Macerated<\/a> torn blister under 4th and 5the metatarsal head<\/p>\n\n\n\nExample 7:<\/strong> Lateral heel edge blister<\/p>\n\n\n\nExample 8:<\/strong> Posterior heel<\/p>\n\n\n\nThe tools I use<\/h2>\n\n\n\n\n- Hand sanitiser & gloves<\/li>\n\n\n\n
- Bluey<\/li>\n\n\n\n
- Sterile cottonwool balls & buds<\/li>\n\n\n\n
- Scalpel blade (no handle nec)<\/li>\n\n\n\n
- Hypodermic needles (for toenail blisters)<\/li>\n\n\n\n
- Sharps container<\/li>\n\n\n\n
- Normal saline for irrigation<\/li>\n\n\n\n
- Povidone iodine prep pad<\/li>\n\n\n\n
- Sterile dressings<\/li>\n<\/ul>\n\n\n\n
Alternative tools and methods<\/h2>\n\n\n\n\n- Sewing needle<\/li>\n\n\n\n
- Scissors\/pocket knife\n
\n- +\/- Sterilising with<\/li>\n<\/ul>\n<\/li>\n\n\n\n
- Flame or hand sanitiser<\/li>\n\n\n\n
- Blister threading<\/li>\n\n\n\n
- Hypodermic needle & syringe\n
\n- +\/- Hotshot (Friar’s balsam)<\/li>\n<\/ul>\n<\/li>\n\n\n\n
- Nail trephination\n
\n- hot paperclip, nail drill or electrocautery pen<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n
Q & A<\/h2>\n\n\n\nQ1: To lance, deroof or leave – is it different for diabetes etc<\/strong><\/h3>\n\n\n\nPlease watch the video for a full explanation.<\/p>\n\n\n\n
Q2: Are there certain types of foot blisters that you believe should always be deroofed or lanced? How do you communicate these recommendations to your patients?<\/strong><\/h3>\n\n\n\nPlease watch the video for a full explanation. However, my broad considerations are:<\/p>\n\n\n\n
Deroof:<\/h4>\n\n\n\n\n- Infected or soiled<\/li>\n\n\n\n
- Hydrocolloid<\/li>\n\n\n\n
- Non-viable roof skin<\/li>\n<\/ul>\n\n\n\n
Lance: <\/h4>\n\n\n\n\n- Likely to spontaneously tear<\/li>\n\n\n\n
- Taut, thin skin, tracking<\/li>\n\n\n\n
- Mid-activity, clean<\/li>\n\n\n\n
- Gear<\/li>\n\n\n\n
- Good self-care, able to access care<\/li>\n<\/ul>\n\n\n\n
Leave intact:<\/h4>\n\n\n\n\n- Patient preference<\/li>\n\n\n\n
- Unable to self-care\/access care<\/li>\n\n\n\n
- Not impacted by wb or footwear<\/li>\n\n\n\n
- Excellent shear reduction in place<\/li>\n\n\n\n
- High risk, immunocompromise<\/li>\n<\/ul>\n\n\n\n
Q3: Best treatment?<\/h3>\n\n\n\n
Please watch the video for a full explanation.<\/p>\n\n\n\n
Q4: How to care for blisters during an extended athletic event (ie running from Lands End to John O’Groats on mixture of trails & roads?<\/h3>\n\n\n\n
Please watch the video for a full explanation.<\/p>\n\n\n\n
Q5: How to manage ‘hot spots’<\/h3>\n\n\n\n
Please watch the video for a full explanation.<\/p>\n","protected":false},"excerpt":{"rendered":"
There’s confusion around should blisters be lanced, deroofed or left alone. Most medical advice is to leave intact. But is that best? Let’s look at the nuances.<\/p>\n","protected":false},"author":1,"featured_media":2718,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[27],"_links":{"self":[{"href":"https:\/\/pro.blister-prevention.com\/wp-json\/wp\/v2\/posts\/2710"}],"collection":[{"href":"https:\/\/pro.blister-prevention.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pro.blister-prevention.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pro.blister-prevention.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pro.blister-prevention.com\/wp-json\/wp\/v2\/comments?post=2710"}],"version-history":[{"count":3,"href":"https:\/\/pro.blister-prevention.com\/wp-json\/wp\/v2\/posts\/2710\/revisions"}],"predecessor-version":[{"id":2719,"href":"https:\/\/pro.blister-prevention.com\/wp-json\/wp\/v2\/posts\/2710\/revisions\/2719"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pro.blister-prevention.com\/wp-json\/wp\/v2\/media\/2718"}],"wp:attachment":[{"href":"https:\/\/pro.blister-prevention.com\/wp-json\/wp\/v2\/media?parent=2710"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pro.blister-prevention.com\/wp-json\/wp\/v2\/categories?post=2710"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pro.blister-prevention.com\/wp-json\/wp\/v2\/tags?post=2710"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}