mchelle, this sounds very frustrating. My skin has also stopped responding to topicals (I felt like I tried absolutely everything). I'm wondering if any of your Derms have suggested targeted phototherapy for your feet? There are even some at-home, handheld devices that you can get. If not phototherapy, then next up they might try systemics/biologics if it's significantly affecting your quality of life. It's such a tricky condition because some of us have to cycle through a lot of different treatments before we hit on something that works really well.
I might also ask your Derm about adding in some coal tar lotion. There are quite a few OTC coal tar creams that you can buy. I wonder if they would help soften things up.
Is it bad plaques/cracking you are experiencing, or is it more pustules?
Warm wishes,
-Victoria, Community Moderator