The management of coarse elbows

Dr. SYLVESTER IKHISEMOJIE FEOM PUNCH 

As we saw last week, there are many possible causes for the development of the unsightly skin condition that predisposes one to the appearance of coarse skin overlying the elbow joints.

Some of the initial steps an individual affected by this condition must take include actively avoiding soaps, lotions, fabrics, and detergents they have identified as potential triggers. The ability of these substances or materials to cause skin irritation is often the root cause of the resulting skin damage.

It is crucial to apply a moisturising agent as frequently as possible, whether indoors or outdoors. Similarly, it is common sense to opt for gentle washing materials that are soothing and free of fragrances. This is because the presence of certain fragrances in soaps or lotions indicates the inclusion of specific chemical additives that may harm the skin.

In addition, women and young girls, in particular, are advised to avoid exfoliating compounds that may be too harsh for their skin. Such materials are guaranteed to irritate the skin and exacerbate dryness.

By extension, fabrics that are gentler on the skin, such as silk and cotton, should be favoured over polyester, calico, and nylon. Calico, though derived from cotton, has a rough texture due to its weaving process, making it less suitable for sensitive skin.

The second line of defence against coarse elbows involves adopting the habit of wearing protective clothing in sunny, cold, or windy conditions. This type of protection is even more essential when any combination of these elements is present.

For swimmers, it is imperative to form the habit of applying a moisturising cream or lotion immediately after swimming. This practice is also necessary after bathing, especially in areas where the water is classified as hard water. On previous occasions, we have explored some of the harmful skin conditions caused or worsened by the use of hard water for bathing and washing.

For individuals who frequently rest on their knees or elbows, such as mechanics and other artisans, it is advisable to wear clothing that provides additional protection for these areas, such as uniforms with built-in elbow pads. These individuals should also develop the habit of using body washes containing moisturisers at regular intervals. Mechanics, in particular, due to their frequent exposure to oily substances such as grease and engine oil, should prioritise this practice.

Finally, when a skin condition such as eczema is diagnosed, it is helpful to use a formulated moisturiser containing active ingredients to reduce inflammation and prevent further skin damage.

As we saw last week, several underlying medical conditions can increase the likelihood of developing this type of skin condition. In many cases, these conditions may remain undiagnosed at the time the coarse skin appears. Often, it is the skin issue that leads to the identification of the underlying disease.

One of the most common conditions contributing to this is diabetes. Poor blood sugar control, in particular, can result in dry, itchy skin. The itching may be intermittent and particularly troublesome at night when the individual wants to sleep. There may also be thick patches of waxy skin around the elbows or knees, which can extend to the toes and fingers.

Another common condition involves thyroid disorders, where individuals often develop scaly skin that cracks, feels tough, and resembles wax. In cases of hypothyroidism, the skin becomes especially thick and coarse, often appearing worse around the elbows, with parts of the skin folding over adjacent areas. Sometimes, the skin can become so thick that it loses sensitivity to pain or touch.

In both diabetes and thyroid-related conditions, the primary goal of the attending doctor is to diagnose and treat the underlying disease causing these changes. Once treated, the skin condition should gradually improve and return to normal.

One other situation in which people are often confronted with the problem of having coarse skin over the elbows is when they have eczema. This is primarily a skin condition that can cause both dryness and itching, with these changes being especially pronounced when they occur around the elbows. The repeated scratching by the person suffering from this issue tends to further aggravate the skin’s response, leading to additional thickening. In eczema, inflamed skin forms, characterised by swelling, oozing, and the development of darker hues. Relevant treatment must focus on addressing these unusual skin changes, which often helps significantly in managing the condition.

Another skin condition associated with coarse skin on the elbows is psoriasis, which typically develops on the knees, elbows, and scalp. It is characterised by the formation of raised, itchy patches that can burn and sting simultaneously, and the affected skin often flakes. In general, people may suffer from dry elbows for various reasons, including complications from any of the conditions mentioned above. However, most causes are not serious and are, therefore, eminently treatable. The relevant treatment is usually straightforward, and individuals need to maintain such therapies to prevent recurrence. It is important to seek medical attention when lesions fail to improve or disappear despite the rigorous use of appropriate home remedies.