Reflections on Blisters
Having been on the Camino for over a month and a half now, I have seen some very horrifying feet. Having come of age on a New Mexican fire crew as my squad's medic, one would think I would have really exciting stories to tell: burns, slashes, snakebites. I have a few of those, but mostly I spent my evenings dealing with mens' stinking feet. After spending months of my life bent over swollen and disfigured toes, I am pretty well versed and comfortable with the world of feet gone bad.
Which is a good thing, as I have witnessed the fact that many pilgrims really just do not understand their feet and blisters. In the extreme example, I met an Irish kid who had horrible blisters, the kind that cover the whole heel, swell up between the toes, and get weepy and gruesome. He was ripping the skin off with his teeth, and forcing himself to walk over twenty km a day. When I saw him, a day into the trip, he could barely walk. I sat him down and told him how to drain a blister, to stop ripping theskin off with with is teeth, etc.
I saw him again in Pamplona, and sheepilshly, he asked for my assistance. His heel had the biggest blister I have seen, and I have seen a few. I helped him drain it, which if having someone's clear slimy blister juice burst all over makes your stomach churn, then this is not your calling.
I write this post hoping to set out a few basic reflections on blisters that can help your future journey.
Walking shoes should be old friends.
There are many new boots on the trail and way too many blisters. Take time to break in your shoes...not a week before trying to walk 300 miles, but a month. More. As soon as you begin planning, get your shoes and get to know them. Have dinner, go for long walks on the beach. Take a romanic weekend to a mountaintop. Experience domestic tedium by shopping and doing yardwork. You probably are not planning to make this journey with an acquaintance you meet online last Wednesday, so do not put your feet through new mail ordered boots either. Even if you're the type who would take a trip with a beautiful and charming stranger, just break in your dang boots.
Know Thy Feet
As you walk, really let your feet speak to you. Do your feet sweat? Do they need air? Do you feel a pinch, pain or discomfort? Do you feel rubbing or warmth? This is called a hot spot, the initial very subtle development of a blister. Some people shove their boots on for the day, and only remove them in the evening filled with blisters and rubbed into various shades of raw. Don't be that person. Walk with a sense of mindfulness. When your feet speak, listen.
Have Patience
Our blisters are often simply a physical manifestation of our impatience. Not having patience to break in footwear. Not having patience to stop and address a hot spot. Pushing ourselves to do a whole stage when our feet are begging to do half. Your feet, with their needs and demands, might be trying to teach you something.
An ounce of prevention is worth a pound of moleskin
When you feel hot spot, stop. Like, right now. Not at the next town. Just crawl to the side of the Camino and take off your boots. Let your feet air and dry. The journey is long and 15 minutes is only 15 minutes. Look at the hot spot. You can do a few thing to assist your feet at this point. First, consider taping any friction areas. Good athletic tape over a hot spot works wonders, it stops the friction on the skin and thus prevents a blister from forming. For those pesky sweaty toe blisters you may need to change your socks. Change your shoes (making Chacos or Tevas your spare shoes is a great idea, as you can keep walking). Some people use high-tech creams (I just have never used them so can't vouch for them). Prevention of blisters is the goal.
Sock it to ya!
What socks do your feet need? Most people, for long walks, should avoid cotton as their main hiking sock, try a merino wool sock instead. If you do have sweaty feet, or feet prone to friction blisters, then try silk sock liners. Also, I see people with socks as thick as adobe walls. They get blisters because their socks make their shoes too small. Your boot should fit comfortably with your sock on...no cramming and not too much sliding. Try to wear them together to ensure proper
Rethink heavy boots.
I see a ton of heavy hiking boots on the Camino, worn by people who are not even carrying packs. The majority of your walking is pretty docile. You are not hiking the Grand Canyon. You will be walking twelve to twenty five miles a day, day after day after day, week after week. It seems to me that, for most people, heavy boots are overkill...they certainly are killing many people's feet. So take time to figure out what you really need, and go for the simplest, lightest, most comfortable solution.
You have Blisters
Despite breaking in your boots, having patience, listening to your feet and working with preventive measures, you discover you have a blister. It happens. Now comes a very critical step, to treat them with care and respect. I recently heard a twenty-something girl from Ireland talk about her feet.
"I got blisters. But I kept going. I was walking with some people, and I didn't want to fall behind them. I didn't want to be that person. And now I have to go home. My feet are wrecked, and I just can't walk any farther. I go home in four days."
[/b]Some blister healing tricks:
Keep your blister drained but the skin intact. Using a small sterilized pin, stick the fluid filled blister at the edge, and gently push the liquid out to drain. Air if possible. The goal is to get the blister to harden and heal. You may have to redrain a blister several times. Do not rip the skin, which exposes you to infection.
Cold water, salt, and vinegar soak. Feels good on you're feet. Helps dry up your blisters, if they are still in the docile stage.
Bag balm. At night, you can rub some bag balm on the blister. Encourages healing. I think you have to bring it with you, as I have not found it in Spain.
Air your feet, change shoes, change socks, rest. Having a pair of hiking sandals helps when your boots rub you the wrong way.
Your Blisters Get Ugly
There are a few good first aid things for bad blisters. Nothing replaces patience, rest, and removing the cause of the blister. There is no magic panacea except time. That said, here are a few ideas to treat your blister gone bad.
Second skin. This weird gelatinous blue film that you can apply directly on a ripped blister to provide comfort and padding. Bandage afterward with tape and a non-stick bandage. Decent for ripped blisters.
Compeed. High-tec, semi-permeate bandage that keeps the dirt out. It also provides some padding and gives the blister a chance to heal. Do not peel it back to peak, unless you notice an increase in pain, or redness developing at the site. This bandage can stay on a few days without changing. Read directions. You can wrap it with vet tape to keep it from peeling.
Don't be Afraid of the Doctor
Infected feet? Redlines running up your leg? Can't walk? Gruesome weeping? Smell of puetrification? Colored discharge from the blister? Fever?
You have already made that appointment...
*I aint't no doctor. Take what I say with a grain of salt. Use your best judgement. Know your feet. Talk to your own medical provider, legal blah, blah. But whatever. Break in your shoes. Stop when you feel hot spots. Have Patience with yourself.
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