Topic

UL anti-fungal based foot kit and care

Viewing 13 posts - 1 through 13 (of 13 total)
Mark L BPL Member
PostedNov 30, 2022 at 9:40 am

A question specifically for those who have lengthy experience with battling between-the-toes foot fungus. And by lengthy experience I mean, you’ve suffered with it on & off for many years despite taking known precautions: keep the area as dry as possible, change socks, wash socks, avoid public floors, wash between toes regularly, etc.

Do you have a UL kit and system which has proven effective over the long term?

My past kit and system recently failed me and I’m experimenting with changing it. My prevention UL kit and routine used to be:

1. Have two small towels, one for left foot, one for right foot. This prevents cross-foot contamination.
2. Wash carefully with soap between toes each evening at camp with the towel specific for that foot.
3. Apply a couple of drops of tea-tree oil mix with a base oil, using a small bit of single-use cotton swab.
4. Keep the towels as washed and dried as possible during the day, and packed separately.

My kit has been a tiny dropper with the oil, a collection of cotton swabs, and two small dedicated foot towels. Why tea tree oil?  I read that it can combat foot fungus. I got a case nonetheless.

I have never carried any medication before. I’ve dealt with outbreaks after returning home.

Do you know if anti-fungal medication can be used full time, even when there isn’t an apparent occurrence, and if so, can you cite a quality study to back it up?

This Mayo Clinic article: https://www.mayoclinic.org/drugs-supplements/betamethasone-and-clotrimazole-topical-route/precautions/drg-20061704

states, regarding clotramazole:

“Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems.”

However, this Harvard Health article: https://www.health.harvard.edu/diseases-and-conditions/staying-one-step-ahead-of-toenail-fungus

states: “Whether you’re trying to clear up a fungal infection or hoping to avoid getting one, the following can help…Use antifungal foot powder daily.”

But perhaps they are referring to another type of medication. Or perhaps it is poor writing in the Harvard article – maybe they wrote “use powder daily” to refer back only to “trying to clear up an infection” and not also “hoping to avoid one.”

I don’t know if over-use of any of them can be harmful, or lead to antimicrobial-resistant fungi. I can’t find any quality study online which states it definitively, one way or the other. I searched pubmed to no avail.

The change I’m considering is to carry Miconazole nitrate 2% powder in a container of some kind (I don’t know how best to ultralight carry powder) and to apply it each evening after washing and drying. I have briefly experimented with applying a foot balm such as Badger Foot Balm between the toes every morning, with the idea that it will keep moisture at bay. Some say they’ve had success with this. In my experience so far, I don’t like the results. It leaves the toes a bit gooey and moist at the end of the day, and borderline itchy – an awful sign for an outbreak. However I can’t definitively rule it out yet.

My feet freeze at night, so I generally put a bit of Miconazole powder into the toe of my socks also. Then I awake at 3am with warm feet and I can’t stand the feel of wearing socks so I take them off and fling them.

My current thought is to not do anything for the morning except keep them dry. And obviously, frequent breaks during the day to dry out the toes. Using any kind of powder during the day, such as talc or corn, hasn’t worked well for me. Moisture clumps it up.

At home, the most effective medications for me, in order, have been:

1. Terbinafine Hydrochloride cream 1%
2. Miconazole nitrate 2% powder or spray
3. Tolnaftate 1% powder or spray

Clotrimazole cream 1% – I haven’t used this enough to know

Regarding Terbinafine – online studies show this to be the most effective for many people. It certainly has been for me. Remarkably, the directions say “Use for one week.” So this makes me question if a dab of this is safe to use full time in the backcountry, purely as a preventative. And I’m considering a long trail, so it could be for weeks or months.

Experienced sufferers know that the slight itchiness which occurs the day or two prior to a full outbreak heralds, in my experience, a full blown case. Which, for me, is usually like a head cold: do what you want, but it’s going to run its course. For me, the cracks run so darn deep, it looks like they go almost to the bone, and then the bleeding begins. This makes me really nervous about stepping into mud puddles and such. My neighbor ended up in the hospital with a severe kind of blood poisoning which began in his foot. The doctors said he picked it up in a puddle after having a cut in his foot.

Thanks for reading!
Mark

 

 

 

David Thomas BPL Member
PostedNov 30, 2022 at 11:21 am

I get a bit of a fungal thing between my toes – always between the same toes, on the same foot, when I’ve been in wet socks for a few days like on a trip with a lot of stream crossings.  Unless I apply a bit of anti-fungal topical lotion to those spots in advance.

So that’s what I do – I use an OTC anti-fungal cream at home before I head out and then, on the trip, when I change my socks, I reapply it.

I don’t keep track of which OTC anti-fungal active ingredient.  For use on the trail, I take the smallest little tube I have – one I got at a dermatologist’s office because those professional samples are lovely little, UL 1/4-ounce tubes.

John S. BPL Member
PostedNov 30, 2022 at 5:11 pm

It’s funny that Mayo and Harvard don’t see sock material the same. Mayo says only wear cotton, while Harvard says acrylic carries off moisture better than cotton.

On the trail my latest strategery is using bar soap and terbinafine hcl cream. At the end of the day I set up camp then wash my feet with soap and water. Dry the feet entirely before putting a sock back on or wear sandal in camp (I don’t use sandals). Wash off socks daily, or try to. My washed off socks are not always dry the next time I put them on. For the cream, I put some on skin (not entire foot just areas that seem prone) just before bed or in morning before getting out of tent. I sleep in fleece socks, not my hiking socks.

