Blister Prevention Office Hours - Should Foot Blisters Be Lanced, Deroofed, or Left Intact

Blister Prevention Office Hours 🩹 Should Foot Blisters Be Lanced, Deroofed, or Left Intact? 🩹 ➡ A monthly Q&A hosted by podiatrist Rebecca Rushton (the BlisterPod) for Podiatrists, Physios, Athletic Trainers, Wilderness Medics, Race Medics and Event Directors, Educators, Footwear Designers, Footwear Retailers, and anyone who deals with foot blisters and their prevention in a professional capacity ⬅

[0:00] Preamble
🩹 Blister treatment, in terms of blister roof integrity, can be a real head-scratcher for our patients! 🤔 In this video, we dive deep into the clinical nuances of handling different blister presentations, in clinic or in the field. Use this information to help you make informed clinical decisions. And to educate your patients.

[1:45] The 5 Blister Stages:
1️⃣ Blister-free
2️⃣ Hotspot
3️⃣ Intact Roof
4️⃣ Torn Roof (this is what we create when we lance a blister)
5️⃣ Deroofed

[2:11] Should you leave blisters intact?
🔵 Pros:
- Reduced infection risk
- No special gear needed
🔴 Cons:
- Can worsen over time
- May tear spontaneously
- Requires monitoring and care

[4:27] What about lancing blisters?
🔵 Pros:
- Pain relief
- Controlled environment
- Smaller opening (lower infection risk)
🔴 Cons:
- Risk of infection
- Requires gear and expertise
- Ongoing care needed

[6:13] Or should you deroof blisters?
🔵 Pros:
- Antiseptic access
- Better cleaning
- Won't refill
🔴 Cons:
- Increased risk of infection due to larger surface area
- Less innate protection (no roof)
- Needs gear and expertise
- Needs ongoing monitoring and care

[7:34] What about high risk patients?

🔍 Examples: Let's discuss some real-world examples together! I'll provide context and discuss how I would handle each case.
[8:58] Example 1: Outside of little toe
[11:09] Example 2: Inside of little toe
[13:28] Example 3: Under toenail 3rd toe
[17:46] Example 4: Medial forefoot edge blisters
[19:23] Example 5: Under 2nd metatarsal head, tracking towards 1/2 interdigital space
[26:23] Example 6: Macerated torn blister under 4th and 5the metatarsal head
[30:58] Example 7: Lateral heel edge blister
[33:16] Example 8: Posterior heel

[36:47]Tools of the trade 🛠️

[38:58] Other ways your patients open their blisters 💪🏃‍♂️👟

Q&A Time:
[43:45] 1️⃣ To lance, deroof or leave - is it different for diabetes etc
[45:18] 2️⃣ Are there specific types of foot blisters that should always be deroofed or lanced?
[48:33] 3️⃣ What's the best blister treatment overall?
4️⃣ Managing blisters during extended athletic events?
5️⃣ How to manage 'hot spots'?

#BlisterTreatment #FootCare #FirstAid #HealthcareTips
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