Articles on foot

Diabetic Foot, A Frightening Complication Of Diabetes

Dr. Anamay K. Bidwai, General Physician
Diabetic foot, after all it is your foot!Diabetic foot is a very common complication of diabetes, particularly in long standing diabetes or untreated kinds.Amputation of legs due to diabetes related complication is the second most common cause for amputations after traffic accidents.Diabetic foot infections can be limb threatening and/ or life threatening.You can prevent this dreaded complication by taking some simple measures every day.If you are a smoker stop now. If you have high cholesterol control it now.Always maintain good control of blood sugar level and be regular with your medicines and insulin.Walking is a MUST, if you want to prevent diabetic foot complication, please walk, walk, walk, at least 3-5 km in day. Please make sure you wear good quality sports foot wear while going for walk.Never walk bare foot, even inside house wear comfortable sandals, while going out wear shoes. No chappals please.Wear cotton socks, every day a freshly washed pair socks must be used. Wash your feet twice a day with normal soap and water, pay special attention to space between toes, dry feet with towel, and apply any moisturiser, even liquid paraffin or coconut oil is good enough.At bed time gently massage your feet for about 10-15 minute, it helps to improve circulation in the small blood vessels. Take vitamins B complex and omega 3 fatty acid supplements every day, it prevents degeneration of small nerves, a major contributor to diabetic foot.Take care while cutting toe nails, do not try to cut the nails too short or you may end up injuring the skin, sometimes it is better to use a nail file.If you notice an injury, scratch or crack on the foot, sole or any where on foot, immediately see a doctor, no matter how small the injury is.These simple measures can save your limbs from dreaded diabetic foot, you need to do it every day, life long.

Diabetic Foot -What You Need to Know

Dr. Purushottam Reddy Padala, Orthopedist
Today diabetes  is an epidemic with more than 60 million diabetics in India. Every single minute, a toe or foot is lost to uncontrolled diabetes in India. Six to 8% of diabetics have neuropathy out of which 15-20% will have an ulcer the most dreaded complication of diabetes. Complications of diabetes include neuropathy (involvement of nerves of the feet). Neuropathy with loss of sensation is the prime cause foot ulceration and loss of toes due to gangrene.Why do diabetics develop loss of sensation in the feet?High sugars in a diabetic lead to damage of the nerves-called neuropathy. This is manifested initially by pins and needles sensation, and later by total loss of sensation. This loss of sensation is the danger sign. Our body protects itself from injuries when there is sensation, and loss of sensation leads to injury more commonly. In a diabetic injury is fraught with non-healing, chronicity and infection.Why does it take long for wounds/ulcers to heal in diabetes? High sugars lead to slowing of our body defenses which delays wound healing. Added to this, bacteria thrive on high sugars, making it difficult to eradicate infection. Narrow blood vessels in the foot get blocked (called microangiopathy). Healing is also slowed due to poor blood supply.How do you treat foot ulcers?We have various treatments for treating foot ulcers.If the wound is heavily infected then dead tissue requires to be cleared, usually surgically, called debridement. Appropriate antibiotics are used. Antibiotics work only when dead material is removed. The wound might require skin closure. Based on size and location, a wound might require closure with local skin adjustment-called local rotation flaps, or split skin grafting- taken from the thigh area. If the toe is dead due to infection, then the toe has to be removed-by amputation. What should I do to avoid Foot ulcers?First and foremost is control of high blood sugars. You have to use the right kind of medicines-insulin alone (many varieties around), tablets or both.Do’s Use mild soap Use a soft cloth to dry-between toes as wellMoisturize the foot after bathCutting nails straight  MCP-polymer soft footwearCustomizing footwear SELF EXAMINE FEET AT BEDTIME                                                                Don’tsKeeping feet dirtyNot wearing footwear at homeRepeated washing of feetCutting nails curvedUsing hot water to wash feetSmokingAlcoholThings to look for are:RednessBlistersCornsSoft soggy skin.Is there a way to treat neuropathy?Yes. Only few doctors in India do this kind of surgery. We are one of them. Three or four nerves are released in the leg. Most early cases of neuropathy recover very well with restoration to almost normal sensation in the foot.I have noticed that my father’s foot is flat and almost getting twisted? What is it and how can you treat it?This is called Charcot’s foot. It is almost as dangerous as a foot ulcer if not more. The joints in the body have a certain spatial orientation towards one another. In diabetes, nerve damage and lack of sensation can cause joints to be twisted relative to each other giving rise to dislocations and foot fractures-which are painless and seldom heal.Hope this helps!  

