The good news is my hands have improved considerably over the past few days, no doubt due to the steroid cream. The long term use of this is starting to worry me, it cannot be good and it makes the skin on the back of my hands so thin it tears easily, not particularly appealing.
On the recommendation of a fellow sufferer I tried a regime of soaking my hands in a bowl of Apple Cider Vinegar. This having worked very well for her I thought I would give it a try. After some initial improvement, I think it was just the vinegar eating away at my flaky skin, it failed to do anything other than make me smell like a fish and chip shop all day.