Living with Palmoplantar Psoriasis: Work, Shoes & Daily Life Tips

Introduction

Palmoplantar psoriasis is a challenging condition that affects the hands and feet, making daily tasks, work responsibilities, and even choosing footwear a struggle. Managing symptoms while maintaining an active lifestyle requires strategic adjustments and practical solutions. For example, a Reddit user shared how they started using silicone gel pads in their shoes to reduce pressure on their soles, which significantly improved their comfort at work. Another user mentioned switching to loose, breathable gloves while cooking to protect their hands without causing excessive sweating, which helped minimize flare-ups.

In this guide, we explore how to adapt your work environment, select the right shoes, and incorporate daily life hacks to reduce discomfort and improve your quality of life.

1. Managing Palmoplantar Psoriasis at Work

A. Creating a Comfortable Work Environment

• If possible, discuss workplace accommodations with HR, such as:
  • Ergonomic seating with foot support to reduce pressure on the soles.
  • Adjustable standing desks to alternate between sitting and standing.
  • Wrist supports or padded gloves for manual labor or frequent typing.
• If your job requires frequent handwashing, request fragrance-free, moisturizing soaps or bring your own.
• Use protective gloves when handling irritants, including cleaning supplies, chemicals, or mechanical tools.
• Keep a desk-friendly moisturizer to reapply throughout the day to prevent dryness and cracking.

B. Managing Pain & Fatigue at Work

• Take regular breaks to rest your hands and feet, especially if you stand for long periods. A good rule of thumb is to take a short 5-minute break every 30 to 60 minutes. During these breaks, try simple stretches such as gently flexing and extending your fingers if you have hand psoriasis, or rolling a frozen water bottle under your feet to relieve pressure and inflammation. Some Reddit users recommend using a small footrest under your desk to elevate your feet occasionally, reducing strain on the soles.
• Use cooling or warming packs to soothe inflamed areas.
• Compression socks or padded insoles can reduce pressure-related discomfort.

C. Jobs That May Require Extra Consideration

• Physically demanding jobs (construction, factory work) may require special gloves or orthopedic shoes.
• Healthcare & service industry workers should use protective gloves and moisture-wicking socks.
• Office jobs may require ergonomic adjustments to avoid excessive friction on the hands.

2. Choosing the Right Shoes for Palmoplantar Psoriasis

A. Features to Look for in Shoes

• Cushioned soles to absorb shock and reduce pressure on flare-ups.
• Breathable materials (mesh, leather) to prevent excessive sweating.
• Wide toe boxes to reduce friction and allow flexibility.
• Easy slip-on designs if putting on shoes is painful.
• Arch support to minimize strain on sensitive skin.

B. Footwear to Avoid

• High heels or stiff dress shoes that create excessive pressure points.
• Shoes with synthetic materials that trap heat and moisture.
• Tight or narrow shoes that cause friction and irritation.

C. Recommended Shoe Types

• Orthopedic sneakers for all-day comfort.
• Cushioned sandals for breathability at home.
• Memory foam insoles for added support in any shoe.
• Moisture-wicking socks to prevent irritation and odor.

D. Protecting Your Feet Inside Shoes

• Apply petroleum jelly or thick moisturizers before putting on socks.
• Use silicone heel protectors or gel pads if needed.
• Rotate shoes frequently to prevent irritation from repetitive wear. A good practice is to switch between at least two pairs of comfortable shoes every other day to allow them time to fully dry and regain their shape. Sneakers with arch support may work best for long periods of standing, while cushioned sandals or memory foam slippers can provide relief at home. Some Reddit users suggest keeping a pair of supportive indoor shoes to reduce pressure on the feet while walking around the house.

3. Daily Life Hacks to Make Living with Palmoplantar Psoriasis Easier

A. Skincare Routine for Hands & Feet

• Moisturize immediately after showering to lock in hydration.
• Use thick, fragrance-free creams with urea, ceramides, or petrolatum.
• Avoid long, hot showers, which can strip natural oils.
• Consider using overnight occlusion therapy (applying moisturizer and wearing gloves or socks while sleeping).

B. Dressing for Comfort

• Opt for loose-fitting, breathable fabrics to reduce friction.
• Wear moisture-wicking gloves or socks to manage sweat.
• Choose soft, seamless clothing to prevent irritation on affected areas.

C. Home Adjustments for Comfort

• Use soft mats or rugs in high-traffic walking areas.
• Keep a humidifier in dry climates to maintain skin hydration.
• Choose non-slip socks to stay safe while walking barefoot at home.

D. Managing Flare-Ups on the Go

• Carry a travel-size moisturizer for quick relief.
• Keep anti-inflammatory gels or cooling sprays in your bag.
• If cracks or fissures develop, use liquid bandages or hydrocolloid patches.

4. Mental & Emotional Well-Being

Living with palmoplantar psoriasis can be emotionally exhausting. Many individuals experience social anxiety, avoiding handshakes or open-toed shoes due to fear of judgment. Some Reddit users share stories of feeling isolated at work because they can’t participate in certain activities or need to frequently rest their hands and feet. The frustration of trying multiple treatments with little success can also lead to emotional distress. Acknowledging these struggles and finding support through online communities or therapy can be vital in coping with the psychological impact of the condition. Managing stress and maintaining a positive mindset is just as important as physical care.

A. Dealing with Social Anxiety & Self-Consciousness

• Wear breathable gloves or subtle compression socks if you feel self-conscious.
• Remember: Your health comes first—don’t hide your condition at the cost of your comfort.
• Consider joining online support groups or engaging with the psoriasis community for encouragement.

B. Stress Management to Prevent Flare-Ups

• Practice mindfulness techniques such as meditation and breathing exercises.
• Engage in low-impact exercises like yoga, swimming, or walking.
• Prioritize quality sleep, as poor rest can trigger inflammation.

Conclusion

Managing palmoplantar psoriasis in daily life requires a combination of practical adjustments, skincare, and stress management techniques. Whether it’s choosing supportive shoes, making workplace accommodations, or practicing good skin hygiene, small changes can lead to significant improvements in comfort and confidence.

If symptoms persist, consult a dermatologist for personalized treatment options.

Would you like more details on specific work accommodations, shoe brands, or lifestyle tips? Share your experiences or tips in the comments to help others navigating similar challenges! Let us know in the comments!

References

• American Academy of Dermatology (AAD):

  • The AAD offers comprehensive guidance on lifestyle changes that can improve psoriasis, including the importance of quitting smoking, limiting alcohol intake, maintaining a healthy weight, and managing stress.
    aad.org

• DermNet New Zealand:

  • DermNet provides detailed information on palmoplantar psoriasis, covering diagnosis, associated conditions, and treatment options such as topical treatments, phototherapy, and systemic agents.
    dermnetnz.org

• National Center for Biotechnology Information (NCBI):

  • The NCBI discusses the diagnosis and management of psoriasis, emphasizing the role of topical therapies for mild to moderate cases and the importance of recognizing associated medical and psychiatric comorbidities.
    pmc.ncbi.nlm.nih.gov