BLISTER PREVENTION: A Foolproof Guide to Blister Management

Below is an article I wrote and (pilfering info from far and wide) recently revised re: Blister Management. I am posting it here just in case anyone finds it useful, or as a starting point for further discussion. Happy trails, Damon.
BLISTERS ARE A MISSION CRITICAL FACTOR ON ANY TREK.
The importance of blister management cannot be understated: For experienced bushwalkers, blister management priority is up there with adequate hydration and competent navigation.
Blisters result from frictional forces (caused by repetitive rubbing) that cause separation of the skin cells at the layer responsible for the mechanical strength of skin. In the space that is created by the separation of the layers, fluid collects.
If you are not prepared, blisters can ruin your walking experience and end your walk. If you are serious about blister prevention, here’s how to avoid them:
1. BOOT QUALITY Buy the most comfortable boots you can find. Good boots can be expensive, so be prepared to fork out. Any experienced hiker will tell you that boots are not the right area of your recreational budget to economise. Also buy a good quality closed cell neoprene inner sole for cushioning/dampening of shear forces in the skin.
2. BOOT WEAR Ensure that your boots are properly worn in. Do not wear new boots on a long walk. Wetting your boots and doing hill repeats with a full pack is a good way to break-in new boots or walking shoes. Note that despite your best intentions, boots will not correctly break-in if you simply walk around on flat ground without a load. You will know your boots are ready when you can walk for a full day over uneven terrain without getting "hot spots" (pre-blister sensitivity) on your feet.
3. LACING The Dark Arts of Boot Lacing hold many opinions and theories. The best one for blister prevention is to lace your boots as tight as possible without causing foot pain. Blisters form easily if the boot causes too much friction (lacing too loose) or if the skin is too constricted (lacing too tight).
4. WEAR SOCK LINERS This is basically a double sock system, consisting of a thin polyester sock worn closest to the skin (causing low friction) and a thicker mid-weight woollen or polypropylene sock worn closest to the boot (causing high friction against the insole). Studies with Army recruits show that this is one of the most effective strategies for blister-prone feet. Recruits who had fewer blisters also had fewer other injuries.
5. SOCK QUALITY As with walking boots, don't skimp on quality: Expect to pay up to $40 for a good pair of socks. A good sock retains its shape when wet, moulds to your foot and does not wrinkle or bunch. Brands such as Icebreaker make high quality hiking socks and sock liners. Mid-weight wool blend hiking socks are generally best, even in hot weather, due to their moisture wicking ability and level thermal properties. In snow, a heavy-weight sock is more suitable. Toe socks are also good but can be difficult to put on when damp. Modern dual-layer "blister free" socks are also a good option.
6. SOCK SIZE If you are faced with a choice between a slightly smaller sock or slightly bigger one, buy the smaller size as this will reduce in-shoe movement and wrinkling.
7. WEAR GAITERS Sand (and even dried mud) in the boot or sock is a very quick way to increase abrasion and encourage blisters. You’ll be constantly tipping sand & debris out of your boots unless you wear gaiters or long pants. Knee high or ankle gaiters are both fine.
8. ANTI-CHAFE BALM Many walkers and track runners will not head outdoors without applying a high quality anti-chafe balm to their heels, toes & balls of feet. Balms work by decreasing friction and subsequent heat load. Brands such as Body Glide are highly regarded but may only be available in specialist running stores or online.
9. BLISTER STRAPPING It is perfectly possible to walk with strapped blisters, however walking with UN-strapped blisters is completely ruinous and can reduce the most hardened walker to tears. Blister strapping is an absolute must for your first aid kit. Running out of blister strapping has brought many walks to a premature and inglorious end. Carry at least 2x rolls of Fixomull stretch or Compeed patches (these have a very high coefficient of friction), available from any pharmacy. Strapping/taping blisters also helps prevent the blister from de-roofing and infecting. If the blister is full, you can relieve the fluid by pricking the top corners prior to taping.
10. HOT SPOTS Taping susceptible areas prior to a walk helps prevent blisters. Identifying “hot spots” early on, and addressing the area (e.g. applying tape, changing socks, drying feet etc) may prevent blisters altogether.
11. CONDITION FEET Trim toe nails and file off calluses - leaving thick calluses will only give you deeper blisters and possibly blood blisters. Train in the shoe for the activity you are doing. Conditioning will help your skin build up resistance to the shear forces that cause blisters. This won’t guarantee you a blister-free experience but many hikers find it makes all the difference.
