the maceration.

I ran Western States in the late 80s and one thing I learned is the outcome of the race in your hands. Whether is your training, conditioning, choice of footwear, choices of food, what’s in your head, your choice of crew – lots of things affect your race. I encourage you to take the time necessary to care for your feet.

Consequences of Maceration

Macerated feet at the finish line of Western States

Macerated feet at the finish line of Western States

At Western States we saw a lot of negative results from wet feet. Even though we tried to spread the word, many runners did not protect their feet. Runners had poured water over their heads, which went into their shoes, and they sat in streams. Runners were complaining of blisters on the feet, mainly the balls of the feet but it was maceration. In reality, almost everyone had one or more skin folds common to their feet being wet for long periods of time. These might be in the center of the mid-foot or at the ball of the foot near the toes. Some did fine by warming their feet, applying powder, changing socks and shoe when possible, and maybe sitting a bit – and continued on and ran well. Others did not stop at aid stations or get crew help, and ran on with wet feet. Then they reach a pain point at which they cannot continue, or they reach the finish line – and they want help with their feet.

There is no quick fix to maceration. The more severe it is, the longer it takes to return to normal. Maceration can be painful – and yes, feel like one’s feet are burning. The skin is so soft and tender that every step is painful. Many times the skin has folded over on itself or has lifted to form deep creases, which can split open. I have seen maceration go through several stages:

  1. First, the skin begins to soften and becomes tender.
  2. Second, the pruning starts as the exposure continues. The skin wrinkles and softens even more.
  3. The third stage is when the skin can form creases and folds over onto itself. The creases may be shallow or deep, but are painful.
  4. The fourth stage is the most severe. The folds split open and/or the skin may tear.

If there are blisters, they must be drained and covered with a waterproof dressing to help keep tissue swelling under control. Tissue swelling leads to cold and damp skin, swollen and difficult to patch.

There are ways to deal with maceration, but it’s even more important to take steps upfront to prevent it. For instance, change into dry shoes and socks whenever possible, change socks as often as possible. When getting crew aid or at aid stations, remove your shoes and socks to allow your feet to dry, sprinkle with powder and rub it in, warm your feet with light massage, let them see some sunshine, and use one of the moisture control agents.

For moisture control, RunGoo from Foot Kinetics is one of the best. Its thick white paste works wonders on the skin and helps keep moisture at bay and it last a long time. FootKinetics.com has created a great product that works. Other excellent products include Trail Toes, ChafeX. SportsSlick, and Desitin Maximum Strength Original Paste. One thing to look for in these products is how long they last and do they come small packages or could they be packaged small enough to be carried in a hydration pack. My preference for applying any of these is to use them liberally. Then bunch your socks and roll them over your feet. Avoid just pulling your socks on, which can thin the product around your toes and forefoot.

Applying a coating of Hipoglos

Applying a coating of Hipoglos

Having severely macerated feet is not a badge of courage. It’s a sign that you could have made better earlier choices in foot care. Some of the worst feet I have seen have been because of severe maceration.

For 20% off your purchase of RunGoo from Foot Kinetics, use the coupon code “tfk20john.” I’m even using it as a chamois cream when road bike riding. It does last.

In a future post, I’ll talk about treating feet and maceration at a race finish line.

12 Foot Care Tips for Success at 100’s

June 18, 2016 by · 4 Comments
Filed under: blister care, Foot Care, Foot Care Products, Footwear, toenails 

Next week is the Western States 100 Mile Endurance Run and all the fun and hoopla that goes with it. I ran the race from 1985 – 1989 with a best time of 24:32. It was a challenge but I had fun every year. Ever since then I have been associated with the run in some capacity and for the last 16 or so years have provided foot care help at an aid station or two and the finish line. In that time I have seen a lot of runners come through aid stations needing foot care.

Feet at the finish line of Western States

Feet at the finish line of Western States

This year I decided to make a list of my top 12 foot care tips for success at 100’s – whether Western States or any other 100-mile run. You don’t want feet like in this picture.

