Cracked Skin (Hands)

Definition

  • Cracked skin on the fingers or hand

Call or Return If

  • Starts to look infected (redness, red streak, pus)
  • Cracks last more than 2 weeks on treatment
  • You think your child needs to be seen
  • Your child becomes worse

About This Topic

Symptoms

  • Cracks are always painful.
  • Pain increases when exposed to soap or even water.
  • Minor bleeding can occur.

Causes

  • Can happen with children who wash their hands often or wash dishes.
  • Can also occur from working outside in winter weather.
  • The worse cracks of the fingers occur with thumb-sucking.

Prevention

  • Wash the hands with warm water.
  • Use soap only if the hands are very dirty. Also, use soap for anything that won't come off with water.
  • Wear gloves when washing dishes.
  • During cold weather, wear gloves outside.
  • Use a moisturizing cream on the hands after anytime they have been in water.

After Care Advice

Overview:
  • Cracks on the hands can be very painful.
  • Cracked skin of the hands is usually caused by repeated contact with soap.
  • Soap removes the natural protective oils from the skin.
  • Cracked, dry hands usually can be treated at home.
  • Here is some care advice that should help.
Shallow Cracks - Use Ointment:
  • Cracks heal faster if protected from air exposure and drying.
  • Keep the cracks constantly covered with petroleum jelly 3 times a day.
  • If the crack seems mildly infected, use an antibiotic ointment instead. No prescription is needed. Put it on the cracks 3 times a day.
  • Covering the ointment with a Band-Aid speeds recovery.
  • Option: If you have it, a liquid crack sealer works even better. Don't use crack sealer and ointment together.
Deep Cracks - Use Liquid Crack Sealer:
  • Deep cracks of the fingers usually do not heal with ointments.
  • Use a liquid skin bandage to seal the crack. Many brands of liquid bandage (crack sealer) are available at your drugstore. No prescription is needed.
  • Liquid skin bandage is a plastic coating product that seals wounds.
  • It is the best way to relieve pain and promote healing.
  • Wash and dry the wound first. Then put on the liquid. It comes with a small brush or with a swab. It dries in less than a minute. Then apply a second coat. It's waterproof and may last a week.
  • Start with 2 layers. Put on an extra layer as often as needed.
  • As the crack heals from the bottom, the plastic layer will be pushed up.
What to Expect:
  • Most cracks heal over in 1 week with treatment.
  • Deep cracks heal if you keep them covered all the time with crack sealer. Deep cracks will heal in about 2 weeks with crack sealer.
  • Untreated cracks can last for years.