Whitby Family Footcare Clinic

107-420 Green St. • Whitby, Ontario • L1N 8R1 905.668.8233

Psoriasis on the Feet in Whitby

 

Psoriasis is a chronic immune‑mediated skin condition that can affect the tops, sides, or soles of the feet. It often causes thick, scaly plaques, redness, and painful cracking, especially on weight‑bearing areas.

Foot psoriasis can be stubborn because the skin on the soles is thicker and exposed to constant friction and pressure.

 

What Is Psoriasis?

Psoriasis occurs when the skin cells multiply too quickly, creating thick, inflamed, scaly patches. It is not contagious and often comes and goes in cycles.

Common triggers include friction, stress, cold weather, illness, and skin injury.

 

How Psoriasis Appears on the Feet

  • Thick, silvery‑white scaling
  • Red or pink plaques
  • Cracking and fissures
  • Tenderness when walking
  • Flare‑ups triggered by friction or dryness
  • Sometimes affects toenails (pitting, thickening)
 

Psoriasis vs. Eczema vs. Fungus

Psoriasis can resemble eczema or athlete’s foot. A foot assessment helps determine whether symptoms are due to:

Correct identification ensures the right treatment approach.

 

How We Help

Our foot‑focused care may include:

  • Safe reduction of thickened plaques
  • Fissure (crack) care to reduce pain
  • Moisture and friction‑management strategies
  • Skin‑barrier support
  • Guidance on when prescription therapy is needed
  • Referral to dermatology for persistent or severe cases
 

Moisturizers & Barrier Support

Daily moisturization helps reduce scaling and improve comfort.

Recommended Options

Urea‑based creams (20–50%) Uremol®, Urisec®, Dermal Therapy®, Flexitol® Softens thick plaques and improves absorption of medicated creams.

Ammonium lactate 12% Lac‑Hydrin®, AmLactin® Helps smooth rough, scaly skin.

Lactic acid 16.7% Lachydrin HP® Useful for chronic scaling.

For more information please follow the link to our Dry Skin of the Feet page

Prescription Options (When Needed)

Topical Steroids (reduce inflammation & scaling)

  • Betamethasone dipropionate (Diprosone®, Diprolene®)
  • Mometasone furoate (Elocom®)
  • Fluocinonide (Lidex®)

Vitamin D analogue

  • Calcipotriol (Dovonex®, Dovobet®) Helps slow skin cell overgrowth.

 

Self‑Care Tips That Help Most People

  • Moisturize daily
  • Avoid picking or peeling plaques
  • Wear cushioned, breathable footwear
  • Reduce friction and pressure points
  • Keep skin hydrated, especially in winter
  • Use urea or lactic acid creams to soften thick areas
 

When to Seek Care Urgently

  • Deep, painful fissures
  • Signs of infection (redness, swelling, pus)
  • Rapid worsening
  • Difficulty walking due to pain
  • Nail changes or suspected psoriatic arthritis
 

Book a Foot Assessment

If thick, scaly, or cracked skin on your feet is affecting your comfort, a professional assessment can help clarify the cause and guide effective treatment.