  1. Make sure your shoes fit. That means a bit of room in the toe box and good grip in the heel. It also means that the shoes are in good shape.
  2. Make sure you wear good socks. That means no cotton, but only moisture wicking or water-hating socks. If you are prone to toe blisters, consider Injinji toe socks.
  3. Trim your toenails short and then file them smooth so when you run your finger over the tip of the toe, you don’t feel any rough edges or points. This goes for thick toenails too – file them down.
  4. Reduce your calluses with a callus file and moisture creams. Trust me, you don’t want blisters under calluses.
  5. Wear gaiters over the top of your socks and shoes. This keeps dust and grip from going down inside the shoes and inside your socks. Understand though that the mesh in today’s trail shoes does allow dirt and grits inside the toe box, even with gaiters.
  6. Use a high-quality lubricant like SportsShield, Sportslick, RunGoo, Trail Toes, or ChafeX. Do not use Vaseline.
  7. Know how to treat a hot spot and blister between aid stations – and carry a small kit in your hydration pack. Early care is better than waiting until a blister has formed or until the blister has popped and its roof torn off.
  8. Just as you have trained by running and conditioning, you need to know what your feet need to stay healthy and blister-free during the race. Just as you have learned what foods you can tolerate during a race and during the heat, you need to be prepared for foot care problems. Your feet are your responsibility.
  9. Make sure you have a well-stocked foot care kit(s) with your crew and they know, in advance, how to care for your feet. Trailside, at an aid station, is not the time to learn or to train them what you like done.
  10. When you pour water over your head and body to cool off, lean forward to avoid water running down your legs and in your shoes. Getting wet feet or waterlogged socks can lead to maceration very fast.
  11. Consider using RunGoo or Desitin Maximum Strength Original Paste liberally on your feet and toes to control moisture from excessive sweat, stream crossings, snow melt, and water poured over your head that runs down into your shoes. Reapply at aid stations. Maceration can quickly lead to skin folds, tender feet, skin tears, and blisters.
  12. Finally, DO NOT assume that every aid station has people trained in foot care or have the supplies necessary to treat your feet. If you have a crew, have them work on your feet. Many times the medical personnel are backed up or dealing with more serious medical emergencies. And, truth be told, blister are not a medical emergency. Heat stroke, heat exhaustion, dehydration, and the like are more serious than blisters.

Every year I am amazed at the number of runners who are ill prepared. They put extra socks in their drop bags – that have holes in them. The have open Athletes foot sores between their toes. Their shoes are shot and should have been replaced. They have not done good toenail care. They have thick calluses. They start the race with old unhealed blisters. Their shoes don’t fit. They wear full-length compression socks and then are amazed when we can’t get them off at the aid station to work on their feet. Tight fitting compression socks may feel good but are almost impossible to get off and even worse to get back on over patched feet.

While medical people will always try to help you, we can’t work miracles with your feet when you have neglected caring for them from the start. Again, your feet are your responsibility.

Foot Care Preparation for Primal Quest – or Your Next Event

The seven tips below are written for the Primal Quest Expedition Adventure Race starting next week. They are also applicable to any race you may have coming up.

Primal Quest is less than two weeks away and here are seven things you can do to improve your chances of finishing with healthy feet.

1.    Wear the best fitting shoes you can. Have a bit of space in front of your longest toe and enough height in the shoe’s toe box to avoid squishing the toes from the top.

2.    Bad toenail care can result in toe blisters and black toenails, where fluid or blood is under the nail. Trim your toenails short and then use a nail file to smooth the tip of the nail. File the nails from the top over the edge down toward the tip of the toe. The goal of the trimming and filing is to remove any rough or sharp edges. File the nails so when you run your fingertip up and over the tip of the toe no rough edges are felt. It’s even better to file the nail so that no tip of the nail is felt. If you have thick nails, file the top of the nail down to reduce its thickness.

3.    Any time you can, remove your shoes and socks to dry and air your feet. Your feet will be wet from water disciplines, stream crossings, cooling yourself off by pouring water over yourself, and simply sweaty feet. When stopping to eat or rest, remove your shoes and socks. Lay your socks in the sun to dry and switch to a clean dry pair if possible. Issues caused by wet feet will multiply over time and can end your race or at the least, result in extremely painful feet.

4.    Do everything in your power to prevent and reduce maceration. This means not letting water poured over your head get into your shoes by bending over before dousing yourself. If means following the tips outlined in # 2 above.  Use a moisture-controlling agent to help prevent the skin on the bottoms of your feet from macerating. Several include Desitin Maximum Strength Original Paste (available at drug stores, Walmart, etc), zinc oxide, Chafe X, SportsSlick, Trail Toes, and RunGoo. Apply liberally and before all water segments to help prevent damage to your skin. Once serious maceration happens, only drying your feet and letting them air, with the help of powder and warmth, will reverse the condition. If left unchecked, the skin can fold over on itself, split open, and tear layers of skin off the bottom of your feet.

5.    Use gaiters to prevent pebbles and rocks, trail dust, and other debris from getting inside your shoes and socks. These become irritants and can lead to hot spots and blisters.

