Chronic foot eczema for many years with dryness, flakes, and itching usually needs long-term skin barrier care plus short courses of anti-inflammatory treatment during flare-ups. Regular use of thick moisturizers (emollients) is essential to reduce dryness and scaling. During active itching or redness, doctors commonly prescribe topical steroids such as Mometasone for short periods, or steroid-sparing options like Tacrolimus for maintenance therapy, especially in recurrent cases. Keep the foot clean and dry, avoid scratching, wear breathable footwear, and avoid harsh soaps or prolonged moisture exposure. Since long-standing foot eczema can sometimes overlap with fungal infection, a dermatologist examination is recommended before prolonged steroid use to confirm the diagnosis and choose the correct treatment.