How to Use Nopsor for Hand and Foot Psoriasis

Psoriasis on the hands and feet — known as palmoplantar psoriasis — is one of the most stubborn and life-disrupting forms of the condition. Every handshake, every step is a reminder. If you have been living with it for years without finding something that works, you are not alone. This is the exact Nopsor protocol for hands and feet, including a personal account from our CEO Ernesto Aguilar, who treated his own palmoplantar psoriasis with this system and is now in full remission.

Why Hands and Feet Are Different

The skin on the palms and soles is the thickest on the body. That thickness is what makes palmoplantar psoriasis so resistant — topical treatments struggle to penetrate deeply enough to reach the affected tissue. It is also why the condition tends to be underestimated: patches on the hands and feet are often dismissed as calluses, eczema, or dry skin, leading to years of misdiagnosis and ineffective treatment.

The Nopsor approach addresses this directly. The salicylic acid in the shampoo breaks down the thickened scale, preparing the skin to absorb the coal tar and herbal blend in the pomade. Covering with cotton gloves or socks overnight extends the contact time — giving the formula the opportunity to penetrate the dense skin that makes this area so difficult to treat.

The Two Recommended Paths

As with all Nopsor treatment, people respond differently. The two-step protocol is the standard recommendation for maximum results. But some customers — including Ernesto — have found that after an initial period of two-step use, continuing with the pomade alone sustains and completes the clearing process. Both paths are valid.

If you are starting out, begin with the two-step protocol. Give it time. Palmoplantar psoriasis is slow to respond — that is the nature of the condition, not a sign the treatment is not working.

Step-by-Step: The Full Two-Step Protocol

• Wash hands or feet with Nopsor Shampoo Apply the shampoo directly to the affected areas — palms, fingers, soles, heels, or wherever lesions are present. Work into a lather and make sure the product is in contact with the skin, not just sitting on the surface.
• Leave on for 2–3 minutes The salicylic acid needs time to soften the thickened scale that is characteristic of palmoplantar psoriasis. This step is especially important for the hands and feet given how dense the skin is. Do not rinse immediately.
• Rinse thoroughly and dry Rinse well and dry completely before applying the pomade. The skin should be clean and dry for the next step.
• Apply a thin layer of Nopsor Pomade to affected areas only Focus on the lesions — you do not need to coat the entire hand or foot. A thin, even layer is sufficient. More product does not speed up results.
• Press gently with your fingertips to help absorption After applying, use gentle finger pressure to work the pomade into the skin. Given the thickness of palmoplantar skin, this step is particularly valuable for helping the active ingredients penetrate.
• Put on cotton gloves or cotton socks For hands, put on a pair of thin cotton gloves. For feet, put on cotton socks. This serves two purposes: it keeps the pomade in contact with the skin for longer during the night, and it significantly reduces transfer to your sheets and clothing — not completely, but meaningfully.
• Leave on overnight The coal tar and 8-herb blend work during sleep. The longer the contact time, the better — which is exactly why the gloves and socks matter for this body area.
• Wash thoroughly every morning — without exception Always wash hands and feet the next morning using the Nopsor Shampoo. This removes dead skin cells lifted overnight and, critically, removes coal tar residue before any sun exposure. This step is non-negotiable.

How Often to Repeat

Repeat nightly for as long as lesions are present. Palmoplantar psoriasis is one of the slowest-responding forms of the condition — the skin on the palms and soles simply takes longer to turn over and heal. Do not judge the treatment by the first two or three weeks. Ernesto's experience — slow but steady progress over four months — is not unusual for this area.

Consistency is the single most important factor. Missing nights slows progress significantly. Commit to the nightly routine and give it the time it needs.

What to Expect Week by Week

Results depend on the severity of your psoriasis and how consistently you follow the protocol. The 40-day guarantee is our commitment to you — but for palmoplantar psoriasis specifically, we encourage you to think in months, not weeks.

A Note on Individual Response

Every person's skin responds differently. Some customers do well with the pomade alone. Others need the full two-step approach for an extended period before seeing meaningful results. What we know from 25 years of experience — and from Ernesto's own palmoplantar psoriasis journey — is that the formula works for this area. The key variables are severity, consistency, and time.

If you have been living with palmoplantar psoriasis for years without finding relief, we understand. So does Ernesto. That is why the protocol above is not generic advice — it is the same approach he used to clear his own soles after years of stubborn, untreated patches.