Summer Foot Health: What Pharmacists Need to Know

Written by Rebecca Conway, BSc (Hons) Podiatrist
Source: Irish Pharmacy News, May 2026, pages 32 and 34.

Rebecca Conway, BSc (Hons) Podiatrist, shares expert insights on seasonal foot concerns, patient trends and the vital role of pharmacy teams.

As the summer months approach, community pharmacists can expect a noticeable shift in the types of foot-related concerns presenting at the counter. Warmer weather, increased activity levels, changes in footwear and more time spent outdoors all contribute to a rise in seasonal foot complaints.

For pharmacy teams, this presents both a challenge and an opportunity — to support patients early, offer practical advice and identify when referral is needed.
In this feature, Rebecca Conway, BSc (Hons) Podiatrist, shares her clinical perspective on the most common summer foot conditions, emerging trends in practice, and how pharmacists can play a key role in prevention and early intervention.

A Seasonal Surge in Foot Complaints

According to Rebecca, there is a clear and consistent pattern in the types of conditions presenting during the warmer months.
“From a clinical perspective, we see a recognisable increase in superficial fungal skin infections, verrucae, friction-related blistering, heel pain and recurrent corns or callus,” she explains. “Ingrown toenails are also very common at this time of year, particularly where there has been recent nail trauma or prolonged pressure.”

This seasonal surge is largely driven by behavioural changes. Patients are more active, footwear choices often change dramatically, and exposure to communal environments increases — all of which can impact foot health.

For pharmacists, being aware of these predictable patterns allows for more proactive engagement with patients, particularly those seeking over-the-counter treatments or advice.

Summer Habits and Their Impact on Foot Health

Many of the habits associated with summer — while enjoyable — can contribute significantly to foot problems.
Flat or unsupportive footwear is a major factor. Sandals and flip-flops, while convenient, often lack adequate support and can place strain on the heel and forefoot.

“Unsupportive sandals can contribute to heel pain and forefoot strain,” Rebecca notes. “At the same time, barefoot walking on hard or hot surfaces increases the risk of both skin damage and infection.”
Communal environments also play a role. Swimming pools, gyms and shared changing facilities are well-known sources of fungal infections and verrucae.
Increased activity levels during holidays can further compound these issues.

Many patients dramatically increase their walking distance, often in footwear that is new or unsuitable.
“We frequently see blistering and nail trauma in patients returning from holidays,” Rebecca explains. “It’s often a combination of increased activity and inappropriate footwear.”

These insights highlight the importance of preventative advice at pharmacy level — particularly ahead of travel or seasonal changes.

Changing Trends in Patient Presentations

Since her last feature, Rebecca has observed some notable shifts in the types of patients presenting with foot conditions.

One of the most significant trends is the increase in fungal nail infections among younger patients.
“Traditionally, we would expect to see fungal nail infections more commonly in older populations,” she says. “However, we are now seeing these infections in much younger patients.”
This change is largely linked to the growing popularity of cosmetic nail treatments.

“There is an increase in beauty treatments such as false and cosmetic nails, where sterile equipment is not always used,” she explains. “As a result, we are seeing younger patients contracting fungal nail infections, which are notoriously difficult to treat.”

This presents a significant clinical challenge. While oral treatments such as terbinafine are effective, they require monitoring and are generally reserved for more severe cases.

“These patients are often facing a long and frustrating journey to restore nail health,” Rebecca adds.

On a more positive note, advancements in treatment options are also emerging.
“There is increasing awareness of newer treatments for stubborn verrucae, such as microwave therapy,” she says. “While effective, these treatments can be costly and may not be accessible to all patients.”

The Role of Pharmacists in Early Intervention

Pharmacists are ideally positioned to support patients with early-stage foot conditions, often acting as the first point of contact.
“Pharmacists can effectively manage a range of common conditions in the early stages,” Rebecca explains. “These include superficial fungal infections such as tinea pedis, mild skin maceration between the toes, friction-related blistering and dry or fissured heels.”

Appropriate use of over-the-counter treatments can be highly effective when combined with correct advice.

“Antifungal creams, sprays and powders can work very well when selected correctly and used for the full recommended duration,” she says.

However, treatment alone is not enough. Education and preventative guidance are equally important.
“Pharmacists play a key role in reinforcing good foot hygiene, advising on suitable footwear and helping patients recognise when further assessment may be needed.”

