Psoriasis is more than just a skin condition—it’s a chronic autoimmune disease that can deeply affect your quality of life, especially when it targets the feet. When psoriasis appears on the soles of your feet, also known as palmoplantar psoriasis, it can lead to cracked, painful, dry, and inflamed skin that makes walking or standing difficult.
Taking care of feet with psoriasis requires a unique and dedicated approach. From choosing the right skincare products to modifying daily habits, there are many things you can do to manage flare-ups, soothe discomfort, and protect your skin barrier.
In this guide, we’ll explore how to take care of your feet if you have psoriasis, including recommended foot care routines, best practices, treatment options, and prevention strategies to help you live more comfortably and confidently.
What Is Psoriasis of the Feet?
Foot psoriasis, or palmoplantar psoriasis, is a type of psoriasis that affects the soles of the feet (and sometimes the palms). It causes scaly, thick, and inflamed patches of skin, often accompanied by cracks, itching, burning, and bleeding.
Sometimes it is confused with athlete’s foot or eczema, but foot psoriasis is non-contagious and caused by an immune system malfunction, not a fungal infection.
Common Symptoms:
- Thick, red patches or plaques
- Dry, scaly skin
- Painful skin cracks (fissures)
- Burning or itching sensation
- Bleeding from open cracks
- In severe cases, blister-like pustules (pustular psoriasis)
Why Is Foot Care Important in Psoriasis?
The skin on your feet is naturally thicker and bears constant pressure from standing, walking, and footwear. When psoriasis affects your feet, this added friction can worsen symptoms, leading to pain, limited mobility, and even infections.
Proper foot care can:
- Prevent cracking and infections
- Reduce inflammation and pain
- Promote faster healing during flare-ups
- Minimize recurrence and improve skin texture
- Support overall skin health and quality of life
Daily Foot Care Routine for Psoriasis
Consistency is key in managing foot psoriasis. Here’s a gentle, dermatologist-recommended daily foot care routine:
1. Gentle Cleansing
Use a mild, fragrance-free, soap-free cleanser (like Cetaphil or CeraVe) to clean your feet once a day.
- Avoid hot water, which can dry out the skin.
- Pat your feet dry with a soft towel—don’t rub, as it can irritate the skin.
2. Soak for Soothing Relief (Optional)
A daily or every-other-day soak can reduce scaling and soften thick plaques.
- Apple cider vinegar (1 part vinegar to 3 parts water): helps reduce itching.
- Dead Sea salt or Epsom salt: reduce inflammation and exfoliate dead skin.
- Oatmeal soaks: soothe itching and dryness.
Time: 10–15 minutes
Follow up: Pat dry and immediately moisturize.
3. Moisturizing the Right Way
Apply a thick, fragrance-free emollient or ointment immediately after bathing or soaking.
Recommended options:
- Petroleum jelly (Vaseline)
- Urea cream (10%–20%)
- Coconut oil or shea butter (natural alternatives)
- Psoriasis-specific moisturizers like MG217 or Eucerin
Tips:
- Apply at least twice daily (morning and night).
- At bedtime, apply generously and wear cotton socks to lock in moisture.
The latest tips and news straight to your inbox!
Step into healthier feet! Join 30,000+ subscribers for exclusive access to our newsletter for expert tips, remedies, and foot care secrets delivered weekly to you.
Psoriasis Treatment Options for Feet
If over-the-counter care isn’t enough, your dermatologist may recommend:
1. Topical Steroids
First-line treatment for mild to moderate psoriasis.
- Reduces inflammation and itching
- Applied directly to affected areas
- Use only as directed to avoid skin thinning
2. Topical Vitamin D Analogues (e.g., Calcipotriene)
- Slows skin cell growth and helps remove plaques
3. Coal Tar Creams or Ointments
- Helps with scaling, itching, and inflammation
- Available in OTC or prescription form
4. Phototherapy (Light Therapy)
- UVB light treatments to reduce scaling and inflammation
- Often done at a clinic, but home units are also available
5. Systemic Medications
For moderate to severe psoriasis:
- Oral medications (methotrexate, cyclosporine)
- Biologic injections (like Humira, Stelara, or Cosentyx)
These target the immune system and are used when topical treatments aren’t enough.
Managing Painful Cracks and Fissures
Deep cracks (fissures) can be painful and prone to infection. Here’s how to manage them:
Tips:
- Keep skin well-hydrated using thick ointments (like Aquaphor).
- Use liquid bandages or hydrocolloid dressings to protect open skin.
- Avoid barefoot walking.
- Reduce walking pressure with cushioned footwear or insoles.
Avoid:
- Picking or peeling skin (increases infection risk)
- Tight shoes that cause friction
Choosing the Right Footwear
Wearing comfortable and supportive shoes is crucial for reducing friction and irritation.
Footwear Tips for Psoriatic Feet:
- Opt for breathable, soft materials like leather or mesh.
- Choose cushioned soles and arch support.
- Avoid tight shoes, heels, and sandals that rub affected areas.
- Consider orthopedic shoes or custom insoles for added relief.
- Keep shoes dry to prevent fungal infections.
Natural Remedies to Support Healing
While these aren’t replacements for medical treatments, some natural remedies can complement your care plan:
1. Aloe Vera Gel
- Soothes redness and hydrates skin
- Apply pure aloe 2–3 times daily
2. Coconut Oil
- Deeply moisturizing and antimicrobial
- Use after bathing or as an overnight treatment
3. Tea Tree Oil (Diluted)
- Antifungal and antibacterial properties
- Mix a few drops with carrier oil and apply to affected skin
4. Turmeric
- Anti-inflammatory properties
- Can be taken as a supplement or added to meals
Lifestyle Tips to Prevent Flare-Ups
Foot psoriasis can flare due to triggers like stress, injuries, or weather. Try these tips:
1. Manage Stress
- Practice meditation, yoga, or deep breathing
- Chronic stress is a major trigger for psoriasis
2. Avoid Skin Injuries
- Use socks and proper shoes to avoid cuts or scrapes
- Injuries can trigger new psoriasis patches (Koebner phenomenon)
3. Stay Hydrated and Eat Anti-Inflammatory Foods
- Eat more fruits, veggies, omega-3s (salmon, chia seeds)
- Avoid processed foods, sugar, and alcohol
4. Quit Smoking and Limit Alcohol
- These can worsen flare-ups and reduce treatment effectiveness
5. Monitor Weather and Moisture
- Cold weather = more dryness; use a humidifier indoors
- Keep feet dry in hot weather to prevent sweating and fungus
When to See a Doctor
You should consult a dermatologist or podiatrist if:
- Your psoriasis is spreading or worsening
- Cracks are deep, bleeding, or infected
- Over-the-counter products aren’t effective
- You experience joint pain—a possible sign of psoriatic arthritis
Frequently Asked Questions (FAQs)
Q: Can foot psoriasis be cured?
No, but it can be managed effectively with consistent treatment and care. Many people experience long periods of remission.
Q: Is foot psoriasis contagious?
No, psoriasis is not contagious. It cannot be spread by contact.
Q: Can psoriasis affect toenails?
Yes. Psoriasis may cause thickened, pitted, or discolored nails, often mistaken for fungal infections.
Conclusion
Living with foot psoriasis can be challenging, but with the right knowledge and daily care, you can dramatically improve your skin health and comfort. From gentle cleansing and moisture routines to choosing the best shoes and knowing when to seek treatment, every step makes a difference.
By understanding how to take care of your feet with psoriasis, you empower yourself to manage flare-ups, minimize discomfort, and take control of your well-being—one step at a time.
