Traitements xérose plantaire.

Plantar Xerosis: How can it be treated?

Plantar xerosis can be a source of discomfort and inconvenience. Fortunately, there are several methods for effectively managing this condition. Discover here the solutions to plantar xerosis to regain soft and hydrated feet.

Summary
Published February 19, 2025, updated on February 19, 2025, by Pauline, Chemical Engineer — 6 min read

Plantar xerosis, in brief.

If xerosis, denoting significant skin dryness, can affect all areas of the body, the feet are particularly prone. Indeed, in this area, the skin is naturally thicker, reaching up to 5 mm on the sole, while its thickness is about 2 mm on the face for example. Moreover, the sebaceous glands, the organs responsible for the synthesis of sebum, are absent from the feet, making them particularly vulnerable to dehydration and to xerosis. This intrinsic dryness is exacerbated by the mechanical pressure exerted during walking, which promotes the formation of cracks and calluses. By weakening the skin barrier, these increase transepidermal water loss (TEWL), thus intensifying xerosis.

How to manage plantar xerosis?

The management of plantar xerosis relies on the daily application of a moisturising and nourishing cream with a rich texture.

To restore softness to the feet and alleviate the symptoms of plantar xerosis , it is recommended to use a treatment that contains humectants, emollients, and occlusives. A humectant is a substance that attracts and retains water in the skin, thus contributing to its hydration. An emollient is an ingredient that fills the intercellular cement of the horny layer, which helps to improve the barrier function and texture of the skin. An occlusive, also known as a film-forming agent, forms a barrier on the surface of the epidermis, preventing insensible water loss and promoting long-term hydration. The table below lists some examples of humectants, emollients, and occlusives commonly found in creams formulated to soothe xerosis.

HumectantsEmollientsOcclusives
GlycerineVegetable Oils and ButtersDimethicone
UreaSiliconesBeeswax
Ammonium LactateMineral Oils and WaxesCollagen Hydrolysate
Hyaluronic AcidAloe Vera GelCarnauba Wax
Propylene GlycolSqualaneHydrolysed Silk Proteins
Examples of humectants, emollients, and occlusives frequently used in cases of xerosis.

The effectiveness of three creams containing humectants, emollients, and occlusives was tested in a recent study conducted with 95 individuals suffering from plantar xerosis. The first two notably contained amaranth extract and peppermint oil. The formulation of the third, however, was not detailed. After being separated into three groups, the volunteers applied one of the creams to their cracked heels daily and, after 15 to 25 days, complete repair was observed. Furthermore, significant reductions in xerosis scores were noted across all groups. After 28 days, these scores had decreased by 99.3%, 70.0%, and 58.0%, respectively. The graph below shows the progression of this score over time in the three groups.

Évolution du score de xérose après application quotidienne d'une crème hydratante et nourrissante sur les pieds.
Evolution of the xerosis score following daily application of a moisturising and nourishing cream on the feet.
Adapted from: JOSHI P. & co. Evaluation of the effectiveness and safety of Amarantha footcare cream in individuals suffering from cracked heels (xerosis of the feet) - A randomised, open-label, multi-centre, comparative, interventional, prospective, clinical study. Journal of Indian System of Medicine (2023).

This study highlights the importance of hydration in the case of plantar xerosis, a dryness that is sometimes overlooked but can affect daily comfort. The regular application of a cream combining humectants, emollients, and occlusives helps to restore the skin barrier function by acting on several biological mechanisms: hydrating the superficial layers of the epidermis, strengthening the intercellular cement, and limiting insensible water loss. The effectiveness observed over the days confirms that regularity is essential. However, the study does not specify whether the improvement in plantar xerosis was maintained after stopping the application of the treatments. Generally, it is recommended for people prone to xerosis to apply a moisturising cream daily, including during periods of remission, in order to prevent and space out episodes of dryness.

Product recommendations?

At Typology, we offer a lipid-replenishing balm, designed for dry to very dry skin, providing continuous hydration for 24 hours and allowing for extended periods between severe dryness. This treatment, suitable for both facial and body skin, contains ceramides, shea butter, and camelina oil, ingredients that help to restore the intercellular cement of the epidermis and the skin barrier, as well as an extract of Ophiopogon Japonicus roots, which have hydrating and anti-inflammatory properties.

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