Foot Arches and Its Types

Dr. Yogesh Kumar, Ayurveda
All right we all have done this growing up, remember after coming out of water we used to see the footprints that were made by water and wonder why my footprint is somewhat different from others. The difference is in the arches of the foot. Arch of the foot differ in individuals according to the positioning of foot bones (Tarsal and Metatarsal), tendons, ligaments and the amount of pressure being exerted on the feet over the period of time. The arch of foot plays a pivotal role in the health of feet on a long term. Ancient Indians used to take the footprints to determine the foot arches before making the footwear.The arch of a foot is the curve like shape best seen on footprints.Classification of arch (types of arch): The arch of foot is basically of three types. The Normal arch, Flat arch, and High arch. These three terms are generally used and are more known by normal public.The normal arch: It is the most found type of arch in human feet and is thought to be the best in all the types of foot arches as it is less likely to induce any foot problems because the weight of the whole body gets easily spread in this type of foot arch. People having normal foot arch are more likely to get away with foot injuries.The Flat arch: It is not found commonly, in this type the arch of the foot  do not bend over enough to absorb the pressure exerted by the body and hence is likely to cause injuries to the foot and cause pain and other problems. It is also called the low arch as the arch stays very low to the surface level.The High arch: In this type the arch of the foot is quite high than normal and the pressure do not gets evenly spread, rather most of the shock is diverted to toe and heel portion of the foot and hence this type of foot arch are more likely to cause problems of toe and heel.Anatomically the arches are of two types, longitudinal and transverse arch.Longitudinal arch: longitudinal arch is the one which is length wise, from top to bottom of the foot.The longitudinal arch is subdivided into three more arches namely, the medial arch, the lateral arch and the third one known as fundamental longitudinal arch.Transverse arch: This arch is in transverse direction which is breadth wise involving three ligaments (plantar,dorsal and introsseous )and two muscles (Adductor hallucis and Peronaeus  longus). Knowing your arch of foot is very important, when you know your foot arch type you can easily find out whether you are using the right footwear or not and hence can eliminate most of your foot problems.  A very popular and simple test in which your foot prints are taken by stepping your wet feet on paper to find out what is your arch type is and your physician will advice you the right foot wea

Causes and Symptoms of Heel Pain and 5 Tips That Help!

