That sounds really painful — dealing with thinned, sensitive skin on your feet while still managing plaques is a tough situation. Thinning skin is a known side effect of long-term clobetasol use, so it's really important to flag this to your dermatologist if you haven't already, as they may want to reduce or stop it Show Full Answer
That sounds really painful — dealing with thinned, sensitive skin on your feet while still managing plaques is a tough situation. Thinning skin is a known side effect of long-term clobetasol use, so it's really important to flag this to your dermatologist if you haven't already, as they may want to reduce or stop it gradually.
Since urea 40% and salicylic acid are burning the underlying skin, it may be worth asking your dermatologist about gentler alternatives for plaque removal, such as:
- Lower-concentration urea (10–20%) which is less aggressive but still helps soften plaques
- Anthralin, which slows skin cell buildup and helps remove scales
- Vitamin D analog creams like calcipotriene, which slow skin cell growth without the thinning risk of steroids
- Tapinarof (Vtama) — a newer, steroid-free topical cream approved for plaque psoriasis that may be worth discussing with your doctor For protecting the raw, tender skin underneath, look for fragrance-free, dye-free, hypoallergenic moisturizers or ointments. While moisturizers won't rebuild thinned skin, they can create a protective barrier and reduce discomfort while healing occurs.
It's also really important not to pick or pull at peeling plaques, as tempting as it is — this can lead to bleeding, infection, and more inflammation, which will make walking even more painful.
A conversation with your dermatologist about switching away from clobetasol on your feet specifically would be a strong next step, given how sensitive that area has become.
August 14
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