When psoriasis appears on the hands and feet, it can be particularly uncomfortable and difficult to manage. In this article, we'll explore the symptoms and diagnosis of psoriasis on hands and feet, as well as treatment options that can help relieve the discomfort and improve your quality of life.

Symptoms of Psoriasis on Hands and Feet

Psoriasis on hands and feet is often referred to as palmoplantar psoriasis. Those whose psoriasis is hereditary are more likely to suffer from palmoplantar psoriasis. Smokers are also more likely to develop it too. The symptoms of the condition include itchy, dry skin and red palms & soles. It can also manifest itself in blisters, swelling, or cracking. Symptoms can affect the palms of the hands, soles of the feet, and between the fingers and toes. This can be a sensitive place to have psoriasis, especially as our hands are so visible in day-to-day life. Cases can range from mild to severe, with some sufferers finding everyday tasks difficult. Psoriasis can also affect the sufferer’s nails. This can present itself as a change in colour/shape, dents, chips, and splits.

Symptoms of psoriasis on hands and feet include:

Redness
Scaly Patches
Burning Sensations
Itching
Pain
Cracking/Bleeding- in more severe cases

If you are experiencing any of these symptoms, it's important to see a doctor or dermatologist for a proper diagnosis and treatment plan.

Diagnosis of Psoriasis on Hands and Feet

To diagnose psoriasis on hands and feet, a dermatologist will typically perform a physical exam and review your medical history. They may also take a small sample of skin (biopsy) to examine under a microscope. This can help confirm the diagnosis and rule out other skin conditions. In some cases, blood tests may also be ordered to check for underlying health conditions that may be contributing to psoriasis. Once a diagnosis is made, your doctor will work with you to develop a personalised treatment plan to manage your symptoms and improve your quality of life.

Treatment Options for Psoriasis on Hands and Feet

There are several treatment options available for psoriasis on hands and feet, including topical creams and ointments, light therapy, and oral medications. Your doctor will work with you to determine the best course of treatment based on the severity of your symptoms and your overall health. It’s important to follow your treatment plan as directed and to communicate any changes or concerns with your doctor to ensure the best possible outcome.

Lifestyle Changes to Manage Psoriasis on Hands and Feet

In addition to medical treatment, there are lifestyle changes that can help manage psoriasis on the hands and feet. Keeping the affected areas moisturised with a gentle, fragrance-free lotion can help reduce itching and discomfort. Wearing comfortable, breathable shoes and avoiding tight-fitting socks can also help prevent irritation. Stress can also trigger psoriasis flare-ups, so finding ways to manage stress, such as through exercise or meditation, may also be beneficial.

Other Ways to Treat Psoriasis on Hands + Feet

- Take a daily anti-histamine- One common treatment for psoriasis is the use of anti-histamines. These medications work by blocking the action of histamines in the body, which are chemicals that can cause inflammation and itching. While antihistamines are not typically the first line of defense for psoriasis, they can be helpful in reducing some of the symptoms of the condition. In particular, antihistamines may be prescribed for psoriasis on the hands and feet, which can be especially difficult to treat.

- Avoid/prepare for harsh weather. Wear gloves during the winter as the cold weather can worsen psoriasis on the hands. Make sure you only wash them in non-bio detergent, nothing too harsh.

- Clean with gloves on- cleaning products can be irritating. Invest in a good pair of protective gloves specifically designed for sensitive skin. Opt for hypoallergenic gloves made from materials such as vinyl, nitrile, or neoprene, as they are less likely to cause irritation. Avoid latex gloves, as latex can trigger allergic reactions in some individuals. Prioritise gloves that fit comfortably and provide a snug yet flexible barrier between your hands and cleaning agents. When cleaning with psoriasis on your hands, it's crucial to steer clear of harsh chemical cleaners that may further irritate your skin. Look for milder, fragrance-free cleaning agents that are less likely to trigger a reaction. Consider using natural alternatives like vinegar, baking soda, or mild dish soap. Before using any new cleaning product, test it on a small patch of skin to ensure it does not cause any adverse reactions.

- Keep your nails short, neat, and clean. Regular nail trimming is crucial to prevent snagging or tearing, which could worsen nail psoriasis. Use sharp, clean nail clippers or manicure scissors to trim your nails straight across, avoiding round or pointed shapes. This helps minimise the risk of nail trauma that could trigger psoriasis flare-ups. While it may be tempting to file or buff your nails to smooth out irregularities caused by psoriasis, it's best to avoid excessive filing. Over-filing can weaken the already fragile nails and lead to more damage. If you notice any sharp edges or rough spots, gently file them in one direction using a fine-grit nail file.

- Quit smoking or cut down- this is a well-known trigger for psoriasis. Research has shown a clear correlation between smoking and the development and severity of psoriasis. In fact, studies suggest that smokers have an increased risk of developing psoriasis compared to non-smokers. While the exact mechanism is not yet fully understood, it is believed that smoking triggers an immune response and inflammation, which can worsen the symptoms of psoriasis. This includes the skin on the hands, causing redness, scaling, and discomfort.

