With colder weather and dropping humidity, dry skin starts to become a problem. Dry skin is of particular concern for anyone who uses assistive devices or is paralyzed. Dry, cracked skin should also be prevented in the elderly, and individuals with illnesses such as diabetes. There is an increased risk of skin ulcers, infection and prolonged healing times for all these individuals.
There are several key goals when managing skin health during colder weather. These include preventing skin irritation, avoiding environmental and physical factors that lead to over-drying and countering environmental effects with specially selected emollients. A few common sense steps can help protect skin:
- Avoid overly drying soaps and cosmetic products.
- Fragrance free detergent and cleansers reduce the risk of skin irritation
- Loose cotton clothing next to the skin allows for evaporation of sweat and temperature maintenance.
- In- home humidifiers counter the drying effects of cold winter weather.
- Good nutrition and adequate hydration are essential to keeping the skin intact.
In the presence of dry, cracked skin, emollients can be helpful. Emollient lotions help seal cracks in the skin and provide a protective barrier which prevents further skin breakdown. For individuals who use assistive devices such as wheelchairs or prosthetics, it’s particularly important to moisturize and monitor areas that are at risk for skin breakdown.
Skin ulcers can become infected. If the ulcer does not heal, or there is an associated fever it’s important to seek medical help right away. This is a common complication for many who suffer injury related disability.
This winter, project your skin when you are facing the elements, and soothe it with non irritating cleansers and moisturizers. If you have concern about skin breakdown, Dr. Greg Vigna recommends you call your doctor so treatment can begin right away.
Guenther L, Lynde CW, Andriessen A. (2012) Pathway to dry skin prevention and treatment. J Cutan Med Surg 16 (1): 23-31
