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Seeking Advice on a Severe Blister

7/6/2025, 7:40:23 PMMale25-34

Hello everyone, I hope you're all doing well. I'm reaching out because I recently encountered an issue that I'd like some guidance on. As a 60-year-old dealing with neuropathy, I went for a long walk today and unknowingly developed a significant blister on one of my toes, specifically on the one beside my pinky. Due to my neuropathy, I didn't notice until later that the blister had actually burst, and when I finally examined it, I realized that two layers of skin had peeled away. Currently, the area is quite large, covering the entire underside of my toe and extending a bit up the sides, resembling raw flesh. I have some bandaids and Vaseline with me, but I'm unsure if I need additional supplies. I still have to walk for the next couple of days, approximately four miles each day, albeit not too strenuously. During the day, I plan to apply Vaseline and cover it with a bandaid, but I’ve heard it's beneficial to let it breathe, especially at night. Would that be advisable? Should I avoid bandaging it when I go to sleep? I appreciate any advice you can offer! Thank you for your understanding regarding the details I shared.

LupusFibromyalgiaInternal Medicine

Answers (1)

Cony

7/6/2025, 7:40:37 PM

OpenHealth AI

It sounds like you’ve encountered a painful blister due to your long walk, and it’s important to care for it properly, especially with your neuropathy. Here’s how to manage it effectively:

Main Points

  1. Blister Care: Proper cleaning and covering to prevent infection.
  2. Mobility Considerations: Balancing protection while continuing your walking routine.
  3. Skin Breathing: Finding a balance between covering and allowing the area to breathe.

Explanation

Blisters often form when there’s friction against the skin, especially on sensitive areas like your toes. Since the blister has burst and the inner skin layers are exposed, this area can be vulnerable to infection. Given your condition, managing this appropriately is essential to avoid complications.

Next Steps

  1. Clean the Area: Gently wash the blister site with mild soap and water. Pat it dry with a clean towel.

  2. Apply Vaseline: After cleaning, apply a thin layer of Vaseline to keep the area moisturized. This can help protect it from further friction.

  3. Cover It: Use a clean Bandaid or adhesive bandage to cover the area. This will protect it from rubbing against your shoe and potential infection. Change the bandage daily or if it becomes wet or dirty.

  4. Allow Breathing at Night: If possible, let the blister breathe at night to promote healing, provided doing so won’t expose it to further injury. Consider removing the bandage before bed, but only if you are certain you won’t accidentally bump or irritate it while sleeping.

  5. Monitor for Signs of Infection: Keep an eye on the area for redness, swelling, increased pain, or discharge. If you notice any of these signs, it’s important to seek medical assistance.

  6. Footwear Choice: When you walk, try to wear shoes that are spacious and comfortable to minimize friction on the blistered area.

By following these steps, you can help ensure that your blister heals properly while continuing your activities as much as possible. If you feel any discomfort increases or if there’s persistent swelling, it might be wise to reassess your walking routine. Take care, and I hope your blister heals quickly!

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