At home I use foot washing once or twice a day (esp after wearing socks all day) and vinegar around nail edges for prevention.

David Thomas BPL Member
PostedNov 30, 2022 at 7:52 pm

I do notice a benefit to not keeping my feet the warmest part of my body all night (i.e. in warm socks, tucked over the covers).  If I keep them out of the covers at home, or at least not over-insulated on the trail, that skin is warm and humid all night long.

PostedNov 30, 2022 at 8:39 pm

It might seem like a minor detail, but it could make a difference in your old method.

You might be hindering the tea tree oil by mixing it with another oil. It’s mostly conjecture on my part, as I can’t say there is any factual proof such a thing is an issue, but I have been using tea tree oil for most of my life with great success.

I always recommend people use the tea tree oil directly on the skin, with no dilution. With a major caveat, that the skin must be fully dried out before putting a sock or glove back on, otherwise the risk of chemical burn increases.

I also found over years of testing on myself, that the Trader Joe’s tea tree oil is really the best of the best that is available in the USA. It’s made for medical uses and not aromatherapy uses. My guess, just going by the price difference, is that Trader Joe’s is less refined and more of a raw “full spectrum” extract. Once again, just guessing on my part, but I do notice a major difference in smell and effectiveness of the cheaper Trader Joe’s oil over expensive stuff made for aroma and not medicine.

Another thing I do now is carry packets of chlorine tablets. I drop them into a small plastic water bottle with the top cut off and fill it with water. I then stick my underwear and socks in the chlorine water to pretty much nuke everything in there, and it also kills a lot of the odors. That way the socks and stuff are not keeping the culture going, so to speak. :)

Mark L BPL Member
PostedDec 3, 2022 at 10:54 am

The tea tree oil I use is from a drug store – Walgreens brand. It says “100% Pure Australian Tea Tree Oil” on the front. It has quite a potent odor.

I’m able to use it undiluted on various other parts of my body. But when I tried to apply a couple of drops via a swab directly between my two smallest toes some time back I received quite a ‘burn,’ which resembled an electrical burn: the skin turned white. After a couple of days it somewhat blistered, then broke open. I think that area is too sensitive on me for undiluted use.

I did see that method as a bit of an ideal for extended trips. It was the only fluid/liquid/powder I took for foot care. I’d prefer to not pack multiple care items such as anti-fungal foot powder for the evening and additional items for during the day (oil, e.g.). Using a miniature dropper I could get 100 or 150 drops worth – about 3-4 weeks worth for less than half an ounce.

What kind of chlorine tablets do you use?

I’m also considering using my Bearikade Weekender for laundry purposes.

d k BPL Member
PostedDec 3, 2022 at 8:58 pm

I know someone who has used garlic-infused oil successfully on both foot and toenail fungus.  He first crushed a lot of garlic cloves into a small jar using a garlic press, then covered with olive oil, let it steep for a couple of weeks, then uses the oil nightly, putting socks on over.  Not sure if it might attract bears in the back country, but I suppose it could be multi purpose (also for cooking).

SIMULACRA BPL Member
PostedDec 7, 2022 at 10:14 pm

@John_S.

Little trick I picked up on with wet socks. Wrung out of course. At night, lay them flat under your sleeping bag on top of whatever padding you use near the middle of your back. Your body heat throughout the night with dry them. You may need to flip them and re-organize throughout the night depending on how much you move about. But it does work. At first the dampness may soak through a bit and is slightly uncomfortable. But everything will dry out by the morning.

John S. BPL Member
PostedDec 8, 2022 at 2:17 am

Thanks Simulacra. I will try that. I think I have heard it before but forgot. This was on the JMT and my first uses of Darn Tough socks, which I did like.

AK Granola BPL Member
PostedDec 8, 2022 at 9:22 pm

Eew don’t put fungal socks in your Bearikade. Try a 1 or 2 gallon ziplock for your washing machine instead. Works great.

Mark L BPL Member
PostedDec 10, 2022 at 7:40 pm

If the fungus is killed there’s no worry about the can, which can simply be rinsed out afterward.

My thought was to use a chlorine dioxide pill in it, which requires 4 hours in the dark, away from sunlight. That rules out the Ziploc. Only chlorine dioxide can kill the fungus.

But the can is too large for this anyway.

I don’t know if a full 4 hours is required to kill fungal spores. If it’s only 10-15 minutes, as a few websites claim, then laundry could be done after sundown in the Ziploc or other lightweight container, socks wrung out very well, and in theory placed under one’s back as mentioned in this thread, hoping to have them dry for morning.

I’ve never been able to get my socks to dry by morning by placing them in my bag. I’ve never put them underneath my back though, in direct contact. I’ve since changed to a quilt, however. So that’s ruled out.

 

Tom K BPL Member
PostedDec 11, 2022 at 8:42 pm

“1. Terbinafine Hydrochloride cream 1%”

This is the one my dermatologist recommends.  I’ve had good results with it.

 

SIMULACRA BPL Member
PostedDec 12, 2022 at 10:03 pm

@ Mark L

I wouldn’t put them inside the bag due to moisture buildup. Make sure they are outside of the bag at the broad section of your back. With a quilt? suppose no issue.

Viewing 13 posts - 1 through 13 (of 13 total)
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