No. Medikomed Heel Cream is not a scrub and does not have to be combined with exfoliating to be useful. Its goal is to hydrate the thickened outer layer so that excess built-up cells shed more naturally with normal friction from socks and walking. This happens gradually, over days of consistent use, rather than as an instant mechanical polish.
If you enjoy using a foot file or pumice stone, the gentler approach is to do it after a bath or shower, when the skin is already softened, and only over the hard areas. Avoid aggressive rubbing, especially if the skin is cracked or sensitive. You can apply the cream right after, on damp skin, which is the most effective moment. But exfoliating is optional. For people with very dry or damaged skin, forcing the outer layer off can make the area more uncomfortable, so simply using a moisturizing cream daily is a safer starting point.
If you do use a pumice stone, keep it clean and dry between uses. Do not share it, and never use it on open cracks or wounds. The cream itself should be used only on the outside of the body and kept away from the eye area. If you are unsure how much pressure to use or you have a condition such as diabetes, get advice from a specialist before exfoliating your feet.
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