Re: Insoles/Smelly feet
DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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If you are wearing shoes without socks and produce enough sweat to cause the inside of your shoes to become moist and smelly, you have an excessive sweating problem which needs to be address, rather than needing something to simply absorb the moisture and deodorize the shoe. My choice for most common excessive sweating problems in the feet is a topically applied product called Drysol. It requires a prescription and needs to be used in a well regimented manner which should be explained to you by the prescribing doctor.
Although I certainly do not suggest that you use my regimen in lieu of your own doctor's, here are the instructions which I generally give to my patients:
1. Apply the clear solution to the areas of the feet under concern at bedtime, after thoroughly washing the feet without soaking and then throughly dry them. Bedtime is the appropriate time for most, as this is generally the time of least sweating. Avoid application to any areas of existing irritation or full thickness cracks as the solution, as I have previously mentioned can be irritating.
2. Allow the solution to dry (leaving a white powder on the skin). Then, carefully place a plastic baggie over the foot, and secure it lightly at the ankle with tape to itself . . not the skin. It can be dangerous to walk with baggies on the feet, so if he gets up at night he should wear slippers.
3. In the morning, wash the feet again . . without soaking, and thoroughly and gently dry all areas of the foot.
4. Use cotton socks and carry changes of socks during the day.
5. Repeat this procedure every night for up to two weeks, or until the excessive sweating is under control
6. Then by experimentation, apply as infrequently as necessary at night as directed in order to maintain results.
7. On days when the Drysol is not used, continue with the A&D Ointment under socks at bedtime, and use an emollient (not a cream) as needed thoughout the day.
8. Carefully monitor for local irritation . . . stop if undue irritation occurs, and call me.
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Foot Doc
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