Psoriasis is a chronic autoimmune condition that can affect any part of the body, but it’s common on the feet and toenails. This skin disorder causes an unusually fast buildup of skin cells, leading to thick, painful patches called plaques. For those with foot psoriasis, everyday activities like walking can become challenging. Fortunately, a podiatrist can offer valuable support to manage the symptoms and improve quality of life.
What Causes Foot Psoriasis?
Psoriasis is triggered by an overactive immune response that mistakenly attacks healthy skin cells. While the exact cause is not fully understood, genetic and environmental factors both play a role. The condition can remain dormant and may be triggered by specific factors, varying from one person to the next. Although there’s no cure, understanding these triggers can help in managing flare-ups.
Common Psoriasis Triggers
While triggers for psoriasis differ for everyone, some of the most common ones include:
- Stress: Emotional stress can exacerbate immune system responses, leading to flare-ups.
- Alcohol and Smoking: Both are known to aggravate psoriasis symptoms.
- Illness or Infection: Colds, respiratory infections, and other illnesses can activate symptoms.
- Medications: Certain drugs, like beta-blockers or anti-malarial medications, may worsen psoriasis.
- Weather Changes: Cold or dry weather can dry out the skin, triggering symptoms.
- Genetics: A family history of psoriasis increases susceptibility.
Identifying personal triggers can help in avoiding episodes. If symptoms do arise, your podiatrist can work with you to develop a plan for effective management.
Key Symptoms of Foot Psoriasis
Foot psoriasis can manifest in various ways, each impacting foot health and comfort. Below are the most common symptoms:
- Scaly Patches (Plaque Psoriasis)
The most visible symptom, these red, inflamed patches are often covered with silvery scales. They are itchy, painful, and tend to worsen with friction and pressure on the feet. - Blisters (Palmoplantar Pustulosis)
Small, pus-filled blisters may develop on the soles of the feet. These blisters are painful and can make walking uncomfortable. - Nail Psoriasis
Psoriasis can also affect toenails, causing them to thicken, become discoloured, or detach from the nail bed. Nails may also develop pits or ridges, making them brittle and prone to breakage. - Cracked Skin
Due to the dryness associated with psoriasis, the skin on the feet can crack and bleed, creating open sores that are susceptible to infection. Deep fissures may develop if not managed properly. - Thickened Skin
Psoriasis may lead to thick, hardened patches of skin on areas that bear weight, such as the heels and balls of the feet, causing discomfort when standing or walking.
Foot psoriasis can lead to chronic pain, irritation, and a higher risk of bacterial infections. In severe cases, it can limit mobility and impact daily life. However, podiatric treatment can make a significant difference.
How Does a Podiatrist Treat Foot Psoriasis?
- Toenail and Nail Bed Care
Toenails affected by psoriasis need regular trimming to prevent breakage and discomfort. Your podiatrist will carefully trim the nails and also manage nail bed infections that might occur, often prescribing topical treatments like antifungal or antibiotic creams. - Moisturising and Skin Hydration
Keeping the feet well-moisturised can prevent cracking and dryness. A podiatrist can recommend specialised creams designed to alleviate itching, reduce inflammation, and keep the skin supple. Regular moisturisation also minimises the risk of infections in cracked skin. - Debridement (Removal of Thickened Skin)
During a podiatry visit, your podiatrist can safely remove dead or thickened layers of skin through a process called debridement. This reduces discomfort, promotes healing, and helps prevent deep cracks. - Blister Management
Pustular blisters can be carefully drained by a podiatrist to reduce pain and prevent infection. Protective dressings can then be applied to shield the area from further irritation. - Footwear and Orthotics Recommendations
Proper footwear is essential for those with foot psoriasis. Supportive shoes reduce pressure on sensitive areas, minimising flare-ups. Your podiatrist may suggest custom orthotics to enhance comfort, provide additional arch support, and alleviate pressure on inflamed regions.
Living Well with Foot Psoriasis: Prevention and Care
Managing foot psoriasis involves not only in-clinic treatments but also daily care routines and lifestyle adjustments:
- Regular Foot Checkups
Frequent podiatry visits can help spot early signs of complications, allowing for timely treatment. Your podiatrist can address issues such as fungal infections, toenail problems, and emerging plaques before they escalate. - Foot Hygiene and Moisturisation
Keeping the feet clean and moisturised daily is crucial. Moisturisers should be applied twice a day to maintain skin elasticity and reduce dryness. Avoid excessively hot showers or harsh soaps, as these can worsen dryness. - Stress Management
Given that stress is a common trigger for psoriasis, incorporating stress-relieving activities such as exercise, mindfulness, or meditation can be beneficial. - Dietary Adjustments
For some, a balanced diet rich in anti-inflammatory foods (such as leafy greens, fish, and nuts) can aid in reducing psoriasis symptoms.
Find Expert Podiatry Support at Feet By Pody
Foot psoriasis can be challenging, but with the right care and support, its impact on daily life can be minimised. At Feet By Pody, our skilled podiatrists offer comprehensive foot care and individualised treatment plans tailored to manage psoriasis symptoms. Whether it’s nail care, custom orthotics, or managing cracked skin, we’re here to help you feel more comfortable in your skin.
Contact Feet By Pody at our London clinics today to discuss your foot care needs or book an appointment online.