Are you at risk for foot problems this summer?

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It’s the time of year when people trade in their winter shoes for summer flip-flops and head outside into the sun. But those same flip-flops, as well as summer activities, can put feet at risk of injury and infection. Fortunately, there are several things individuals can do to keep their feet healthy during the hot months.

Buy with arch support in mind

As a podiatrist at Vancouver Clinic, one of the first things I encourage patients to do is choose high- quality sandals with arch supports. That’s because transitioning from supportive walking or running shoes to unsupportive sandals can lead to plantar fasciitis. This common condition causes bruising-like pain on the bottom of the heel and can take three to 12 months to recover from. In general, flip-flops create a lot of extra strain on the tissues and ligaments in the foot, so the less people wear them, the better.

In addition to seeing an uptick in plantar fasciitis once the weather gets nice, I also observe lots of sports injuries among weekend warriors. To prevent problems, I recommend that athletes try to get back into playing shape before heading out onto the field for the first time. They should also stretch the lower extremities and calves before being active, a habit that can help prevent Achilles tendon ruptures. Individuals with previous ankle sprains and injuries should always wear a good solid brace during activities.

Avoid contact with shower floors

Beyond physical injuries, infections can be a significant problem for people during the summer. Skin-to- floor contact in campsite showers, pool showers, and gym locker rooms can lead to athlete’s foot or plantar warts. Hundreds, sometimes thousands, of people step on these surfaces, and at least a few of those individuals have contagious conditions. It’s best to invest in shower shoes to keep feet from directly touching the floor.

Athlete’s foot is the primary cause of fungal infection in the toenails. Because fungal infections are challenging to eliminate, prevention is key. Individuals who have contracted athlete’s foot should treat it aggressively with over-the-counter medication.

Another occasional source of toenail infections are nail salons. I always encourage people to go to a nail salon where they can purchase their own instruments. The instruments can then be cleaned and reused only on them. It’s a safer and more sanitary approach to pretty toes.

Runners, hikers need to choose shoes carefully



Summertime runners and hikers have specific needs. Hikers need sturdy boots with closed toes and stiff soles. They should pack blister creams, moleskin pads, bandages, and extra socks along on every hike. No one wants to be stuck in the middle of the woods with a bad blister. But if one does develop, it’s okay to either keep it covered up, or to drain it with a clean needle and dress it with antibiotic ointment.

For runners, I advise caution when it comes to wearing ultra-flexible shoes, especially on asphalt or concrete. This footwear is associated with ligament strains and stress fractures. While there is a large barefoot running community, and some people’s bodies can handle the impact, the average person should spend more time in stiff-soled shoes.

When to go barefoot

Most kids love going barefoot in the summer and, as long as they are in a safe environment, there’s no medical reason they shouldn’t. However, anyone who sustains a puncture wound by stepping on a nail, glass, or other sharp object should have it evaluated. An injury of this type can lead to significant infections and sometimes surgery.

Unlike children and other adults, diabetics should never go barefoot. Neuropathy can prevent them from sensing blisters or other injuries. Hot sand, asphalt, and pool decks can cause burns. Those with diabetes need to be vigilant about wearing sturdy, close-toed shoes and checking their feet every night for concerns.

Talk to a doctor

With a little planning and care, it’s possible to keep feet healthy and happy throughout the summer. But sometimes accidents happen or issues crop up. Patients who have concerns about their feet should talk with their primary care provider or make an appointment with a podiatrist. There are many options to help manage and heal foot concerns.

Dr. Daren Benson is the chair of Vancouver Clinic’s Musculoskeletal Department and medical director of the clinic’s Ambulatory Surgery Center. He treats adults and children and is board certified in foot surgery, reconstructive rearfoot surgery, and ankle surgery.