From the Guidelines
To treat a pinky toe blister, it is recommended to leave small and medium blisters intact and cover them with a nonadherent dressing to reduce bacterial superinfection and pain, as well as to promote healing. This approach is supported by the European Dermatology Forum consensus in collaboration with the European Academy of Dermatology and Venereology, as stated in the British Journal of Dermatology in 2015 1.
When it comes to larger blisters, it is advised to puncture and drain them, leaving the blister roof in place, as it forms a natural dressing 1. If the blister is already broken, only the fluttering skin should be removed.
In terms of footwear, it is essential to wear supportive and comfortable shoes that minimize friction and do not rub against the blister, as recommended in the British Journal of Dermatology in 2020 1. This can help prevent further trauma to the damaged area and promote healing.
Some key points to consider when treating a pinky toe blister include:
- Cleaning the area gently with mild soap and water
- Covering the blister with a nonadherent dressing or a blister-specific bandage
- Avoiding popping small and medium blisters
- Draining larger blisters and leaving the blister roof in place
- Wearing comfortable and supportive shoes that minimize friction
- Seeking medical attention if signs of infection occur, such as increasing redness, warmth, swelling, pus, or red streaks.
Overall, the goal of treating a pinky toe blister is to prevent infection, promote healing, and minimize discomfort, and this can be achieved by following the recommended approach and taking steps to protect the affected area.
From the Research
Treatment for Friction Blisters
- The treatment for a blister on the fifth toe (pinky toe) typically involves draining the blister and maintaining the blister roof to reduce patient discomfort and the possibility of secondary infection 2.
- Hydrocolloid dressings can be used to treat deroofed blisters, providing pain relief and allowing patients to continue physical activity if necessary 2.
- There is no evidence that antibiotics influence blister healing 2.
- Topical antibiotics may be used to reduce the risk of surgical site infection in wounds healing by primary intention, but their effectiveness in treating friction blisters is unclear 3.
- Adhesive tape may be a more effective treatment for friction blisters than wide area fixation dressing, with a lower drop-out rate, faster blister healing, and higher satisfaction 4.
Prevention Strategies
- Preventive strategies for friction blisters include reducing skin surface hydration, using powders or other products to reduce friction, and wearing appropriate footwear and socks 5, 6.
- The use of topical anti-blister products, such as powders, film formers, and antiperspirants, may help reduce the risk of friction blister formation 6.
- Powder products may have a barrier effect, reducing the risk of blister formation by decreasing near surface skin hydration 6.