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Painful Hand and Feet P
from O’xtrah

Hi.  My name is O'xtrah.  I'm 21 and i have had psoriasis since i was about 12. When I was in New Jersey, my derm gave me an ointment that would soothe it for a while. In 2 or 3 months it was back in full force. It's been 5 or 6 years since I have had any relief. I used to only have it on my ankles. Now I have it there, on, under and, between my toes, on my knees, elbows, all over my palms, on and under my fingers. I have cracked skin on and between my toes and fingers. It hurts so bad! 

Please, if you have any advice, please please please share with me!

*****

Ed’s Response:  Sorry to hear you’re having so much trouble with hand and feet P.  First, regarding the cracks.  Ask your Dr. about a prescription for an antibiotic.  Though the cracks are painful, things could get worse if the cracks become infected. 

If simple application of your topicals isn't keeping up with your flaming P, ask your doctor about using overnight occlusion on you hands and feet.  This means applying your topicals on your hands and feet before you go to bed, then wearing food handlers gloves and small plastic garbage bags on your feet.  You need to use tape to secure the gloves tightly to your wrists and the bags tightly to your ankles. 

Occluding your topical medicine over night increases its effectiveness.  If you don't see significant improvement after two or three nights using occlusion, you should ask your Dr. for stronger topical medicines — or some other approach: perhaps biologics or an oral systemic like methotrexate or cyclosporine.

And one more trick that’s worked for me.  I learned this from the National Psoriasis Foundation’s “It Works for Me” column:  Close cracks that aren’t showing signs of infection with super glue!  This both thwarts the pain AND seals the skin for awhile.  As healing progresses, the glue is pushed up and out of the crack.

Hope this helps!  -Ed

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