6.    Take care of small issues before they become larger problems. Lance and drain small blisters whenever you feel them to keep them from becoming larger. Put a dab of ointment over the blister and then apply a strip of tape over the top to protect the skin.

7.    Finally, make sure you have the supplies to treat your feet out on the course. Waiting to get to a TA to repair a blister can make a small problem much larger.

Consequences of Wet Feet at a Dry Western States!  

July 4, 2015 by · 6 Comments
Filed under: blister care, Foot Care, Footcare, Footwear 

Last Saturday was the Western States 100 Mile Endurance Run over the California Sierras. As you probably know, California is in year four of a severe drought. Most of us expected the trails to be dusty and dry. From everything I heard, they were.

So in a dry Western States year, why did so many runners have macerated feet from being wet?

So in a dry Western States year, why did so many runners have macerated feet from being wet? Click To Tweet

There are several reasons. First, runners often cool themselves off by pouring or squirting water over their heads and on their body. We all know water runs downhill – right? So the water naturally runs down the legs and into the shoes. Socks become wet and as I often say – the skin of one’s feet prune up. In other words, they look like a wrinkled prune. Better to bend at the waist and let the water run off the head and shoulders rather than down the body.

Secondly, runners sometimes cool off by getting into the water at any stream. Several runners talked of sitting in the streams. While this can cool the runner, it is the worst thing a runner can do to their feet.

When they remain wet long enough, the skin becomes soft, often creating creases. Many times these creases are deep and in severe cases, the skin can split open.

Most often the runners complain of badly blistered feet. In fact, there are no blisters, just macerated skin on the bottom of their feet. This condition can be very painful. Walking and running hurts one’s feet.

There is no fast cure. They say time heals all wounds and with maceration, it takes time for the skin to dry and return to its normal state. Putting powder on the skin can help, as can clean fresh socks, gentle massage, and letting the skin air-dry.

I saw a lot of macerated feet at Michigan Bluff, mile 55.7. More than I expected. And of course there were lots of runners wanting treatment for bad blisters at the finish, and it was maceration.

Severe results of macerated feet

Severe results of macerated feet

The picture here is of a runner who completed the race, I think sometime around 28-29 hours. I don’t know his story but at some point before the race or in the race, he had his right foot wrapped in what appeared to be a self-adherent wrap, with a thick pad of some kind at the heel. Then that was wrapped with layers of what seemed to be silk type medical tape. Tonya and I had to use trauma shears to cut the thick wrap off his foot. Once it came off we saw the extent of the damage to his foot.

If anyone knows the runner or recognizes him, I’d love to find out more. It’s possible that because of maceration the skin at the heel had sheared off and someone at a medical aid station, or crew, had cut the skin and put on the wrap.

What we did at the finish was to apply a coating of antibiotic ointment to the open and raw skin, cover it with a wound care dressing, and wrap with a self-adhering wrap. We gave him instruction on how to care for this in the days after the race.

Look closely at the picture. He’s happy. He has his finisher’s medallion and knows he’s getting his buckle.

An Interview with Amy Gasson at the Jungle Marathon Amazon

November 20, 2014 by · 2 Comments
Filed under: blister care, Foot Care, Footcare, Health, Sports, Travel 

In early October I had the unique opportunity to return to Brazil and provide foot care to runners at the 10th Annual Jungle Marathon Amazon. The race is more than a marathon. It’s three races in one event set in a stage race format. Every day the race camp moves to a new location as the runners go through the jungle and along the beaches of the Amazon River. There’s a seven day, six stage race and a four day race, that both start at the same time. Then on day four, the single day marathon stage starts.

This year’s race was the toughest of any event I have been a part of. There was single track trails hacked through the jungle, red dirt roads with loose dirt, swamps and streams and rivers, humidity, heat, rain, sand that got everywhere, never ending wet feet and water-logged shoes, bugs and spiders and snakes, jaguar sightings, a lot of bee stings, either cold food or food heated with hot water, jungle and beach camps, carrying all your gear in a backpack, and nine nights in a hammock. Runner’s feet took a beating and as the days progressed, it was harder for them to recover. The cumulative affect of having your feet wet for the majority of every day, became a struggle for many runners. Maceration was a serious problem for everyone, and blisters affected all runners to varying degrees.

After the race ended, I was able to take a a few minutes and interview Amy Gasson, the second place women in the seven day race. Amy was a joy to know and smiled every day with a great positive attitude. Here’s the link to listen to the audio interview. It’s 17 minutes long.