- Maintain a healthy weight- Maintaining a healthy weight can play a significant role in managing psoriasis symptoms effectively. Achieving and sustaining a healthy weight not only improves overall well-being but can also alleviate some of the discomfort associated with this condition. While excess weight doesn't cause psoriasis, some studies suggest that carrying extra pounds can worsen its severity. Psoriasis is an inflammatory disorder, and adipose tissue (body fat) is known to produce pro-inflammatory substances. This excess inflammation can potentially increase both the frequency and intensity of psoriasis outbreaks.

- Take a bath in dead sea salts – Dead Sea salts are renowned for their therapeutic properties, making them an excellent choice for alleviating the discomfort caused by psoriasis. The unique composition of these salts, rich in minerals such as magnesium, potassium, and calcium, has been shown to provide relief for various skin conditions. The recommended ratio is typically one cup of salts for every gallon of water, but you can adjust the amount based on your personal preference. Soak for about 15-20 minutes.

- Cut out or reduce alcohol consumption- Alcohol is thought to be one of the leading preventable causes of psoriasis. Scientific studies have revealed compelling evidence linking alcohol consumption to the severity and onset of psoriasis symptoms, including those affecting the hands. Alcohol acts as an immune system trigger, leading to an inflammatory response, which can worsen psoriasis flare-ups. Alcohol can also reduce the effectiveness of certain medications commonly used to treat psoriasis, making it harder to manage the condition.

- Exercise regularly -While there is no definitive cure for psoriasis, maintaining a regular exercise routine can be a valuable component of managing the symptoms and improving overall well-being. Regular exercise has been proven to boost the immune system, which plays a crucial role in managing psoriasis. Engaging in moderate-intensity activities such as brisk walking, cycling, or swimming can enhance immune system functionality, potentially reducing the severity and frequency of flare-ups on the hands.

- Emollients- Emollients are substances that help to soothe, soften, and moisturise the skin. They form a protective barrier on the skin's surface, preventing water loss and keeping it hydrated. For individuals with psoriasis on their hands and feet, emollients can be a valuable tool in managing the condition and alleviating discomfort. Moisturise at least once a day with a fragrance-free cream/moisturiser. Moisturise whenever your hands get wet such as after washing up or showering.

- Ensure you get enough Vitamin D by spending at least 20 minutes a day outdoors & taking a daily Vitamin D supplement. Our Skin Condition Support Supplement is a powerful blend of vitamins and minerals, combined with anti-inflammatory ingredients chosen specifically for eczema + psoriasis sufferers. The supplement contains 100% of your recommended daily allowance.

- Coal Tar Products- Coal tar products have long been employed in the treatment of psoriasis, with noticeable success for many sufferers. These can be in the form of lotions, gels, ointments, or creams. They work by slowing skin growth, which eases itching and inflammation. Apply under cotton socks or gloves to allow the product to soak in thoroughly.

- Use a dehumidifier- Humidity can worsen the symptoms experienced by those with psoriasis on their hands and feet. High humidity levels can cause excessive sweating, which, in turn, can lead to an increased risk of infection and irritation. A dehumidifier is an electronic device designed to reduce the moisture content in the air. By extracting excess humidity from a room, it helps create a drier environment, which can have several benefits for individuals suffering from psoriasis.

- Keep your hands clean- Individuals dealing with psoriasis on their hands face unique challenges when it comes to maintaining proper hygiene. The condition's symptoms, such as dryness, flaking, itching, and redness, can significantly impact day-to-day activities, making hand hygiene a delicate balancing act. When it comes to handwashing, choosing mild, fragrance-free cleansers without harsh chemicals and irritants is crucial. Strong soaps, disinfectants, and abrasive cleansers can worsen psoriasis symptoms and disrupt the skin barrier. It's best to rely on mild cleansers that maintain natural moisture balance while effectively removing dirt and bacteria. Hot water can strip the skin of its natural oils, leaving it dryer and more prone to irritation. While washing hands, opt for lukewarm water to minimise the aggravation of psoriasis symptoms. After washing, remember to pat your hands dry gently with a soft towel instead of rubbing, as excessive rubbing can further irritate sensitive skin.

- Avoid or deal with a stress-Another factor that contributes to worsening symptoms is stress. The intricate relationship between stress and psoriasis on hands and feet requires a multifaceted approach to find relief and improve overall well-being. Stress has long been recognised as a trigger for psoriasis flare-ups. When our bodies are under stress, there is a surge in inflammatory responses, which can influence the immune system and cause psoriatic lesions to worsen. Stress can also lead to increased itching and scratching, further aggravating the condition on hands and feet.

- Keep a Psoriasis Log- Either in a diary or use one of our Top 10 Apps for Managing Psoriasis. Record your diet, the weather, mood, routine, etc. This should allow you to easily identify skin triggers.

- Drink Plenty of Water- By staying properly hydrated, individuals with psoriasis can potentially reduce the severity of their symptoms. Drinking enough water helps flush out toxins from the body, aiding in the removal of waste products that may trigger inflammation and worsen psoriasis flare-ups.