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Why Do My Feet Hurt And Burn
Feet on the beach: sand-related thermal injuries on the soles of the feet and the bottoms of the toes
Foot Pain: Causes, Treatment, And When To Seek Help
Cite this article: Cohen PR (December 20, 2019) Beach feet: sand-related thermal injuries to the soles and toes. 11(12): e6429. doi: 10.7759/.6429
Athletes can develop sports-related dermatitis. In fact, participants of water-related sports can experience dermatological conditions that affect their feet when they play barefoot on the beach. These disorders are variable in etiology and include traumatic injury to the unprotected feet and toes, entry of organisms into the feet and toes (such as hookworm larvae and schistosomiasis cercariae), and disorders associated with UV radiation such as severe phototoxic reactions (phototoxic reactions). . and thermal injury from contact with hot sand. Indeed, exposure to hot sand can cause first degree, second degree, or rarely third degree burns. A 27-year-old man developed painful erythematous patches on his feet and toes after walking barefoot on the sand on a hot August afternoon at a dog beach in Del Mar, California. To emphasize both the injurious environment and the affected area, thermal injuries associated with beach sand on the soles of the feet and the aspects associated with the soles of the toes are referred to as beach foot.
Minor adverse events may occur in water sports participants . The causative activity can be either on the lake or on the beach or in water [2-20]. described a 27-year-old man who developed beach foot (superficial heat burns associated with sand on the soles and sides of his toes after running with the dog on the beach) and another sports-related beach. Dermatoses are summarized.
A 27-year-old man presented with tender red soles of his feet and toes. He jogged for an hour on a sunny August afternoon with his basenji on the hot sand at the dog beach in Del Mar, California. After completing his activity, he noticed that it was difficult to walk on his sore legs.
Burning Feeling In Heels
Careful examination of the areas exposed to sand revealed clear erythematous patches on the distal and lateral sides of the soles of his feet and the distal phalanges of the toes; In addition, there were blisters on the big, second, and third toes of both feet (Figure 1). Areas not exposed or less exposed to sand were not placed; It included not only the dorsal foot but also the stapes and medial plantar arch and phalanx near each toe.
Figure 1: Beach foot – sports-related aquatic dermatitis – seen on the feet of a man after running barefoot on hot sand
Tender erythematous skin patches exposed to hot sand on the distal and lateral sides of the right (a) and left (b) plantar feet in a 27-year-old man who ran barefoot on the beach. Several toes also blister on both feet; A blister on the second toe of the right foot is indicated by blue arrows (a). His medial plantar arch and the phalanx near each toe were blocked—areas that were either not exposed to hot sand or less exposed to hot sand. A cool water pool is located at the back to move the legs and provide symptomatic relief for painful thermal injuries.
Correlation between history and clinical examination established the diagnosis of first and second degree superficial, thermal burns from hot beach sand. The affected area was again soaked in cold water to relieve the pain. Over the next week, the symptoms and lesions gradually resolve without any intervention.
Frostbite And Other Cold Weather Foot Conditions
Athletes can develop dermatitis. A serious skin condition can be an infectious disease such as a bacterial, fungal, mycobacterial or viral infection. On the other hand, problems can be related to a particular sport or its surroundings or both .
Runners can develop severe skin conditions . Skin disorders associated with running include environmental injuries, infections, inflammatory disorders, and trauma. A reported patient developed a sports-related thermal injury from running barefoot on sand.
Aquatic participants may also develop skin disorders . Some of these skin conditions are more common in freshwater or saltwater, while others are related to the equipment used by participants. In addition, water sports athletes may experience skin disorders secondary to the setting of their activity: beach or pool [4-8].
Foot dermatitis in swimmers can be caused by irritant contact dermatitis with cement pool surfaces (so-called pool toes) [1, 8]. Other skin problems in individuals swimming in pools can be caused by bacteria (resulting in pitted keratolysis) or dermatophytes (resulting in tinea pedis). In addition, Pseudomonas organisms, the etiologic agent in hot tub folliculitis, can also cause hot leg syndrome in participants who place their feet in hot tubs .
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Foot dermatoses in ocean swimmers can occur through accidental contact with aquatic animals such as invertebrates (such as jellyfish and sea urchins) and vertebrates (such as reef otters, sea snakes and stingrays). The injury can be caused by penetration of the skin, sting or sting. Corals and sponges can also cause abrasions and dermatitis [17–20].
Those who participate in barefoot sports, especially those near or on water, are at risk of foot injuries. Beach volleyball athletes can sustain scratches and bruises on the skin of their feet. These mostly occur after the athlete’s foot comes into contact with a hard or sharp object such as broken glass in the sand .
Subcutaneous larval migration, which manifests clinically as linear or serpiginous erythematous acute pruritic tracks, is usually found on the feet after exposure to a beach containing nematode larval forms, usually some other dog hook (
), penetrates the skin. Although the condition is self-limiting, patients are usually treated with topical and/or oral anthelminths. described an outbreak of larvae migrating to the soles of a beach volleyball player after participating in a series of tournaments in Brazil; The condition was successfully treated with albendazole: 400 mg twice daily for five days .
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Contact and subsequent penetration of the stratum corneum by schistosome larvae (cercariae) results in a condition known as swimmer’s itch. It is more common in athletes exposed to freshwater than in athletes exposed to saltwater. It usually affects skin not covered by swimwear, such as the legs, and presents as pruritic erythematous papules or urticarial plaques that usually resolve spontaneously within weeks .
Beach soccer, which began in Brazil in 1995, does not allow participants to wear shoes. So, it’s no surprise that the feet and toes are the most common areas of injury for beach soccer players. Most injuries are trauma related. In a study of athletes who participated in the Japan National Beach Soccer Championships in 2013 and 2014, 22 out of 58 injuries involved the foot or ankle: contusions (14), abrasions (three), cartilage (two), lacerations (two) and fractures (one) [ 5].
Sun exposure can not only cause serious skin injury (such as sunburn) but can also cause serious harmful effects: aging and cancer. Sunburn, a condition related to UV radiation, is a common occurrence for beachgoers. A study of 60 beach volunteers (33 men and 27 women) aged 17 to 68 (mean 32 years) showed that not only was insufficient coverage of the sun at all body sites, but also the upper legs and upper legs. The ear was the least protected area . Another study of 216 beachgoers found that only 48 percent applied sunscreen to their backs; Therefore, barefoot beach athletes are not expected to experience sunburn on their feet .
The sun can heat the sand hot enough to cause first or second degree or rarely third degree burns. When the temperature outside is only 75 degrees, the sand can exceed 100 degrees Fahrenheit; In fact, sand can be over 120 degrees when the ambient temperature is 90 degrees. As the temperature increases, the contact time with the heat source required to cause thermal injury decreases. Injury to keratinocytes, manifested as inflammation, such as coagulation and denaturation of cellular proteins, occurs when the skin is exposed to temperatures above 111°F [10-11].
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The severity of thermal injury defines the degree of burn. Superficial burns (first degree), which appear with tenderness and erythema, are limited to the epidermis and usually heal quickly without scarring. Partial-thickness burns (second degree) are superficial or deep – depending on the depth of skin involvement; In addition to severe pain, they appear as exudative
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