Interview with Amy Gasson at the Jungle Marathon Amazon

Considering the interview was recorded with a handheld digital recorder, in the lobby of our hotel with all it’s normal background noises, the sound quality is remarkable. There’s a lot we can learn from what Amy shares. She did her homework and prepared well – both physically and her feet. Here’s a photo of Amy and me at the finish line.

Amy Gasson and me

Amy Gasson and me

Thanks Amy for letting me get to know you at the Jungle Marathon Amazon.

Maceration in a Dry Race

August 10, 2014 by · 4 Comments
Filed under: blister care, Foot Care, Footcare, Health, Sports 

Maceration in a Dry Race

Two weeks ago I worked medical at Badwater. This year’s course had some serious uphills and downhills – but the course was dry. Unless one has feet that sweat heavily, there typically would not be any issues with wet feet.

Yes, this post is going to talk more about maceration. I’ve done a number of posts this year on maceration, but the problem won’t go away, so there must be more to learn.

So here’s how maceration happened in a dry year at Badwater and what you need to learn from it.

It’s very simple – really. Runners pour water over their head to cool themselves. Or well-meaning crews douse their runners with water over their heads, or spray them up and down with some kind of tank sprayer. The water runs down the runner’s clothes and body, down their legs, and ends up in the runner’s shoes. Socks and shoes become saturated.

Wet and macerated feet

Wet and macerated feet

Sometimes runners will changes socks and shoes during the run, and this helps for a bit, until more water is poured over the runner’s head and down into his or her shoes.

The water buildup leads to softening of the skin and maceration. In the photo you can see three areas of concern. If you click on the image, you’ll open a much larger copy image where you can see the detail even better.

First, the skin has torn at the base of the fourth toe. There may or may not have been a blister with fluid under the skin on the ball of the foot. My guess is it was not a blister, but simply wet softened skin that was stressed and then tore.

Secondly, notice the fold of skin at the bottom of the baby toe. The toe was probably pinched in the shoe toebox, folding under the fourth toe. This puts pressure on the skin of the baby toe, pushing the skin forward into a fold from the tip of the nail to under the toe. When I see these folds, the skin in usually intact and not torn.

Thirdly, notice the fold of skin going down the center of the ball of the foot. This is the most serious of the three problems. The fold is painful. The skin is not torn, but has pulled up and then folded over on itself.

As the skin goes through the maceration process, it first looks like the skin of a prune – shriveled up. The longer the maceration continues, the more chance for the skin to soften. The foot inside the sock, inside the shoe, can be squeezed and as the runner moves through the foot strike, with his whole body weight carried on his feet, pressure is put on the skin leading to creases in the skin. The creases are most common in a line down the length of the foot rather than across its width. Continuing through the maceration process, the creases of softened skin can lead to the skin lifting up and folding over on itself. In the photo you can see the shadow from the fold – it’s significant and can be quite painful.

In this case, all three problems were caused, by the runner’s admission, his pouring water over his head and allowing it to run down is legs into his socks and shoes.

It seems so beneficial to cool yourself off by pouring water over your head and/or by spraying your body and legs – but there are negative side effects.

The hard part for the runner, besides the pain, is that there is no quick fix to remedy the skin folds. It takes time, sometimes days for the skin to return to its normal state.

In an upcoming post I’ll talk about some products to help protect your skin from wet conditions. For now, avoid pouring water over your head. Protect your feet.

Maceration at Western States

July 7, 2013 by · 1 Comment
Filed under: blister care, Foot Care, Health, Sports 

Last Saturday and Sunday I worked medical at the Western States 100 Mile Endurance Run. I spent Saturday at the Michigan Bluff aid station at mile 55. With the help of Tonya Olson, we patched a bunch of feet. Some had blisters, one needed shoe modification, one had severe heel blisters that had split, and lots of maceration. We saw more maceration than in many past years.

After we closed our aid station at 9:45 pm, I went to Foresthill and talked to George Miller, who was doing foot care there. He had a pretty calm afternoon with nothing unusual.

I found a nice parking space near the finish line at the Auburn High School and spent an uncomfortable few hours trying to get some needed sleep. About 5 am, I headed over to the podiatrity tent and set up my gear. By then, 24 hours into the race, even with about 100 runners in, the tent was quiet.

Around 7 am, things started to pick up. As runners finished, there was a large washtub for them to wash off the dirt. Then they could move to one of the kiddy pools with cold water and ice to soak their feet. Only after that did we see them. As they moved from place to place, Dave, assigned to work finish line podiatrity, and Tonya and I (from Michigan Bluff) looked over their feet and answered any questions. This went on until well after the race ended at 11 am.

