• Dr Michèle Sayag, allergologist

    Dr Michèle Sayag, Allergist, Medical Strategy Director - BIODERMA.

    Everyday, hands are exposed to external aggressions, are washed frequently, used constantly for an incredible number of tasks. With their fragile skin, they are often naturally very dry. Very dry hands can quickly turn to damaged, cracked hands with micro-fissures. Even the most basic daily tasks can become excruciating.

    Dr Michèle Sayag, Allergist, Medical Strategy Director - BIODERMA.

Who is affected by damaged hands?

Healthcare professionals often spring to mind when discussions arise about damaged hands, however they are not the only ones! Anyone’s hands can be affected, both women and men, at any age and in any country. Let’s first look at the different and habitual symptoms of damaged hands, to be able to identify them and understand how serious the problem is. Then we’ll look at the causes, which can sometimes be tied to a particular professional context. Finally, some people are more at risk than others, and must take preventive measures.

Why are hands so fragile?

Used constantly during daily life, hands have specific biological characteristics, which make them notably fragile.

Lack of sebum

The palm’s skin may be thick, but not so with the skin on the back of hands, where there are very few sebaceous glands. Less sebum also means less protection, and an hydrolipidic film that is less effective.

Lack of moisture

The natural moisturising factors are four to five times less active on hands compared to the face. This phenomenon shows that hands are almost always dehydrated, leading to feelings of discomfort and the need to compensate for the lack of moisture by applying creams.

This is why we all have hands that are dry on a temporary basis. But having dry hands doesn’t mean that our hands are damaged. They are two different stages. Indeed, damaged hands go further in that symptoms longer and are more intense, much more than simply skin that pulls and minor discomfort.

  • Dr Michèle Sayag, allergologist

    Dr Michèle Sayag, Allergist, Medical Strategy Director - BIODERMA.

    Hands are one of our fragile areas, first for biological reasons, and also because we tend not to care very much for them… and yet they are so important for our daily life. They help us do everything, everyday, all the time, and often, we simply don’t pay enough attention to them. Despite hands being used for all activities, they do not have much natural protection against what can irritate them. The back of hands, especially, has thin skin and not many sebaceous glands. It’s also the area of the body that we wash the most, which contributes to skin being weakened.

    Dr Michèle Sayag, Allergist, Medical Strategy Director - BIODERMA.

  • Dr Michèle Sayag, allergologist

    Dr Michèle Sayag, Allergist, Medical Strategy Director - BIODERMA.

    Hands become sensitive to hot water, soap and hydroalcoholic gel. With each contact, they sting. The situation can worsen to chapping, cracks and splits, so that hands can no longer be used normally. Sometimes you can’t use them at all, you can’t bend your fingers, hold a pen or type on a keyboard…

    Dr Michèle Sayag, Allergist, Medical Strategy Director - BIODERMA.

Behind damaged hands, actual dermatosis

When all of these signs are combined and get worse, your doctor may diagnose dermatosis. There are two kinds:

Irritative contact dermatitis (ICD)

It represents 80% of cases and happens when your hands come into contact with an irritating substance. ‘Household dermatitis’ is caused by repeated contact with detergent products used for cleaning and housework. Hands are constantly red and feel painful. This can occur at work or at home.

Allergic contact dermatitis (ACD)

More rare (20% of cases), it develops progressively following repeated contact with an allergen that sensitises skin over time.

  • Dr Michèle Sayag, allergologist

    Dr Michèle Sayag, Allergist, Medical Strategy Director - BIODERMA.

    Irritated hands that are typical of an irritative contact dermatitis make skin more permeable. It no longer acts as a barrier and allergens can penetrate.

    In some cases, irritative contact dermatitis changes into allergic contact dermatitis, but not always. It all depends on how much of the allergen was received and the immune system’s response. This is why it is important to restore the skin’s barrier with a repairing balm for damaged hands, like Cicabio Mains.

    Dr Michèle Sayag, Allergist, Medical Strategy Director - BIODERMA.

Our hands are the extension of our intelligence: our most precious aid for knowledge, action, creation, communication and expression. We can thank our hands for the greatest human masterpieces that have been created. We can thank them for bringing us into contact with the world and with others, through the sense of touch.

Our hands nonetheless endure a certain amount of wear and tear everyday, which can be the direct cause of damaged hands or a compounding factor:

  • Professional context and specific lifestyle conditions
  • Weather conditions, especially intense cold
  • Hygiene measures, including repeated washing of hands and disinfecting with hydroalcoholic gel

When our hands are damaged, everyday life is often deeply affected since we have to use our hands all the time. We feel the consequences at work, during daily activities with children or at home, and even in our social relations.

Hydroalcoholic gel effect on hands

Effects of water on the hands

1. Having hands frequently in the water (care givers, cooks, hairdressers…)

Effects of chemicals on the hands

2. Regularly using cleaning and chemical products without gloves (factory work, cleaning professionals, bodyworkers…)

Effects of over using hands work on skin

3. Over-using hands at work (woodworkers, masons, gardeners, tile-setters…)

Allergic skin and damaged hands

4.  Having a chronic or allergic skin disease (atopic dermatitis, contact eczema)

How do you care for damaged hands on a daily basis?

A minor problem can quickly get worse, and very dry hands can become damaged, cracked hands if nothing is done to stop it. Preventing the change is therefore extremely important, to avoid having discomfort insert itself into daily life.

Learn more in our article: "What’s the difference between dry hands and damaged hands?"

Hygiene for hands

The right hygiene habits

Wash your hands with warm water, never hot, to not dissolve even more the fragile hydrolipidic film that protects your skin. Warm water preserves the thin layer of sebum that covers the epidermis. Always choose a gentle cleansing product that doesn’t irritate skin. Pat your hands dry, without rubbing, to not irritate them. Be sure to take all the water off.

If you do not have water nearby, consider using a nourishing hand sanitizer to prevent dry hands and to maintain the moisturizing of your hands.

Learn more in our article: Combining disinfection and nutrition for skin prone to dry skin? Why and how? 

Hand balm

The right care habits

Both as treatment and prevention, applying a repairing balm for hands is essential, not only after each time you wash your hands, but throughout the day as well, when your hands feel like they need it. Choose a nourishing and relieving cream in a rich, protective texture. The more cracks your hands have, with chapping and split skin, the more bacteria can get in. A dermatological cream helps to recreate the skin barrier to protect skin from irritants in the environment and from dehydrating.

Learn more in our article: "Cicabio Mains, the relieving, protective and repairing balm that spreads on like a second skin."

Four tips that work

  1. The night cream-plaster: apply a thick swab of nourishing cream on your hands and slip on a pair of light cotton gloves before going to bed. The fabric will block the cream and help the skin absorb it.
  2. Wear gloves as soon as it gets cold out, without waiting until you get to the stage where hands feel uncomfortable.
  3. Humidify the air at home so that skin doesn’t dry out excessively.
  4. If your hands have been very damaged over a long period of time without improving in any way, don’t hesitate to consult a dermatologist who can prescribe corticosteroids.

A full care routine dedicated to hands

Washing, disinfecting, moisturising, repairing… Laboratoire BIODERMA offers adapted solutions for dry hands and damaged hands.