Explanation of Diagnosis

Athlete’s foot is a fungal skin infection that affects the feet, especially between the toes. It thrives in warm, moist environments such as sweaty socks, locker rooms, and damp shoes. Symptoms include itching, burning, peeling, redness, and cracked skin. In severe cases, blisters or secondary bacterial infections may develop.

Specific Work Modifications

• Wear breathable, moisture-wicking socks to keep feet dry.
• Choose ventilated shoes and avoid wearing the same pair two days in a row.
• Avoid walking barefoot in communal areas (e.g., locker rooms, public showers).
• Use antifungal foot powder inside shoes if working in hot environments.

Specific Activity Modifications

• Avoid tight-fitting, non-breathable footwear during sports or workouts.
• Wear sandals in public showers, pools, or locker rooms to prevent fungal spread.
• Change socks immediately after exercise to keep feet dry.
• Use antifungal sprays or powders in shoes after activities.

Recommended Supplements

• Probiotics (10-20 billion CFU daily) – Supports immune function to fight fungal infections.
• Vitamin C (500 mg daily) – Boosts skin healing and immune response.
• Zinc (30 mg daily) – Supports skin repair and reduces fungal growth.
• Garlic extract (600 mg daily) – Contains antifungal properties.
• Omega-3 fatty acids (1000 mg daily) – Helps reduce skin inflammation.

Recommended Nutrition and Hydration

Diet Recommendations:

• Antifungal foods: Garlic, coconut oil, apple cider vinegar, and oregano.
• Immune-boosting foods: Citrus fruits, leafy greens, yogurt (probiotics).
• Limit sugar and refined carbohydrates, as fungi thrive on excess sugar.

Hydration Tips:

• Drink at least 2–3 liters of water daily to support skin health.
• Limit sugary drinks and alcohol, which can weaken the immune system.

Home Treatment & Prevention

Perform daily foot care to clear the infection and prevent recurrence:

1. Wash and Dry Feet Thoroughly

1. • Use antifungal soap and completely dry between the toes after washing.

2. Apply Antifungal Cream or Powder

1. • Use clotrimazole 1% or terbinafine 1% cream twice daily for 2-4 weeks.
   • For severe cases, an oral antifungal (fluconazole or terbinafine) may be needed.

3. Wear Clean, Breathable Socks

1. • Change socks at least once daily (more if sweating).
   • Opt for moisture-wicking materials like merino wool or synthetic blends.

4. Disinfect Shoes & Avoid Contamination

1. • Use antifungal spray or powder inside shoes.
   • Rotate shoes daily to allow them to air out.

5. Soak Feet in an Antifungal Solution (Optional)

1. • Mix 1 part vinegar to 3 parts water and soak feet for 10 minutes daily.

Helpful Books

1. "The Athlete’s Foot Handbook: A Simple Guide to Prevention & Treatment" – James Harper
2. "The Fungal Pharmacy: The Complete Guide to Medicinal Mushrooms & Lichens" – Robert Rogers

Contact the Key West orthopedic clinic or reach out to Dr. Jason Pirozzolo.