This combination of treatment and education is essential in preventing minor conditions from progressing.

Recognising Red Flags

While many foot conditions can be managed in the pharmacy setting, it is crucial that pharmacy teams can identify when referral is required.

Rebecca highlights several key red flags:
• Persistent or worsening pain
• Signs of infection (redness, swelling, heat or discharge)
• Delayed healing
• Any wound or break in the skin
• Changes in the colour, size or shape of lesions

Patients with underlying conditions require particular attention.
“Individuals with diabetes, vascular disease or reduced sensation should be referred promptly for any foot concern,” she advises. “Even minor issues can escalate quickly in these groups.”

Other conditions that warrant referral include:
• Recurrent ingrown toenails
• Persistent verrucae
• Fungal infections that do not respond to treatment

Early referral is critical in preventing complications and ensuring appropriate management.

Common Misconceptions Around Foot Health

Despite increased awareness, several misconceptions around foot conditions persist.
One of the most common relates to fungal nail infections.

“Often, patients believe that topical treatments alone will cure a fungal nail infection,” Rebecca explains. “In reality, this is rarely sufficient.”
She emphasises the importance of lifestyle factors in management.
“We need to encourage patients to allow air circulation, change socks regularly and address hygiene habits,” she says. “If they are struggling, they should be referred to a podiatrist rather than continuing to spend money on ineffective treatments.”

Corns are another area where misunderstanding is common.

“Many patients believe that once a corn is removed, it will not return,” she notes. “However, corns develop due to pressure — if that pressure remains, the corn will recur.”
This highlights the importance of addressing underlying causes, such as footwear or foot structure.

Breaking Down Barriers to Care

Embarrassment remains a significant barrier to patients seeking help for foot-related issues.
“Conditions such as fungal nail infections, foot odour or visible skin changes can be a source of self-consciousness,” Rebecca explains. “As a result, patients may delay seeking advice.”

Pharmacy teams can play a crucial role in overcoming this barrier.

“Creating a supportive and approachable environment is key,” she says. “Clear communication, reassurance and a non-judgemental approach can make a huge difference.”
Strong collaboration between pharmacy and podiatry services also supports better outcomes.
“Pharmacists are often the first point of contact,” Rebecca adds. “By providing consistent advice and appropriate signposting, they can facilitate early intervention and continuity of care.”
Practical Prevention Advice for Summer
Prevention remains the most effective strategy for managing seasonal foot issues.

Rebecca outlines several key messages pharmacists can share with patients:
• Wear supportive, well-fitting footwear
• Avoid prolonged barefoot walking on hard surfaces
• Use flip-flops or pool shoes in communal areas
• Maintain good daily foot hygiene
• Dry thoroughly between the toes
• Rotate footwear to allow drying
• Use antifungal powders or sprays where appropriate

For patients planning travel, preparation is essential.
“We often see patients heading on walking holidays without proper preparation,” she says. “Simple advice can make a big difference.”

Key recommendations include:
• Breaking in new footwear before travel
• Wearing appropriate socks
• Using products such as petroleum jelly to reduce friction
• Packing blister prevention products and basic footcare items

Addressing existing concerns before travel is also important.

High-Risk Patient Groups

Certain patient groups require additional attention and early intervention.
“People with diabetes, poor circulation or reduced sensation are at significantly higher risk,” Rebecca explains. “Even minor issues can develop into serious complications if left untreated.”
Older patients may also face challenges due to reduced mobility or difficulty maintaining footcare.

For these groups, early assessment and ongoing monitoring are essential.

A Simple but Powerful Message

When asked for one key message to share with patients this summer, Rebecca is clear:
“Prevention is always preferable to treatment.”

She emphasises the importance of early action.

“If patients are concerned about their feet, they should seek advice early — whether in the pharmacy or through a podiatrist.

Early intervention can prevent minor issues from becoming more serious problems.”

Supporting Better Foot Health Through Pharmacy

As community pharmacies continue to expand their role in primary care, their contribution to foot health should not be underestimated.

From providing early advice and treatment to identifying red flags and supporting referrals, pharmacy teams are central to improving patient outcomes.

By combining clinical knowledge with accessible care, pharmacists can help ensure that patients stay active, comfortable and healthy throughout the summer months — and beyond.