Wrestling with Skin Infections

Wrestling is a sport that demands physical contact, discipline and resilience. However, its intense nature and close contact can create an environment conducive to the spread of certain health issues, particularly skin infections like ringworm, impetigo, herpes simplex and methicillin-resistant Staphylococcus aureus (MRSA). These infections are not only uncomfortable but can also sideline athletes, and even entire teams, if left untreated. Awareness, prevention and timely treatment are crucial in wrestling with such skin infections.  

Ringworm  

Ringworm is a common fungal infection characterized by a red, circular rash with a clear center. Despite its name, it is not caused by a worm. “Wrestlers are particularly vulnerable to this infection due to prolonged skin-to-skin contact and shared equipment,” says Daniel Cohen, MD, a sports medicine orthopedic doctor with St. Luke’s Orthopedic Care. “The fungus thrives in warm, moist environments, making sweaty mats and gear ideal breeding grounds.”  

Prevention includes practicing good hygiene, washing mats and uniforms regularly and avoiding contact with infected individuals or surfaces, says Dr. Cohen. If contracted, ringworm is typically treated with topical antifungal creams, though severe cases may require oral medication.  

Impetigo

Impetigo is a bacterial infection caused by Staphylococcus or Streptococcus bacteria. It manifests as red sores that can rupture, ooze and form a yellowish crust. The infection spreads easily through direct contact or contaminated surfaces, making wrestlers highly susceptible.  

Proper hygiene, including regular handwashing and cleaning of wrestling mats and equipment, can prevent the spread of impetigo. Early treatment with antibiotics, either topical or oral, can quickly resolve the infection and reduce the risk of complications or transmission to teammates. 

Herpes Simplex Virus

Herpes simplex virus, often referred to as "herpes gladiatorum" in wrestlers, is another common concern. This viral infection causes clusters of painful blisters or sores, often appearing on the face, neck, or torso. It spreads through skin contact and can remain dormant in the body, leading to periodic outbreaks.  

To minimize the risk, wrestlers should avoid competing if active lesions are present, practice meticulous hygiene, and inform coaches and medical staff of any symptoms. Antiviral medications can help manage outbreaks and reduce transmission risks.  

Methicillin-Resistant Staphylococcus Aureus (MRSA) 

MRSA is a serious bacterial infection resistant to many antibiotics. It often starts as a painful red bump or boil that may become swollen, warm and filled with pus. Left untreated, MRSA can lead to severe complications, including bloodstream infections.  

“Preventing MRSA requires rigorous hygiene practices,” says Dr. Cohen, “such as showering immediately after matches, washing gear thoroughly and disinfecting mats. Wrestlers should avoid sharing personal items like towels and razors. Early medical intervention is essential, and treatment may involve draining the infection and using specific antibiotics effective against MRSA.”

Coaches, athletes, and parents must prioritize education on these health risks, adds Dr. Cohen. “Regular skin checks, promoting cleanliness and encouraging open communication about symptoms are vital steps in preventing outbreaks. Wrestling facilities should maintain strict sanitation standards for mats and equipment.”  

By taking proactive measures, wrestlers can stay healthy, avoid unnecessary downtime and continue to excel in their sport. Addressing these health issues head-on ensures a safer and more enjoyable experience.