Hurst Podiatry Blog

Foot Health FAQs: Does Pitted Keratolysis Hurt?

Welcome to another edition of our “Foot Health FAQs” series at Hurst Podiatry, where we address common foot concerns and provide expert guidance to keep your feet healthy and comfortable.

If you’ve noticed small, crater-like pits on the soles of your feet and are wondering if they could be causing your discomfort, you might be dealing with a condition known as pitted keratolysis.

But does pitted keratolysis hurt? Let’s take a closer look at this bacterial skin infection and what it means for your foot health.

What Is Pitted Keratolysis?

Pitted keratolysis is a bacterial infection that typically affects the soles of the feet, though it can also occur on the palms. It’s characterised by the appearance of small pits or holes in the top layer of the skin, often accompanied by a foul odour. This condition thrives in moist environments and is commonly seen in individuals with sweaty feet or those who frequently wear occlusive footwear like rubber boots.

Does Pitted Keratolysis Hurt?

The good news is that pitted keratolysis is usually not painful. While the small pits and crater-like pits might look alarming, they generally don’t cause significant discomfort.

However, some people might experience mild pain or tenderness in the affected area, especially if the condition is severe or if there’s additional irritation from tight-fitting shoes or excessive friction.

The most common symptom associated with pitted keratolysis is foot odour rather than pain, as the bacteria involved in the condition produce sulphur compounds that cause a strong, unpleasant smell.

How to Treat Pitted Keratolysis

If you’re concerned about pitted keratolysis, it’s essential to practice good foot hygiene. Make sure to wash your feet regularly with an antiseptic cleanser and keep them dry to prevent bacteria from thriving.

Wearing absorbent cotton socks and breathable shoes can also help reduce excessive sweating and keep your feet dry.

For treating the bacterial infection, topical antibiotics like fusidic acid are often recommended. These treatments help eliminate the bacteria causing the skin infection and allow the skin to heal.

If the condition doesn’t improve with home care, or if you’re experiencing significant discomfort, it’s important to see a healthcare provider or foot specialist for a more tailored treatment plan.

When to Seek Professional Help

While pitted keratolysis is typically not painful, it’s still essential to address the condition promptly to prevent it from worsening or leading to other complications. If you notice persistent symptoms or if the infection doesn’t respond to over-the-counter treatments, it’s time to consult a healthcare professional. We can provide more effective treatments, including topical antibiotics, to help resolve the issue.

How Hurst Podiatry Can Help

At Hurst Podiatry, we understand how frustrating and uncomfortable foot conditions like pitted keratolysis can be. Our team is here to help you diagnose pitted keratolysis, develop an effective treatment plan, and provide guidance on how to prevent the condition from recurring.

If you’re dealing with pitted keratolysis or have concerns about your foot health, don’t hesitate to reach out to us for expert care. Call us on 03 8799 4426 for our Kilsyth clinic or 03 5901 2216 for our Healesville clinics or book online here.

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