Toe jam, the gunk and debris between your toes, even made it into a Beatles song.
He wear no shoeshine, he got toe-jam football
He got monkey finger, he shoot Coca-Cola
He say, ”I know you, you know me”
One thing I can tell you is you got to be free.
Toe jam isn’t a medical term. There is no formal medical term to describe the dead skin cells, sweat, sock lint and dirt that combine in the small and often cramped spaces between our toes.
Toe jam can have the consistency of soft cheese or cake crumbs. It can smell or be odorless. And its color can range from white to gray-brown.
Poor foot hygiene will certainly make it more likely you’ll develop toe jam. That’s because sweaty debris accumulates in between the toes if you don’t pay attention to cleaning these areas in the shower or bath.
Is toe jam like athlete’s foot?
The collection of sweat and dead skin between toes provides bacteria living naturally on our skin the chance to thrive.
So while toe jam isn’t the same as tinea, it might provide the perfect conditions for the fungus to grow.
How serious is toe jam?
Generally, toe jam is a minor health problem. You can manage it with good foot hygiene. And if you develop tinea, you can use a short course of an anti-fungal treatment you can buy from a pharmacy (see below).
It is quite a different prospect, however, for a person living with a chronic disease such as diabetes, someone who has poor vision (so can’t see toe jam or its complications developing) or who may be unable to reach their feet due to limited mobility.
Diabetes not well controlled with diet and exercise, or drugs, increases the risk of a person having reduced blood flow (peripheral arterial disease) and reduced feeling in their feet (sensory neuropathy).
- infection spreading to the foot and leg (cellulitis)
- infection of the bone (osteomyelitis)
- gangrene (dead tissue caused by lack of blood flow)
- amputation of a toe, part of the foot or leg.
So early identification of tinea in a vulnerable person is especially important to prevent complications.
4 ways to avoid problems
Here are four tips to avoid problems with toe jam, including developing tinea and its complications:
- Wash the spaces between your toes and dry them carefully after a shower or bath, and after swimming. Gyms and swimming pools are a common place to pick up a fungal infection on your feet so it’s a good idea to wear thongs to reduce the risk of tinea.
- If possible, avoid wearing footwear that doesn’t allow sweat to evaporate (such as closed-in shoes made of synthetic material and gum boots). Going barefoot, when there is no risk of injury, will also allow sweat to evaporate.
- Treat sweaty feet by using an antiperspirant containing aluminium chloride. More severe cases of hyperhidrosis may be managed using drugs, such as Botox injections to the feet. Fungal infections (tinea) should be treated using over-the-counter antifungal creams such a terbinafine or clotrimazole. Resistant infections might require a course of prescribed antifungal medicines.
- Pay attention to signs indicating an infection is spreading from the foot. These could be pain and swelling in the toes, or red streaks along the foot and up the leg. This requires an urgent visit to a podiatrist or doctor.
Lennon mentions a “walrus gumboot” in the third verse of “Come Together.” The final line of the second verse says “you got to be free.” The cover of the Beatles album “Abbey Road” shows Paul McCartney walking barefoot (second from the left).
Maybe the Beatles did know a thing or two about toe jam and foot health.
Caroline Robinson is an associate professor of podiatry at Charles Sturt University in Australia. Luke Donnan is a lecturer in podiatry at Charles Sturt University. Robinson and Donnan are affiliated with the Australasian Council of Podiatry Deans and the Australian Podiatry Association. Charles Sturt University provides funding as a member of The Conversation.