Rhea Lakhiani
The heel bone, referred to as the ‘calcaneus’ is the largest bone in the foot and serves as an attachment point to several muscles and tendons that help in walking, running and jumping.Heel pain can be very disabling as most people suffering from it, complain of discomfort on weight bearing, which causes them to limit basic activities like standing and walking.Heel pain can be categorized as pain under the heel or behind the heel. It can arise from a number of structures, but biomechanical faults or improper mechanics that load some areas in the foot more than others, tends to be a major contributor to heel pain.In this article, we will explore the spectrum of causes that can be responsible for heel pain:-PlantarfascitisThis is one of the most common causes of heel pain. The plantar fascia is a dense, fibrous connective tissue structure extending from the medial tuberosity of the calcaneus through the medial longitudinal arch inserting into the base of each of the toes. It is an important static support for the longitudinal arch of the foot.Over pronation or flat foot, strains the longitudinal arch which causes the plantarfascia to stretch excessively. This exerts a pull on the plantar fascia, especially at its origin on the medial process of the calcaneal tuberosity, thereby putting strain on its attachment at the heel.Patients typically complain of pain that is worse in the mornings especially when they take the first few steps after long periods of rest or inactivity.Fat pad syndrome/ Fat pad degeneration There is a cushion of fat which is made up of elastic fibrous tissue that acts as a shock absorber and protects the heel. Fat pad syndrome may develop either suddenly after a fall onto the heels or gradually due to thinning out from excessive loading and poor cushioning. Patients often complain of heel pain that is particularly felt during weight- bearing, mainly in the outer portion of the heel.Calcaneal (Heel) spurCalcium deposits may accumulate and build up on the under surface of the heel. This happens over time and is often caused by strains of muscles and ligaments of the foot or excessive stretching of the plantar fascia. Running or jogging on hard surfaces, excess body weight or improper footwear can cause repeated tearing of the membrane that covers the heel bone. This places excessive stress on the heel. Heel spur with no other associated abnormality may not be symptomatic. However, excessive repeated wear and tear can result in inflammation which may then lead to pain.Calcaneal Stress fractureAlthough a rare occurrence, it can be seen in athletes or people with overuse history and repetitive high impact activity, like runners, dancers or jumpers. There is diffuse pain over the entire heel, which tends to aggravate with loading activities. An X-ray or MRI is needed to confirm diagnosis.Achilles tendonitis, Haglund’s deformity and Retro calcaneal bursitis Haglund’s deformity also known as ‘pump bump’ is characterised by a prominence or tenderness over the back of the heel, and often causes it to rub against the tendon.This may predispose the bursa or tendon to mechanical irritation. Constant irritation causes inflammation of the fluid-like sac situated behind the heel between the tendon and heel bone. Inflammation of this bursa is called Retro calcaneal bursitis.The tendon connecting the calf muscles to the calcaneus also known as the Achilles tendon attaches to the back of the heel bone. Achilles tendonitis is commonly associated with repetitive impact loading due to running and jumping. Achilles dysfunction can also be related to postural problems (e.g.high arches, fallen arches), poor footwear, or tight calf muscles. These postural and biomechanical faults may alter the alignment of the tendon and cause rotation of the heel. This rotation of heel (inward or outward) may cause grinding or friction of the calcaneus against the tendon. Eventually, due to this constant irritation, a bony protrusion may develop and the bursa may become inflamed.Since the Achilles tendon insertion, the retro calcaneal bursa and the calcaneus are so intimately related, dysfunction in one area, commonly affects the other.Symptoms include pain, swelling, a noticeable bump and redness at the back of the heel which intensifies on walking, as the bony enlargement rubs against the heel counter of the shoe.As discussed, heel pain is common and could be due to various reasons. But like every problem has a solution, this one is no exception and most individuals respond well to treatment. There are a few practice suggestions that have proven to be beneficial for those suffering from heel pain. Regardless of what is causing you the heel pain, the following recommended tips are likely to help:-Relative rest: A fairly logical pointer! Avoid activities that cause pain or aggravate it.Cryotherapy: Icing the affected painful area helps decrease pain and control inflammation if any.Stretching: Plantar fascia and calf muscle stretching helps address the tight structures that may be one of the causes of pain. This helps in pain- relief and prevents recurrence.                                                           Calf stretchStretching of the plantarfascia4. Shoe modifications: Foot wear that has good support for the arches or has adequate heel cushioning can act like a buffer and reduces stress on the heel and other pressure areas along the foot. Eg: silicone gel heel pad, heel cups.                                                                                                                                                                                        Heel pads/ cups5. Bodyweight: If you are overweight there is more stress on the heels when you walk or run. Shedding off those few extra kilos won’t hurt!

Foot Massage and Sleep!

Dr. Sita S Bhatt, Homeopath
Reflexology believes that the entire human body and its organs have representations on the soles of our feet! Regularly doing a nice foot massage relaxes, rejuvenates and recharges the body and the mind and helps in good health! A simple daily routine of do-it- yourself foot massage could help you to relax the body and get a really good nights sleep! First wash the feet after soaking them in Epsom salts (2tsp) or rock salt (4 tsp) and warm water in a tub for 10 minutes . See that you are in bed and all your chores done and it's the last thing before you sleep. Keep the lights dim and the surroundings peaceful for this one! No gadgets! Use a nice thick oil with some aroma essential oil ( I give lavender oil to help one relax ) Starting from the arch of the foot, using the thumb, rub the foot in circular motions. Do it from the arch and progress to the entire foot while slowly increasing the pressure. Do 15 repetitions on each sole. Wear a pair of cotton socks to keep the feet warm. A couple of minutes of this ensures that the night's sleep is deep and refreshing!Added benefits of regular and specific foot acupressure and reflexological massage: 1. Relieves aches and pains 2. Helps in digestion 3. Improves metabolism and stamina to exercise 4. Improves circulation 5. Helps in muscle stretches 6. Used in treatment of restless leg syndrome 7. Reduces lactic acid related muscle pain 8. In children, boosts growth and immunity !

