Field notes on skin under environmental load Edition of 1 August 2026
Surf Skin Lab
Barrier physiology
for cold, wet and wind
Friction and mechanics

Seams, collars and pressure points: finding the one that is doing it

Most recurring skin trouble in outdoor sport comes from one specific contact. Locating it is a diagnostic exercise you can actually do, unlike most of them.

FrictionKit9 min
The short answer

Recurring marks, rashes and raw patches almost always trace back to one contact, and the outline of the mark tells you which. A strip means a seam. A ring means a seal or a strap. A patch at a fold means a panel. A line at a collar means head movement. Once located, the control is chosen by mechanism: reduce the load, reduce the sliding, smooth the interface or protect the skin. Working out which contact is responsible is the one part of this subject where you have better information than any clinician, because you were there.

The outline tells you the cause

The single most useful observation about a recurring mark is its shape, because the shape records the geometry of the contact that made it.

A narrow strip a centimetre or two wide, straight or gently curved, is a seam. A ring or a band around a limb is a seal, a cuff or a strap. A diffuse patch at a crease is a panel folding. A line along the base of the neck is a collar with head movement above it. A pair of symmetrical marks is something worn on both sides, which is usually a harness, a rucksack or a hood.

People spend months treating the skin and never look at the shape. The shape is the information.

The usual offenders

The collar. The neck is the joint that moves most while you are wearing a suit, and the collar is thick, stiff and tight by design. The mark is usually at the front or the sides, and it is worse when you have been looking up for two hours, which describes a lot of water sport.

The hood. Worse than the collar because it is the least ventilated item, sits over the ears, temples and forehead, and is often the last thing rinsed and dried. Marks behind the ears and along the hairline are extremely common and are almost always mechanical rather than anything else.

Wrist and ankle seals. A ring, by definition. These are also the sites most frequently washed, so a mechanical problem sits on top of a chemical one.

Underarm panels. A fold that opens and closes several thousand times a session, in the wettest and warmest part of the suit.

Chest zips and sternum seams. A vertical line down the sternum, aggravated by lying prone, which is why paddling sports produce it and swimming does not.

Boots and bootie tops. A ring at the ankle, plus whatever the boot does to the heel, which is a different friction problem with the same physics.

How to isolate it

This is one of the few genuinely testable things in the whole subject.

Note the shape and the exact location, and photograph it if you can bear to, because the memory of a mark is unreliable and the photograph is not.

Then change one thing. Not three. One. A different collar arrangement, a thin smooth layer under the strap, a boot with the top folded differently, a hood one size different, the harness adjusted, the rucksack loaded differently.

Give it three sessions. If the mark is gone, you have found it. If it is unchanged, put that variable back and change the next one.

This is slow and it is the only method that works, and it beats a year of trying products, because a product cannot address a contact.

Reading the shape of a mark
ShapeAlmost alwaysFirst thing to change
A narrow stripA seam over a moving jointFit at that joint, or a smooth interposed layer
A ring around a limbA seal, cuff or strapTension, and whether it is rinsed
A diffuse patch at a creaseA panel foldingFit, and the length of the session
A line at the base of the neckA collar with head movement above itCollar arrangement and a smooth interface
Symmetrical marksSomething worn on both sides: hood, harness, packLoad and adjustment on both sides
Marks behind the ears and at the hairlineA hood, unrinsedRinse the hood and the scalp, then fit

Ordering framework written by this publication from general skin physiology. It is not a measurement, it is not taken from any study, and no number in it is a reading.

Why fit beats material

People assume the answer to a kit related skin problem is a better material. Usually it is a better fit.

Sliding distance is the variable that most directly determines how much of your outer layer is removed, and sliding distance is set by whether the garment moves with your body or independently of it. A garment that is slightly loose at a joint moves independently, and every movement of that joint becomes a sliding contact.

This is also why kit that fits well when you buy it can start causing marks a year later. Neoprene and elastic lose their recovery, garments stretch, and a suit that has gone slightly baggy at the shoulders is now sliding where it used to move with you.

When to interpose something

Interposing a smooth layer between kit and skin reduces the friction coefficient at that contact, which is a legitimate control and a good one where the load is modest.

The general principles are that it needs to stay put for the whole session, needs to be smooth on the skin side, and needs to not itself become a source of pressure or a trap for sand. A thin smooth layer that stays in place beats a thick soft one that rucks up.

We are describing a function rather than naming anything, because we do not name products. The function is: a low friction interface, held in position, that does not add bulk to a contact that is already loaded.

When a mark stops being mechanical

Marks that follow contact geometry, appear after long sessions and settle over a week are mechanical.

Marks that spread beyond the contact outline, that itch severely, that blister, that weep or crust, that recur in the same place with no contact, or that appear with short exposures are not obviously mechanical, and we are not equipped to say what they are. That is a pharmacist or a GP, and if you suspect a reaction to a material, a finish or a cleaning product, say so, because that changes what happens next.

Common questions

How do I work out which piece of kit is causing a mark?

Read the outline first, because it records the geometry: a strip means a seam, a ring means a seal or strap, a patch at a crease means a panel. Then change one variable at a time and give it three sessions. Changing three things at once is why most people never find out.

Is a better material the answer?

Usually fit is the answer. Sliding distance is what determines how much of the outer layer is removed, and sliding distance is set by whether the garment moves with your body or independently of it. A slightly loose garment at a joint slides at every movement, regardless of what it is made of.

Why has kit that was fine for a year started marking me?

Materials lose their recovery. Neoprene and elastic stretch, and a suit that has gone slightly baggy at the shoulders now slides where it previously moved with you. The kit changed even though nothing about it looks different.

Should I put something under the strap or on the skin?

Either can work, because both reduce the friction coefficient at the contact. What matters is that it stays in position for the whole session, is smooth on the skin side and does not add bulk to a contact that is already carrying a lot of load.

My mark itches badly and spreads beyond the seam. Is that still chafe?

That pattern does not follow the contact geometry, so we would not describe it as chafe, and we are not going to tell you what it is. Take it to a pharmacist or a GP, and mention the specific garment, the material and how you clean it, because contact reactions are recognised and that information changes what happens next.

Institutional sources

Links to public institutions and published guidance. They are cited because they are public and checkable, not because they endorse anything written here. External links are nofollow.

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