Hi, I am a fellow psoriasis sufferer. Taclomex has been the best ointment for me. It is EXPENSIVE!!!!!! With my insurance it is $75.00. Without insurance I would be paying $325.00 My doc does have a $25 coupon that that can be used if you don't have insurance. Whoopee. My worst is on my scalp and an area on my back. The last time I was in he injected them with cortisone. I don't know how you effectivly treat the hands. Good luck