Natural remedies for dark elbows and knees: what to know

Elbow and knee skin can look darker when it is dry, thickened, repeatedly rubbed, or previously inflamed. Darkening after a rash, scratch, or irritation may be [Post-Inflammatory Hyperpigmentation](/conditions/post-inflammatory-hyperpigmentation/). Lemon juice, undiluted vinegar, baking soda, and rough scrubbing can cause inflammation and make the colour more noticeable, particularly when skin is already cracked.

Use a fragrance-free moisturiser after bathing and choose a gentle cleanser. Avoid kneeling or leaning on the areas for long periods when possible, and wear sunscreen when elbows or knees are exposed. Do not scrub until sore. If the colour remains or the skin is thick and rough, a dermatologist may consider a [Chemical Peel](/treatments/aesthetic-procedures/chemical-peel/) or [Topical Retinoids](/treatments/medical-dermatology/topical-retinoids/) after examining your skin.

Arrange a medical assessment if darkening appears quickly, affects several body folds, becomes itchy or painful, or comes with a new rash, scaling, or thickening. Seek advice if home care causes burning or peeling. An examination can identify inflammation, contact irritation, or another cause before pigment treatment is started.

Is this post-inflammatory pigment or another condition? Could friction, dryness, or a product be contributing? Which moisturiser or active ingredient is appropriate? Would a peel be safe for my skin tone?