Intense Itching on the Feet: What to Know

Peeling or cracking between the toes can occur with a fungal infection, while dry scaling on the soles may have several causes. Sweat, enclosed shoes, detergents, and friction can irritate the skin. Eczema may cause itchy, inflamed patches or small blisters; psoriasis can produce thicker scale. A yeast infection may affect moist areas, and scabies can involve the feet along with other typical sites. One itchy foot is not automatically an infection, and a diagnosis cannot be made from itching alone.

Record whether the itch is between toes, on the sole, around the nails, or across the top of the foot. Note odour, blisters, cracks, swelling, and whether anyone close to you has a similar problem.

Wash gently and dry carefully between the toes. Change socks after sweating, alternate shoes so they can dry, and choose footwear that does not rub. Use a fragrance-free moisturiser on dry skin, but avoid putting heavy cream between damp toes. Do not pick at blisters or share socks, towels, or shoes. If a clinician or pharmacist recommends an antifungal, use it as directed and keep the area dry.

Arrange a review when itching lasts, returns often, affects the nails, or causes cracks that do not heal. Seek prompt help for spreading redness, warmth, pus, fever, marked swelling, severe pain, or darkening skin. People with diabetes, reduced circulation, or reduced sensation should have foot cracks and new rashes assessed early.

Does the location suggest fungus, eczema, irritation, or psoriasis? Should the nails or spaces between my toes be tested? Which moisturiser is suitable, and where should it not be applied? How can I prevent recurrence?