photo of a smelly foot with text

As a board-certified podiatrist and foot and ankle surgeon, I’ve treated every podiatric issue you can imagine, from fractures to bunions; However, one complaint that brings patients to Elevate Foot and Ankle is surprisingly common: stinky feet.


Look, I know this can be an embarrassing issue, but there’s no reason to be concerned. It’s something that almost everyone deals with from time to time. While this problem can be embarrassing, it may just be a passing concern.


On the other hand, it can also signal underlying issues that need attention. Through our 100% telemedicine practice in North and South Carolina, we’ve helped patients tackle foot odor with targeted solutions, and as a podiatrist serving North and South Carolina, I want to pass along some info to help you out.


A Patient Success Story: How to Treat Foot Odor


Before we get into the specifics about foot odor, let me share the story of a patient I’ll call *Mark, whose experience with foot odor can help me explain why feet can develop unpleasant smells and how these issues can be corrected.


“My Wife Won’t Let Me Bring My Shoes in the House”


Mark, a 35-year-old warehouse manager from Charlotte, North Carolina, booked a virtual consultation with us. He stated that his feet smelled so bad that his wife was making him leave his shoes outside.
Although he was half-joking, his experience is common. Foot odor can affect others, and it can affect your self-confidence and quality of life.


The odor was also affecting his confidence at work, where he was on his feet all day. He had tried every spray and powder at the drugstore with no luck. As a busy dad, he also couldn’t carve out time for an in-person visit with a local podiatrist serving Charlotte, which is why our telemedicine model was a perfect fit for him.


What Causes Foot Odor?


Foot odor, or bromodosis, isn’t just about hygiene, although hygiene concerns can certainly factor into the development of foot odor. Instead, it’s often driven by specific conditions surrounding the foot throughout the day.


Bromodosis


For Mark, two issues were at play: The first was bromodosis itself, caused by bacteria thriving in the warm, moist environment of sweaty feet inside socks and shoes. These bacteria break down sweat and skin cells, producing that telltale smell.


Hyperhidrosis


The second was hyperhidrosis, or excessive sweating of the feet. This added component made Mark’s shoes a breeding ground for odor-causing bacteria.


Hyperhidrosis isn’t just sweaty feet that come from activity. It’s a medical condition that can amplify bromodosis and lead to discomfort or even infections if left unchecked.


How Elevate Foot and Ankle Solved the Problem Through Virtual Foot Care


During our video call, I asked Mark to describe his daily routine and show me his feet using his phone’s camera. Even virtually, I could generally assess the moisture level and look for signs of irritation.


I also asked about his socks, shoes, and washing habits to pinpoint triggers. This wasn’t a quick chat. Our visit was a detailed evaluation, just like I’d do in a clinic. The only difference is that we were using telemedicine instead to dig into the root causes of his bromodosis and hyperhidrosis.


Antimicrobial Socks


Instead of recommending generic deodorant sprays, I created a targeted plan for Mark. The first treatment was antimicrobial socks, made with materials like silver or copper-infused fibers that kill odor-causing bacteria and wick away moisture.


Topical Antiperspirant


I advised him on specific brands we trust, which he ordered online. The second was a topical antiperspirant, a prescription-strength product applied to the feet to reduce sweat production. Unlike over-the-counter versions, this was tailored for hyperhidrosis, helping keep his feet drier and less hospitable to bacteria.


Monitoring and Follow-Up


Telemedicine made this plan seamless. Over the course of weeks, we had follow-up video calls to monitor Mark’s progress. When he questioned how to apply the antiperspirant correctly, I showed him the best technique via video.


When his new socks arrived, I advised him on rotating them and washing his shoes to maximize results. By our second follow-up, Mark laughed and remarked that his wife let his shoes back in the house. The antimicrobial socks had slashed the bacterial buildup, and the antiperspirant was keeping his hyperhidrosis in check, dramatically reducing odor.


It’s Not Just Sweat


Mark’s story highlights why feet stink. It’s not always just sweat, but conditions like bromodosis and hyperhidrosis working together. At Elevate Foot and Ankle, we don’t slap a Band-Aid on the problem. We offer personalized care based on the specifics of your healthcare needs.


Through telemedicine, we diagnose the underlying issues and deliver personalized solutions that actually work, all from your home in North or South Carolina. If foot odor has you concerned about bad odors or more serious health concerns, don’t settle for temporary fixes. Book a virtual visit, and let’s get your feet fresh and comfortable again.


Ready to kick foot odor to the curb and take your foot care to the next level? Expert podiatric care is just a click away! Schedule your telemedicine visit today anywhere in North and South Carolina! 

 


*Patient names and details have been altered. This patient and treatment case study represent an amalgamation of common patient complaints, treatments, and results.

Dr. Thurmond Lanier

Dr. Thurmond Lanier

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