Is pitted keratolysis safe in athletes?

Pitted keratolysis is a superficial bacterial condition that affects the pressure-bearing skin of the soles. Small depressions, a strong odour, and soggy or pale skin may become more noticeable after training. Sweat, occlusive footwear, and long periods in damp socks create conditions that help the bacteria persist.

The condition does not automatically mean an athlete must stop all activity. However, painful cracks, raw skin, or extensive irritation can make running and court sports uncomfortable and may allow further skin damage. A clinician can distinguish it from athlete’s foot, eczema, warts, or other causes of pits and odour.

Arrange an assessment and use the recommended antibacterial treatment as directed. Wash the feet, dry carefully between the toes, change damp socks promptly, and alternate breathable shoes so they can dry fully. Avoid sharing towels, socks, or footwear. During sport, choose moisture-wicking socks and inspect the soles for cracks or tenderness after practice.

Seek medical advice if the soles become painful, deeply cracked, swollen, warm, or draining, or if redness spreads beyond the affected area. Prompt review is also sensible when symptoms persist despite treatment, keep returning, or interfere with walking. Urgent care is needed for fever, rapidly worsening pain, or feeling acutely unwell.

Ask whether the pits and odour fit pitted keratolysis, which treatment is suitable, and when you can return to intense training. Discuss foot hygiene, shoe drying, sweat control, and what signs would suggest a different infection.