Footwear‑Related Skin Breakdown: First Aid & Prevention for Medical Staff

 Footwear Problems That Lead to Skin Breakdown

Shoes That Chafe

Chafing occurs when shoes rub repeatedly against the skin, usually at the heel, ankle, or top of the foot.

Common causes: stiff materials, synthetic linings, poor fit, or new shoes not yet broken in.

Chafing can quickly progress to blisters, cuts, and pressure injuries.

Shoes That Are Too Tight

Tight shoes compress the toes, forefoot, and sides of the foot.

This leads to:

 Redness

Pressure points

Skin shearing

 Nail trauma

Blisters between toes

 For diabetics, this can escalate to ulcers due to reduced sensation.

Bunions That Rub

Bunions create a prominent pressure point that easily rubs against shoe walls.

Synthetic shoes increase friction and heat, worsening inflammation.

Wider shoes and natural materials reduce pressure and prevent skin breakdown.

New Shoes & Hiking Footwear

New shoes – especially hiking boots – often cause:

 Heel blisters

Toe rubbing

 Arch pressure

 Synthetic‑surface irritation

    Wool padding prevents friction and absorbs moisture during break‑in.

Toe Deformities & Overlapping Toes

Hammer toes, claw toes, and overlapping toes rub against shoe tops or each other.

Wool strands separate toes, reduce moisture, and prevent skin maceration.

Diabetic Neuropathy

Diabetics may not feel rubbing, heat, or pressure.

This makes them vulnerable to:

 Hidden blisters

Deep pressure points

Cuts under the foot

Ulcers from synthetic insoles

    Protective wool padding and wool insoles are essential.

Anyes de Laat
Soul Comfort Sheepskin
Phone 250-737-1281
Toll-Free 1-800-404-0622
Fax  250-737-1282
www.soulcomfortsheepskin.com

See all articles by Anyes deLaat