3 Foot Observations to Bring to a Pitted Keratolysis Visit

If foot odor comes with small marks on the soles, describe both at your appointment. A note about where the marks appear is more useful than a guess about their cause.

Three observations to record

1. Where are the pits? Note whether they appear on the heels, balls of the feet or elsewhere, and whether both feet are affected. The pits may look more noticeable when the skin is wet.¹
2. When do moisture and odor build up? Write down the footwear, work conditions and sweating you associate with the symptoms. Warm, moist conditions support the bacteria involved.¹
3. Are there other symptoms? Mention itching or pain when walking, along with any products you have tried. Some people have few symptoms apart from the skin changes and smell.¹

Ask what the treatment needs to cover

Treatment can include topical antibiotics or antiseptics and measures to keep feet drier. Ask about socks, rotating footwear and management of excessive sweating. The clinician may use skin scrapings to check for a fungal infection when needed.¹

Keep a dated record of the plan you receive and the changes you notice. Bring the product packaging to a review so the clinician can see what you used.

Arms Up includes a Fresh Log and visit script. Use them to organize the timing of odor, sweat and footwear changes before the appointment. See the book.