Sometimes oral antifungals are required, so see your doctor.
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If you also have athlete’s foot or a fungal skin or nail infection elsewhere, it is worth trying to treat these to reduce the risk of re-infection. If this doesn’t work, see a doctor as there are other skin conditions which could be causing the issue. Some need to be used for ten days after the lesions have healed, so depending on the cream it’s important to keep applying them for the specified period of time, even if the rash is better. Tinea cruris is generally treated with antifungal creams, several of which are available over the counter. The colour of the darker patches can range from tan to blue/grey. If it is mild then it usually disappears within a few months but it can take longer, and if it’s severe the patches may be permanent. We call this post-inflammatory hyperpigmentation. It can also leave darker patches on the skin once the rash has cleared. The rash can be scaly, itchy and red or pink (or look darker in darker skin tones). Obesity and tight-fitting clothes can also increase the risk. It’s more common when the weather is hot and humid and in people who suffer from the excessive sweating condition called hyperhidrosis. This sounds like tinea cruris, a fungal infection of the groin sometimes called jock itch. But these seem to have stopped working – what can I do instead to control it? I suffer sore red patches of skin on my inner thighs which I’ve treated with over-the-counter anti-fungal creams. This pain can become debilitating and interfere with daily activities, so please seek medical advice – you might need a referral to a foot specialist who can offer a wider range of treatments. If it feels like you are walking on cobblestones or pebbles, you may have a condition called Morton’s neuroma, where there is a thickening around an irritated nerve in the foot.Īlternatively, there may be an issue with the nerves to the feet that is causing the change in sensation. There are also exercises and stretches that can help – find them online by searching for ‘exercises for plantar fasciitis’. Today's reader seeking help has asked Dr Kaye about a problem with her feet which she fears may prevent her from wearing high heels in future The initial treatment similarly includes cushioned, supportive shoes, rest and ice. This pain is often worse in the morning and can be around the arch of the foot and the heel. There’s also a condition known as plantar fasciitis, where there is inflammation of the connective tissue (fascia) that supports the foot.
Treatments include rest, applying ice, anti-inflammatory medication and using cushioning shoe inserts to support the heel. The pain is generally in the middle of your heel and is worse during high-impact activities, or when standing or walking for long periods. If this gets thinner, it can become painful. There is a pad of fat which supports and cushions the heel, like a shock absorber. It isn’t daft at all – and it might be something called heel fat pad syndrome, otherwise known as fat pad atrophy. I have a wedding coming up and I’m dreading it, as I’ll have to wear heels. It means wearing anything other than trainers is uncomfortable.
This sounds daft, but my feet seem to have lost their padding.
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