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How do I clean my hands if they are in a cast?

by Sharon
(Exeter, CA)

Hi. I am in a real predicament. About 10 days ago I broke both of my wrists. I have a history of mild to moderate psoriasis and was dx last year with dyshidrotic eczema. I am in my 50’s. My hands are also very sensitive to soaps, sanitizers and other external products. I am on a steroidal ointment which helps me a lot, but as your article has indicated, not cured it.

Although I have been trying to keep my skin clean on my fingers and palms, yeast and yellow plaque is present. My skin is very dry and flaky. Thank goodness I have not had splitting or cuts but I have a rash on my palms and redness from what I can see. I am very concerned when I get surgery and get casted as I will not be able to clean my hands properly and use cream or get things wet. I am extremely sensitive to hand sanitizers.. my surgeon seemed to ignore my concerns with my hands. They were not as bad at the time as it is now. Help!

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Dec 26, 2021
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by: Dan

Once you are casted you are correct, it is going to be very hard to take care of your skin because you won't be able to get to it.

In the meantime, I would try liquid grapefruit seed extract diluted with olive oil and see if you can't get it under control before surgery. Soaking your hands in Uva Ursi tea might also help.

Once you are casted, you should be able to get inside the cast with a long cotton swab soaked in what you have found to control the infections. The swab won't be much larger than a coat hanger, which many people use to scratch their skin itches when casted.

I would ask your doctor if you can use this method to apply the steroidal cream, or what I have suggested, while casted. Hopefully, using the cream this way won't interfere with the structural integrity of the cast.

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