Really itchy feet at night: possible causes and next steps

Itch between the toes with peeling, scaling or a burning feeling can occur with Athlete's Foot. Tiny very itchy blisters on the soles or sides may occur with Dyshidrotic Eczema. A rash matching the contact area of shoes, socks, detergent or foot products can occur with Contact Dermatitis. Heat under bedding can make any irritated skin feel worse at night. Looking for scale, blisters, redness, cracks and distribution is more useful than the timing alone.

Keep feet cool, wash gently and dry carefully, especially between the toes. Wear breathable footwear and clean, dry socks; avoid sharing towels or shoes while a fungal infection is possible. Use a plain moisturiser on dry areas but avoid coating moist toe spaces. A pharmacist or clinician may recommend Topical Antifungal Treatment when the pattern fits Athlete's Foot. Avoid scratching, because broken skin can become infected.

Arrange an appointment if nighttime itch persists, spreads, returns frequently or does not improve with appropriate care. Seek prompt help for rapidly spreading redness, warmth, swelling, pus, severe pain, fever, open sores or trouble walking. Get advice early if you have diabetes, reduced sensation or poor circulation, because foot skin injuries may need specialised care.

Does the rash fit Itchy Feet caused by Athlete's Foot, Contact Dermatitis or Dyshidrotic Eczema? Should I use Topical Antifungal Treatment? Which products, footwear or laundry items should I pause, and how should I protect scratched skin?