This leg file is very efficient. It's double-sided, coarse-grained on both sides, one side slightly less rough than the other. Because it has two rough sides, this file really takes care of my toughest calluses and areas where my healing sometimes flakes off from mild psoriasis. It's amazing to see "snow" flying off this file. If your feet are in really bad shape, you might want to file them outside or over the tub because that file really gets rid of that dry, dead skin and can make a mess. I prefer to file my sensations when they're dry; I find it more efficient. If you prefer a wet file, you can probably use it in the shower, but in this case I recommend being careful with the wooden handle and drying it afterwards. The wooden handle is smooth and shiny and polymer coated for protection, but I still don't think it will last all the time in the shower. For my toughest calluses, I have found that I have to finish my pedicure in several places with a fine grit file to keep my feet very smooth in those areas. I also sometimes use my fine file on my elbows, another spot where I get mild psoriasis. My fine file is fine when used carefully and gently on my elbows, but this file is too coarse for this area. larger and harder calluses. It is well made and should withstand a lot of use. In some places I had to use a fine grit file to get a very smooth skin.
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