10 Easy Tips for Heel Pain

Dr. Yogesh Kumar, Ayurveda
Women have been wearing high heel sandals to look good but this fashion fad could give rise to Back and Heel problems.Heel and back problems can occur in men also .This problem in medical terms called "The Painful Heel Syndrome".Women with Progressive age, Arthritis, Overweight women are more prone to this problem.The heel pain could be different according to the age groups.Young men tend to have Bursitis while older men have Plantar Fasciitis. Due to increased overload on Foot , Stress fracture, and Osteoporosis, heel pain can occur. Besides that,Foot Pain could be due to Nerve damaging Diseases like Diabetes and Peripheral Neuritis.Below the heel bone, there is a bedding of fat, there lies  some fat in between nervous fibers.In progressing age,the fat layer of the nerves reduces and the nerve fibers deteriorate and because of that the whole weight of the body falls on the heel and heel pain occurs.The Mainstay of the Heel Pain is Physiotherapy.It uses Hot and Cold Fomentation,Short Wave Diathermy,Strengthening and Mobilizing exercises.The Patient should follow the dietary advice ,Eat fat-free diet,Should not consume fried and spicy food and Excess Sugar-containing food. If still, the problem persists,medical help should be taken.Some Useful Tips for Heel PainHot Fomentation For 10 minutes Daily.Use Pain Reveling Gel,Spray or Cream.Use Ice Fomentation For 10 minutes after injury.Exercise for Joint and Heel.Soak the feet in  warm salt water daily three to four times.Oil Massage of the feet daily.Use special footwear with extra padding on a heel. Pull the fingers of the feet first inwards than outwards.For feet, exercise uses the tennis ball.Place the tennis ball under the feet and roll.It increases the blood flow in the feet.Take Sessions of Acupressure from the expert,it reduces the pain by increasing the blood flow.

Foot & Heel Pain - Plantar Fasciitis

Dr. A Mohan Krishna, Orthopedist
Heel pain is an extremely common complaint, and there are several common causes.Plantar Fasciitis:  It is the most common condition that causes heel pain. Plantar fasciitis is due to irritation and inflammation of the tight tissue that forms the arch of the foot. The most common symptom is pain under the heel after a period of rest, i.e. severe pain and inability to walk in the morning after getting up from sleep. The same might happen after sitting for a long time and then trying to walk. Interestingly the pain gets better after a few steps though it may not go away completely.  Again, the pain may get worse with prolonged walking and standing. X ray may show a bony spur which may develop in long standing cases of heel pain due to plantar fasciitis, but it may not cause the symptoms.Posterior Heel Pain:  Posterior heel pain causes symptoms behind the foot, rather than underneath. Posterior heel pain causes include Achilles tendinitis and retrocalcaneal bursitis. These patients may also develop bony growth behind the heel bone and when they are large may lead to rupture of Achilles tendon. Patients may have difficulty to walk comfortably on the affected side and pain that occurs at night or while resting.Treatment Options:Not all of these treatments are appropriate for every condition, but they may be helpful in your situation.1.Rest - Avoiding the precipitating activity; for example, take a few day off jogging or prolonged standing/walking.  Rest can reduce the severity of pain and will allow the inflammation to begin to cool down.2.Ice Packs - Icing will help to diminish some of the symptoms and control the heel pain. Icing is especially helpful after an acute exacerbation of symptoms.3.Exercises and Stretches - Are designed to relax the tissues that surround the heel bone. Some simple exercises performed in the morning and evening, often help patients feel better quickly.4.Anti-Inflammatory Medications - Help to both control heel pain and decrease inflammation.5.Shoe Inserts - Are often the key to successful treatment of heel pain. The shoe inserts often permit patients to continue their routine activities without heel pain.6.Injection therapy - In some cases, corticosteroid injections are used to help reduce the inflammation and relieve pain.7.Removable walking cast - May be used to keep your foot immobile for a few weeks to allow it to rest and heal and is used only for severe cases.8.Night splint - Wearing a night splint allows you to maintain an extended stretch of the plantar fascia while sleeping. This may help reduce the morning pain experienced by some patients.9.Weight reduction – It helps to reduce stress on foot and heel and thus help to reduce the severity of pain.If, after several months of non-surgical treatment, you continue to have heel pain, surgery will be considered.Not being able to take first step out of bed in the morning can be frightening. More over severe pain from the heel may force you to restrict several day time activities. Except for a handful of cases and some uncommon conditions, most cases improve with treatment and time. Even though the time taken for the recovery may vary from person to person there is a natural tendency for these conditions to get better spontaneously.Stretching exercises:1.PLANTAR FASCIA STRETCH:Sit in a chair and cross one foot over your other knee. Grab the base of your toes and pull them back toward your leg until you feel a comfortable stretch. Hold for 10 seconds and repeat 5 to 10 times.2.ACHILLES STRETCH:Stand on forefoot at the edge of stair, reach the step below with your heel, until you feel the stretch in the arch of the foot. Hold this position for 10 seconds and repeat 5 to 10 times.3.HEEL RAISE:Stand behind the chair or any support and raise your body up onto your toes and hold for 5 seconds. Then slowly lower down yourself. Repeat 5 to 10 times.4.TOWEL PICK:Drop a towel on the ground and pick up the towel with your toes. Release and repeat 5 to 10 times.5.FROZEN CAN ROLL:Take a frozen juice can or tin, roll your feet on the can from front to back. Do it for 3 to 5 minutes.6.TOWEL STRETCH:Loop a towel around your toes and pull the foot towards your body keeping your leg straight. Hold this for 10 seconds and relax. Repeat 5 to 10 times.