This year’s Western States was hot. I’d guess hotter than normal. To my knowledge, there wasn’t that much water on the course. However we saw a large number of runners with severe maceration.

Maceration

Maceration

Here’s a photo of one runner’s foot. This was repeated over and over as we evaluated runners at the finish. Most were convinced that they had large blisters that we needed to lance. In fact, with one or two exceptions, there were no blisters. Just wet, macerated feet with lots of skin folds, creases, and waterlogged skin.

We told the runners that time would heal their feet and to go home or back to their hotel and start a regiment of Epson Salt soaks. The salts help to dry the skin. Powders and airing the feet help too.

Some of the runners had blister with blood inside – some were tinged with pink, indicating blood traces. The decision was made not to lance these blood blisters. When runners have dirty feet and have not showered, and will be walking around in dirty shoes or sandals for a few hours during the awards ceremony, we didn’t want to increase the possibility of infection. In these cases, we gave them the same instruction to do Epson Salt soaks and watch for signs of infection.

A good question is why there was so much maceration. In the heat of the course, often time runners take advantage of every opportunity to keep cool. This includes going through streams, using water soaked sponges at aid stations, pouring water over their heads, and whatever else they can think of. Sometimes well-meaning crew and volunteers squeezed soaked sponges over the heads of runners. The problem is that the water runs down the legs and into the shoes. This helps maceration.

I have seen some runners coat their feet with zinc oxide or SportSlick to help hold moisture at bay. Changing shoes and socks can help, and can be important when maceration has started. Drying the feet and using powder in fresh socks is also important.

Here are four blog posts about maceration and wet feet. Read them to know more about this condition and gain insights about how to manage your feet when wet.

Maceration  – June 23, 2011

Training for Blisters in Wet Conditions – September 15, 2012

Training With Wet Feet – May 5, 2013

A New Kind of Foot Coating – September 25, 2011

A New Kind of Foot Coating

September 25, 2011 by · 4 Comments
Filed under: blister care, Foot Care, Foot Care Products, Footcare 

Several weeks ago I provided foot care at the Gold Rush Adventure Race. Last week I wrote of a tape job I observed, and whether is would work of not. Today I’ll share an observation on one racer’s choice of a lube.

A good foot cleaning

A good foot cleaning

The images show two stages of the process. The first image shows our racer cleaning his feet with a wet-wipe. You can see the creases (folds) on the bottom of his feet. These are typical when the feet have been wet for extended periods. Over time, these creases can become painful and if the skin stays wet, can lead to skin separation and splitting.

In this race, the athletes started with a short run, followed with a bike, and then a swim/paddle across a lake. After that, the teams embarked on a long trek fire roads and trails. The problem, as I was told, was the trek started with a river crossing that was also very muddy. This got everyone’s feet wet to start with.

So, fast-forward to the first major checkpoint. The teams came in and transitioned from feet to bike. At this transition area, each racer changes clothes and footwear for the new discipline.

So cleaning one’s feet between disciplines is necessary and always wise. The more you can remove dirt and grit off the feet, and keep them healthy, the better your chances of long term success. Wet wipes are great for this type of cleaning. Tops, bottoms, sides and toes are all important. With clean feet, we are ready for the next step.

In this case, the racer applied a generous coating of Hipoglos. According to Google, this is a Portuguese product has been in Brazil for 70 years. Its common use is for baby’s bottoms to prevent chafing.

Applying a coating of Hiopglos

Applying a coating of Hiopglos

The second photo shows its application on the racer’s feet. Squeeze some on and rub it all over. He made sure it gets between the toes and coats every crease in the bottom of the feet. Nothing gets wiped off. Socks go on right over the Hipoglos.

I saw the racer at the next transition area, almost 18 hours later and his feet looked good. He repeated the process again before heading out on the next leg of the race.

Hipoglos is similar to zinc oxide and Desitin Maximum Strength Diaper Rash Paste. In events where there is extended exposure to water, and when one’s shoes and socks cannot be changed, these are good choices. They are great at controlling moisture. They are equally good at controlling maceration. And of course, better to do good foot care early, as was done by this racer, then to try and catch-up after problems have developed.

Zinc oxide is what I use over blisters to control moisture and dry the skin. I have even injected it into blisters to do the same. Lube is good, but many do not protect the skin from excess moisture as well as products designed for diaper rash.

Give it a try.

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