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Old 09-17-2014   #11
GWS, Colorado
Join Date: Apr 2008
Posts: 133
Three words to deal with infections:
"Pressurized Warm Sterile Wash"
That equals four other words
"Pee on Your Feet"

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Old 09-17-2014   #12
Boulder, Colorado
Paddling Since: 1994
Join Date: Apr 2007
Posts: 52
Originally Posted by Shitouta View Post
Three words to deal with infections:
"Pressurized Warm Sterile Wash"
That equals four other words
"Pee on Your Feet"
They do things different in Durango. Including counting words.

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Old 09-17-2014   #13
eddy hopper's Avatar
DURANGO, Colorado
Paddling Since: 1977
Join Date: Sep 2007
Posts: 79
I've gotten the foot rot three times, It's painful for sure. Last trip I wore shoes and socks at camp washed my feet and fared pretty well. Will do the same this April plus some from tips on this thread.
"Eddies are our friends"
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Old 09-18-2014   #14
jakebrown98's Avatar
Portland, Oregon
Paddling Since: 2001
Join Date: Mar 2008
Posts: 165
My trip in fall 2007 one guy ended up with a serious infection that started in his feet. Poor guy got sunburned really bad on his feet in Marble Canyon. I guess there's something to be said for putting on the sunscreen before deciding to make it a ten beer morning...

Anyhow he got this weird heat rash, which he said was typical. He had to keep his feet in the water or they itched like mad. It was a big group and like most trips there's some folks you just don't talk to or pay much attention too... Sure I noticed that he would haul a bucket up and sit in his chair with his feet in it it every night, in November, but he didn't complain once that I heard. Tough son of a gun. He made it out without evac but I guess he was bed ridden and on serious antibiotics for a long time. Wish I had more details for you but I never heard from him again.
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Old 09-18-2014   #15
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Flagstaff, Arizona
Paddling Since: 1990
Join Date: Apr 2009
Posts: 520
Since the infection comes from the water (more often when it is silt laden), the soaking of the feet is probably a bad idea!
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Old 09-18-2014   #16
Montrose, Colorado
Join Date: Jun 2010
Posts: 128
We had a number of people on our July trip that got Tulio. We did not know what it was and bag balm was used heavily.
I did not have any problems, and it seemed my feet were always in the water. Only foot problems were when a little sum-bich fire ant bit me between the toes and the only remedy was to put feet in the water, drink beer and wait 4-6 hours.
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Old 09-18-2014   #17
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Eastern Slope, Colorado
Paddling Since: 1980
Join Date: Jun 2007
Posts: 2,404
Originally Posted by GC Guide View Post
Since the infection comes from the water (more often when it is silt laden), the soaking of the feet is probably a bad idea!
I use drinking water or treat river water with bleach. I bring an extra jug of water on my boat for this purpose so nobody can yell at me.
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Old 09-18-2014   #18
North Platte, Nebraska
Paddling Since: 1974
Join Date: Sep 2014
Posts: 6
Cold Urticaria

Google Cold Urticaria.
Rare, but prolonged exposure to cold water can be the cause, not the cure if you have this.
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Old 09-18-2014   #19
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Flagstaff, Arizona
Paddling Since: 1990
Join Date: Apr 2009
Posts: 520
Cold Urticaria is an interesting thing, but it is not Grand Canyon "Tolio". Tolio is an infection:

What about Tolio?
According to Dr. Tom Myers, "Tolio" is a condition that impacts river runners causing skin lesions typical of chilblains, also termed pernio or immersion foot. Dr. Myers notes cold and wetness cause this painful condition.
According to Myers, biopsies have shown Tolio is not a primary bacterial, fungal, or viral disease, although there can be secondary bacterial infections. The condition is not contagious person to person. The textbooks describe chilblains as itchy, burning, painful blisters of violet color taking up to three weeks to clear.
Interestingly, Myers notes some people are obviously more susceptible than others and repeat cases are common. Dr. Myers and Dr. Walt Taylor did a study of Tolio, and these doctors feel that the cold water temperatures and relatively long time frame of Grand Canyon river trips make the condition more common than on other rivers. The roles that sun, sand, minor dings, prolonged sitting and water quality factors all play a role in this condition.
What can one do to avoid or minimize this problem? Myers notes first and foremost, take good care of your feet! Try to avoid sunburn especially on the first trip each season.
Use a potent waterproof sunscreen frequently before getting red or sore. One could wear kayak boots or river socks or the like.
Wiggle your toes and move your feet a lot so they are not just stationary in the water on the floor of your boat.
Keep your feet clean and the skin well hydrated by using Super Salve, Bag Balm, Lubriderm, Vaseline Intensive Care Lotion or some similar goop in camp daily.
Do not soak your feet in the river. It may numb the pain, but it makes the condition worse.
Anti-inflammatory agents may help the pain.
Steroids may help the symptoms, but of course, have numerous problem side effects when taken orally.
Antibiotics help only if there’s a secondary bacterial infection.
Our Thanks to Dr. Tom Myers for letting us use this information!

Thanks to RRFW web page where I copied this from. Hope you don't mind Tom Martin!
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Old 09-18-2014   #20
cedar city, Utah
Join Date: Mar 2008
Posts: 1,929
Originally Posted by Montana Cat 65 View Post
I did a little research on this a couple of years ago after a friend had a bad case of Tolio. There's a lot of speculation and possible misinformation on the internet (who knew?). This link seemed to have the best-researched information: BQR - winter 1999-2000 - "Tolio" Revisited
Have they followed up in the intervening 15-ish years? It seems like people are experiencing several different issues in the Grand. If its this "folio" then its not a bacterial infection and should benefit from cortisone creams, etc. But it seems like some folks are benefiting from topical antibiotic that hints at an altogether different issue, unless the Grand just seems conducive to the secondary infections the pdf author mentioned.

I always thought what I experienced, which was worse than home but mild in my book, was athlete's foot. The pocking, redness and other symptoms happen on most rivers in the desert when my feet are consistently wet. It never lasted more than a week and has never been all of that painful for me. But I can't imagine having constant pain in my feet in the Grand, ouch.


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