4 WAYS TO SHARE
Chapter 1 - The Problem Of Foot Blisters
In this chapter
What is needed from here
Blisters are one of the most common injuries in running, sport and everyday life. Their incidence has been measured in runners, hikers and the military.
2% of male marine recruits during initial training⁵²
16% of runners during a 10 mile race¹¹⁸
20% of marine recruits over 32 weeks of training¹⁰⁶
22% after a 5-day 21km cross-country hike⁴⁹
29% of long distance hikers in Vermont⁵⁷
33% of soldiers during Operation Iraqi Freedom¹⁰⁰
Up to 39% of marathon runners⁷¹
42% of military cadets during initial training³³
48% during a 21km cross-country hike⁴⁵
57% during 6 weeks of basic military training⁸⁵
77% of military recruits during training³⁹
95% of college students on a 580km road hike¹¹¹
Blisters are not just a common injury – they often rank as the number one injury. Research into distance running, hiking and military injuries regularly find foot blisters are more common than musculoskeletal injuries of the knee, back, ankle and foot.²⁸ ⁴⁹ ⁵¹ ⁷¹ ¹¹⁸
In fact blisters are so common we tend to not take them seriously, even when they’re exceptionally painful and limiting. What happens next is blister treatment becomes the focus – not prevention. This is not acceptable. As an athlete, you should not be satisfied with this. And as a sports medicine professional, you should be even less satisfied with this approach.
It’s not that blisters are an insignificant injury. But it seems that because they're an injury of the skin rather than the musculoskeletal system, they tend to be relegated to an injury of lesser importance. “With such a high incidence and potential for disability, one would think that the prevention of friction blisters would be better understood… many myths continue to be propagated regarding the prevention and treatment of friction blisters.”⁸⁸
What is needed from here
With foot blisters being so common, there needs to be a better understanding of:
what causes blisters
where opportunities for blister prevention exist
how each blister prevention strategy works ... and doesn’t work!
where there are gaps in our knowledge
There is an alarming amount of bad information available about blisters. It results in poor management practices. The right information is available: there’s a lot of good material that has come from military research; there’s some really good information in diabetic foot and prosthetic limb skin management literature; and there’s a lot of research from the field of tribology (the study of friction). But there’s nothing that has taken information from all of these sources, applied it specifically to foot blisters and made it easy to understand and freely available.
This guide bridges that gap. It is the easy-to-understand and freely available resource you can use to improve your blister prevention outcomes, whether you’re an athlete or a sports medicine professional. And it comes from someone who knows about feet and foot function and who is blister-prone herself.
Please feel free to share this with your friends and colleagues.
Blisters are one of the most common injuries in running sport and everyday life.
There is a large individual variation in blister susceptibility.
You should not be satisfied with relying on blister treatment.