Most Common Foot Problems In Adults In India

Dr. Sanjay Sharma, General Surgeon
Ingrown toenails occur when a piece of the nail breaks the skin - which can happen if you don't cut your nails properly. Ingrown toenails are very common in the large toes. A doctor can remove the part of the nail that is cutting into the skin. This allows the area to heal. Ingrown toenails can often be avoided by cutting the toenail straight across and level with the top of the toe.Hammertoe is caused by a shortening of the tendons that controls toe movements. The toe knuckle is usually enlarged, drawing the toe back. Over time, the joint enlarges and stiffens as it rubs against shoes. Your balance may be affected. Wearing shoes and stockings with plenty of toe room is a treatment for hammertoe. In very serious cases, surgery may be needed.Corns and calluses are caused by friction and pressure when the bony parts of your feet rub against your shoes. If you have corns or calluses, see your doctor. Sometimes wearing shoes that fit better or using special pads solves the problem. Treating corns and calluses yourself may be harmful, especially if you have diabetes or poor circulation. Over-the-counter medicines contain acids that destroy the tissue but do not treat the cause. Sometimes these medicines reduce the need for surgery, but check with your doctor before using them.Dry skin can cause itching and burning feet. Use mild soap in small amounts and a moisturizing cream or lotion on your legs and feet every day. Be careful about adding oils to bath water since they can make your feet and bathtub very slippery.

4 Ways to Take Care of Your Feet This Monsoon

Dr. Pradnya Shastri, Dermatologist
Monsoon season is the time when everybody becomes conscious about their skin and hair. The women folk do, but nowadays, the men are not too far behind. We all put in extra efforts to keep our skin healthy. We also take extra care of our hair so that they look strong and shiny.While all this is very important, have you ever given a thought that it's actually the feet which need our utmost attention in the rainy season? After all, it's the feet that get dirty in the muddy roadside rainwater again and again! So, for those lovely feet of yours, here are 4 ways to take care of them this monsoon:1. FootwearBut of course this is the first thing that needs your attention. Choosing the right footwear is extremely important during the monsoons. Gum boots are a perfect option for a rainy day! They not only dry faster but protect your feet from the dirty water. Sport shoes/ shoes made of canvas/ sneakers etc don't score so well here because once you step out in the rain wearing them, they get wet easily and remain so for long periods. This in turn creates a very conducive medium for the growth of bacteria, fungi etc., leading to Tinea Pedis and Pseudomonas infections. Open toed plastic sandals or strappy sandals can be an option since they dry faster but aren't as safe as the rubber boots/ closed footwear since the dangers of exposure to the dirty water remains.2. Keeping Feet CleanKeeping your feet clean by washing them once (just with plain water) as soon as you come back at home is advisable. Like I mentioned, it's not only the moisture but the dirty water that needs to be cleaned off of your feet.3. Nail HygieneCutting your toe nails and keeping them short helps prevent the harbouring of bacteria and fungi under the nails and in turn prevents infections and not to forget, smelly feet! It's a tiny, but a very important aspect of foot care.4. Cover Cuts / AbrasionsIf you have any wounds on your feet, make sure they are properly covered. Here again closed shoes/ boots are the best option. Rain water is known to carry a bacteria called Leptospira. How does this contamination occur? Well, because the drains get clogged due the rain water the rats have no place to go and they come out in to the open. These rats then freely urinate and defecate in the rain water. The rat urine is a carrier of Leptospira and that is how the organism gets access to the rain water. Under normal circumstances, (normal skin) this bacteria is incapable of entering the human body. But if there are cuts on the feet then these bacteria get very easy access into the body and what develops then is a disease called Leptospirosis. Fever, pain in the joints/ muscles, nausea, vomiting, red spots/rashes are seen in this condition. Oral medicines are needed to treat this case.So this monsoon give your feet some thought.  Make sure you keep your feet dry (as much as you can). Remember “One step can make a difference”!