Happy Trails
Damon
BLISTERS ARE A MISSION CRITICAL FACTOR ON ANY TREK.
The importance of blister management cannot be understated: For experienced bushwalkers, blister management priority is up there with adequate hydration and competent navigation.
Blisters result from frictional forces (caused by repetitive rubbing) that cause separation of the skin cells at the layer responsible for the mechanical strength of skin. In the space that is created by the separation of the layers, fluid collects.
If you are not prepared, blisters can ruin your walking experience and end your walk. If you are serious about blister prevention, here’s how to avoid them:
1. BOOT QUALITY Buy the most comfortable boots you can find. Good boots can be expensive, so be prepared to fork out. Any experienced hiker will tell you that boots are not the right area of your recreational budget to economise. Also buy a good quality closed cell neoprene inner sole for cushioning/dampening of shear forces in the skin.
2. BOOT WEAR Ensure that your boots are properly worn in. Do not wear new boots on a long walk. Wetting your boots and doing hill repeats with a full pack is a good way to break-in new boots or walking shoes. Note that despite your best intentions, boots will not correctly break-in if you simply walk around on flat ground without a load. You will know your boots are ready when you can walk for a full day over uneven terrain without getting "hot spots" (pre-blister sensitivity) on your feet.
3. LACING The Dark Arts of Boot Lacing hold many opinions and theories. The best one for blister prevention is to lace your boots as tight as possible without causing foot pain. Blisters form easily if the boot causes too much friction (lacing too loose) or if the skin is too constricted (lacing too tight).
4. WEAR SOCK LINERS This is basically a double sock system, consisting of a thin polyester sock worn closest to the skin (causing low friction) and a thicker mid-weight woollen or polypropylene sock worn closest to the boot (causing high friction against the insole). Studies with Army recruits show that this is one of the most effective strategies for blister-prone feet. Recruits who had fewer blisters also had fewer other injuries.
5. SOCK QUALITY As with walking boots, don't skimp on quality: Expect to pay up to $40 for a good pair of socks. A good sock retains its shape when wet, moulds to your foot and does not wrinkle or bunch. Brands such as Icebreaker make high quality hiking socks and sock liners. Mid-weight wool blend hiking socks are generally best, even in hot weather, due to their moisture wicking ability and level thermal properties. In snow, a heavy-weight sock is more suitable. Toe socks are also good but can be difficult to put on when damp. Modern dual-layer "blister free" socks are also a good option.
6. SOCK SIZE If you are faced with a choice between a slightly smaller sock or slightly bigger one, buy the smaller size as this will reduce in-shoe movement and wrinkling.
7. WEAR GAITERS Sand (and even dried mud) in the boot or sock is a very quick way to increase abrasion and encourage blisters. You’ll be constantly tipping sand & debris out of your boots unless you wear gaiters or long pants. Knee high or ankle gaiters are both fine.
8. ANTI-CHAFE BALM Many walkers and track runners will not head outdoors without applying a high quality anti-chafe balm to their heels, toes & balls of feet. Balms work by decreasing friction and subsequent heat load. Brands such as Body Glide are highly regarded but may only be available in specialist running stores or online.
9. BLISTER STRAPPING It is perfectly possible to walk with strapped blisters, however walking with UN-strapped blisters is completely ruinous and can reduce the most hardened walker to tears. Blister strapping is an absolute must for your first aid kit. Running out of blister strapping has brought many walks to a premature and inglorious end. Carry at least 2x rolls of Fixomull stretch or Compeed patches (these have a very high coefficient of friction), available from any pharmacy. Strapping/taping blisters also helps prevent the blister from de-roofing and infecting. If the blister is full, you can relieve the fluid by pricking the top corners prior to taping.
10. HOT SPOTS Taping susceptible areas prior to a walk helps prevent blisters. Identifying “hot spots” early on, and addressing the area (e.g. applying tape, changing socks, drying feet etc) may prevent blisters altogether.
11. CONDITION FEET Trim toe nails and file off calluses - leaving thick calluses will only give you deeper blisters and possibly blood blisters. Train in the shoe for the activity you are doing. Conditioning will help your skin build up resistance to the shear forces that cause blisters. This won’t guarantee you a blister-free experience but many hikers find it makes all the difference.
Happy Trails
