Effective Solutions for Thickened Skin on Hands Due to Repetitive Use

Thickened skin on the hands?

Hello, doctor.
Recently, due to work, I've been wrapping things up frequently for a month, and I've noticed that the skin on my fingers has gradually developed thickened skin.
I'm not sure if it's calluses or just thick skin (I can't distinguish between the two), but the cause is definitely the constant wrapping.
I've been applying hand cream morning and night, and sometimes during work when my hands feel dry, I apply it as well, but the skin hasn't improved, and the thickened skin hasn't gone away.
I've heard that for calluses, you can use a blade to scrape them off to allow new skin to grow, but even after doing that, the thickened skin continues to develop.
I would like to ask if there are any methods to improve this condition, as I find it quite uncomfortable.
Thank you in advance!

julie, 20~29 year old female. Ask Date: 2005/01/26

Dr. Huang Ruiyun reply Dermatology

Calluses are caused by repeated friction or pressure on the same area of the skin.
If you are very concerned about them, the solution is to change jobs and stop wrapping things; they will naturally improve after a few months.
Alternatively, when wrapping items, make sure to wear thick cotton work gloves throughout the process to see if that helps.

Reply Date: 2005/01/26

More Info

Dealing with thickened skin on the hands, especially due to repetitive use, can be quite challenging. It sounds like your work has led to a condition known as callus formation, which is essentially a thickening of the skin that occurs as a protective response to friction or pressure. This is common in individuals who engage in activities that involve repetitive motions or constant pressure on certain areas of the skin, such as packing or handling materials.

Understanding Calluses
Calluses are areas of thickened skin that develop to protect the underlying tissues from damage. They are typically not harmful but can be uncomfortable or unsightly. The skin thickens as a response to the repeated friction or pressure, and while this can serve a protective function, it can also lead to discomfort, especially if the calluses become too thick.

Treatment Options
1. Moisturization: While you mentioned that you are already using hand cream, it is crucial to ensure that you are using a product that is rich in emollients and occlusives. Look for creams that contain ingredients like urea, glycerin, or lanolin, which can help to soften and hydrate the thickened skin. Applying these creams after washing your hands and before bed can enhance their effectiveness.

2. Exfoliation: Gentle exfoliation can help remove the outer layer of thickened skin. You can use a pumice stone or a foot file to gently buff away the callused areas after soaking your hands in warm water. This should be done carefully to avoid damaging the underlying skin. Chemical exfoliants containing alpha-hydroxy acids (AHAs) or beta-hydroxy acids (BHAs) can also be beneficial.

3. Protective Measures: Since your condition is work-related, consider wearing protective gloves while you work. This can help reduce friction and pressure on your hands, allowing the skin to heal. If gloves are not feasible, try to take regular breaks to relieve pressure on your hands.

4. Avoiding Cutting: While you mentioned using a blade to scrape off the thickened skin, this can lead to injury and may worsen the condition. Instead, focus on moisturizing and gentle exfoliation. If the calluses are particularly bothersome, consider consulting a dermatologist or a podiatrist who can safely remove them.

5. Professional Treatment: If home remedies do not yield results, it may be worth visiting a dermatologist. They can provide treatments such as prescription-strength creams or even professional debridement of the calluses.

Prevention
To prevent the recurrence of thickened skin, it is essential to address the underlying cause. This may involve modifying your work practices to reduce friction on your hands. Regularly moisturizing and protecting your hands can also help maintain skin integrity.

Conclusion
In summary, managing thickened skin on your hands due to repetitive use involves a combination of proper moisturization, gentle exfoliation, protective measures, and possibly professional intervention. By taking these steps, you can help alleviate discomfort and promote healthier skin. If symptoms persist or worsen, do not hesitate to seek professional medical advice for tailored treatment options.

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