Smelly Feet- It's More Common Than You Think!

Dr. Apratim Goel, Dermatologist
Reasons for smelly feet: Smelly feet medically known as bromodosis - can affect anyone. It can be very embarrassing and uncomfortable. The main cause of smelly feet is sweaty feet. Sweat is secreted by sweat glands and these are more in number as well as high in activity in feet. However the sweat is odorless by itself. Feet smell when bacteria on the skin break down sweat as it comes from the pores. A cheesy smell is released as the sweat decomposes and forms isovaleric acid that smells.The main causes of sweaty and smelly feet are:Wearing the same shoes every day. Feet become smelly if sweat soaks into the shoes and you wear them again before they are dry.Poor personal hygiene.Hormonal changes can cause feet to sweat more, so teenagers and pregnant women are especially prone.If you are stressed and tensed there is increased sweat production.Some people have hyperhidrosis, which causes you to sweat more than usual.Athletes foot and other fungal infections also produce odour.How to treat smelly feet?  Smelly feet can be treated by maintaining hygiene, wearing open footwear, putting anti-fungal powders, using anti bacterial scrubs and in case of doubt, visit your dermatologist for advice. Following are the advices to avoid as well as treat smelly feet:The best way to prevent smelly feet is good personal hygiene by washing feet everyday and not wearing the same shoes 2 days in a row. Teenagers especially should be discouraged from wearing the same pair of trainers all the time. You should also wear clean socks every day. Cotton or wool socks are much better than nylon. However wearing open footwear does reduce the problem to a large extent.Use a spray deodorant or antiperspirant on your feet. There are special spray available for foot use. However normal body spray can be used as well.While bathing, dry the space between toes and dab the space with cotton wool dipped in surgical spirit.Use detachable medicated insoles in your shoes which are freely available. These have a deodorising effect.Try sports shocks which have ventilating panels to help keep feet dry.Wear leather or canvas shoes. In the summer, wear open footwear. Go barefoot at home if you can safely.Sweaty feet can be treated with an antibacterial foot scrub, but avoid using these scrubs if you have broken skin or eczema.Athlete's foot can also cause smelly feet. Use anti-fungal dusting powder or seek advice from a dermatologist.Iontophoresis with certain medications , though multiple sessions also gives relief.Botox injections are the most effective remedy to reduce sweating.What should be a foot care routine that one should follow?Simple care of foot to keep feet dry, clean and germ free is important to reduce smelly feet.One should avoid wearing the same shoes dailyAvoid wearing wet shoes and allow them to dry.Wear open foot wear during summer.•Antipersperant sprays containing aluminium chloride can be used.Keep feet as much dry as possible.Any OTC products or home remedies: There are many available. some are:•Anti fungal powders containing Clotrimazole can be used.Antiperspirants like Aluminium Chloride can be used.Washing shoes and socks everyday.Soak feet in warm saltwater for 20 min dailyAdd vinegar to saltwater and soak feet for 30 min twice a week.Add used tea bags to water and soak feet. It is antimicrobial.Dos and dont's?Dos--Wear dry and open footwearSoak your socks in warm water and wait for them to dry before you wear them.You can also put anti fungal powders in it.Maintain hygiene.Keep your feet dry.Put deodorants sprays on feet to avoid smell.Donts--Do not share footwear or socks with others.Do not wear wet soaked socks.Do not ignore and condition which you feel you cannot treat and consult your doctor as it could be fungal infection like athletes foot or candidiasis.