Hydrocolloid Dressing at a glance
- What it is
- Adhesive pad with a gel-forming layer
- Best used on
- A formed or torn blister
- Wear time
- Several days
- Until it lifts by itself
- Common makers
- Compeed, Band-Aid
How does a hydrocolloid dressing work on a blister?
The pad's inner layer contains gel-forming particles. As it takes up fluid from the blister, that layer swells into a soft gel, which is why the pad turns white or puffy over the spot after a day or so. The bump is a sign it's working.
The outer film keeps water and grit out, and the gel cushions the spot so a boot presses on padding rather than raw skin. Compeed and Band-Aid's blister bandages are both hydrocolloid pads.
When should a hiker use one?
Use one once a blister has formed, and especially once it has torn open. That is broken skin, and the American Academy of Dermatology's advice is to keep it clean and covered. Before that stage, at the hot spot, tape or moleskin is the better choice, because they take friction off skin that is still intact.
Clean and dry the skin first, warm the pad in your hands for a few seconds so it molds to the curve of a heel, and press the edges down.
How long do you leave it on?
Leave it until it starts to come off on its own, which makers put at several days. Pulling one off early to check underneath can tear the roof off the blister, which is the skin protecting it. If the edges start to roll in a sock, trim them or cover them with a strip of tape rather than replacing the pad.
What this means when you're choosing
- Mixed sizes, since heels, toes and the ball of the foot need different shapes
- Thin, tapered edges that won't catch on a sock
- Individually sealed pads, so the rest stay clean in a kit
- Enough of them: one blister can use two or three pads on a long trip
Hydrocolloid Dressing vs Moleskin
| Hydrocolloid Dressing | Moleskin | |
|---|---|---|
| Best moment | A blister that has formed or torn open | A hot spot, or padding around an intact blister |
| Where it goes | Directly over the blister | Over a hot spot, or cut into a ring around a blister |
| What it does | Seals, absorbs fluid and cushions | Pads and takes friction off the skin |
| Staying power | Designed to stay on for days | Can lift at the edges in a wet boot |
Which to pick: Moleskin is for the stage before the skin breaks; a hydrocolloid dressing is for after. Most blister-prone hikers carry both.
The common mistake
Peeling it off to look
The white bubble under the pad looks alarming, and the urge is to pull it off and check. Doing that can take the blister's roof with it and leave raw skin in a boot. Leave it alone until it lifts by itself.
Common questions
Can you put a hydrocolloid pad on an unpopped blister?
Yes. It cushions and protects an intact blister as well as a torn one. The thing to avoid is peeling it off early, which can tear the blister open.
Why did my blister pad turn white?
The gel layer has absorbed fluid from the blister and swollen. That's the dressing doing its job.
Where this is defined
- How to prevent and treat blisters, American Academy of Dermatology