What to Do About Athlete’s Foot

Overview

Tinea pedis, commonly known as athlete’s foot, is a superficial fungal infection affecting the skin of the feet. While typically mild, prompt and consistent treatment is essential to prevent complications or recurrence.

Treatment Protocol

Topical Therapy

  • Morning Application:
    Apply either desonide cream (anti-inflammatory) or clotrimazole cream (antifungal) to affected areas.
  • Evening Application:
    Use terbinafine cream (broad-spectrum antifungal) for enhanced fungal eradication.

⚠️ Important: Continue treatment for 2-4 weeks after symptom resolution to prevent relapse. Premature discontinuation correlates with high recurrence rates.

Systemic Therapy (Severe Cases)

  • Oral Antifungals:
    • Ketoconazole: 200 mg tablet twice daily (morning and evening).
    • Combine with topical agents for synergistic efficacy.

Adjunctive Care & Prevention

  1. Footwear:
    • Opt for breathable materials (e.g., leather, mesh).
    • Avoid tight-fitting shoes to minimize moisture accumulation.
  2. Sock Hygiene:
    • Change socks daily or more frequently if sweating occurs.
    • Prefer moisture-wicking fabrics (cotton or wool blends).
  3. Sun Exposure:
    • Air-dry feet and expose them to sunlight post-washing to inhibit fungal growth.

Key Considerations

  • Monitor for secondary bacterial infections (e.g., cellulitis) in macerated or fissured skin.
  • Consult a healthcare provider if no improvement occurs within 2 weeks of therapy.
    🔔 Pro Tip: Maintain foot dryness through antifungal powders as a preventive measure during high-risk activities (e.g., sports).