I really feel for you, i have the same problem and understand how you feel, my hands always look awful like i have been fighting!!!!!! They split and bleed and are very painful, it doesn't help that i wash my hands a lot. As a guy said before it could be to do with bad blood circulation as i suffer from cold feet/hands!! Its terrible and makes you feel very concious of people looking at your uly hands!!! I went to my doctor and he prescribed me a cream i think it is called Epaderm, and, although not practical, it is fantastic, i only put it on before bed as it is so thick and takes ages to sink into the skin, it makes such a difference, after jsut a day or two you should tell the difference and after that just keep using a normal neutrogena cream throughout the day. Good luck..