What if emollient therapy does not relieve cracked skin?

Cracking means the skin barrier is breaking down. Repeated hand washing, detergents, cold or dry air, friction, and work involving water can prevent the split from closing. Eczema, contact dermatitis, psoriasis, or a fungal infection may also cause scaling and fissures, so moisturising alone may not address the driver. Cracks around the fingers, heels, or other high-use areas can reopen with movement.

Apply a suitable fragrance-free emollient after washing and whenever the skin feels tight, following product directions. Wash with lukewarm water, pat dry, and avoid picking loose edges. Use protective gloves for wet or irritating tasks, with a soft cotton layer if sweating is a problem. Do not put strong antiseptics or steroid products into an open fissure unless a clinician has advised you. Take a photograph and note exposures if the cracks keep returning.

Obtain prompt care for increasing pain, warmth, swelling, pus, red streaks, fever, or rapidly spreading redness. Seek assessment when a crack is deep, repeatedly bleeds, limits movement, or fails to close despite protection. See [Cracked Skin](/symptoms/skin-cracking/) for related symptom guidance.

Ask whether the cracks suggest eczema, contact dermatitis, infection, or another problem; whether a dressing or prescribed medicine is needed; and which ingredients or workplace exposures to avoid. Ask how to use [Emollient Therapy](/treatments/medical-dermatology/emollient-therapy/) around open skin.