How to Treat and Prevent Blisters From Running

Blisters often develop on the feet of runners, forming small pockets of fluid within the upper layers of the skin. They result from repeated friction, pressure, and moisture during physical activity. This article provides guidance on treating existing blisters and preventing their recurrence.

Initial Steps for Blister Care

Upon discovering a blister, focus on cleanliness and assessment. Gently wash the affected area with mild soap and water to remove dirt or debris. Examine the blister’s condition, noting its size, location, and whether it is intact or ruptured. If small, painless, and unbroken, leave it undisturbed. The intact skin provides a natural sterile barrier, protecting the underlying tissue and promoting healing. Cover an intact, non-painful blister with a protective bandage, such as a soft adhesive dressing, to reduce further friction and pressure.

Draining a Blister Safely

When a blister is large, painful, or causing significant discomfort, draining it can provide relief. First, wash your hands with soap and water. Sterilize a clean, sharp needle by swabbing it with rubbing alcohol or holding it in a flame until it glows red, then letting it cool. Carefully make a small puncture at the edge of the blister to allow fluid to drain. Gently press down with a clean gauze pad or cotton ball to encourage all fluid to exit. Avoid removing the skin flap, as this layer protects the sensitive new skin underneath.

Protecting the Treated Blister

After a blister has been cleaned or drained, protecting the area is crucial for healing and preventing infection. Apply an antiseptic ointment to reduce bacterial growth. Cover the blister with a sterile dressing, such as a hydrocolloid bandage, which creates a moist healing environment and absorbs any remaining fluid. Moleskin or a combination of sterile gauze and medical tape can also provide a protective barrier against friction. Ensure the dressing extends beyond the blister’s edges to secure it and prevent shifting during activity. Change the dressing daily, or more frequently if it becomes wet or dirty.

When to Seek Medical Attention

While most running blisters can be managed at home, certain signs indicate the need for professional medical attention. Consult a healthcare provider if the blister shows signs of infection, such as increasing redness, swelling, warmth, or pus discharge. A foul odor or red streaks extending from the site also indicate potential infection. Seek medical advice if you experience fever, chills, or increased pain that does not subside. Blisters that are exceptionally large, very deep, or fail to heal after several days of home care warrant medical evaluation. Individuals with underlying conditions like diabetes or compromised immune systems should consult a doctor for any blister, as they are at higher risk for complications.

Preventing Future Blisters

Preventing blisters is often more effective than treating them. Proper footwear is fundamental; ensure running shoes fit well, with adequate room in the toe box and no excessive foot movement. Select appropriate socks made from moisture-wicking materials, such as synthetic blends or wool, to draw sweat away from the skin, reducing friction and dampness. Avoid cotton socks, as they retain moisture and can exacerbate blister formation. Applying lubricants like petroleum jelly or specialized anti-friction balms to high-friction areas before running can also create a protective barrier. Gradually break in new running shoes over several weeks to allow them to conform to your feet and identify potential hot spots before blisters develop.