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Understanding Cracked Heels: Causes, Types, and When to Seek Medical Help

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Understanding Cracked Heels

Cracked heels—also known as heel fissures—are a common skin condition where the skin around the heels becomes dry, hard, and splits open. While often mild, they can become painful or lead to infection if left untreated. If you're experiencing discomfort or need help managing cracked skin, My Health Assistant makes it easy to find trusted health professionals near me for personalised care and advice.

 

What Are Cracked Heels?

Cracked heels develop when the skin on the heels becomes too dry or thick, causing it to lose flexibility and split open under pressure. These cracks may appear shallow at first but can deepen and cause pain or bleeding if not properly managed.

Though common, cracked heels can be more than just a cosmetic issue—especially for those with underlying health conditions.

 

Common Symptoms of Cracked Heels

You may experience:

Dry, thickened skin on the heels (calluses)

Visible cracks or fissures in the heel area

Pain when walking or standing

Redness or inflammation around the cracks

Bleeding or discharge (in severe cases)

Itchiness, flakiness, or peeling skin

Infection can occur if bacteria enter through open cracks, so early care is important.

 

Causes and Risk Factors

Cracked heels are often caused by a combination of dryness and repeated pressure. Contributing factors include:

Standing for long periods (especially on hard floors)

Open-back shoes or sandals

Lack of moisturising or foot care

Obesity – which increases pressure on the heels

Aging skin – less natural oil production

Medical conditions like diabetes, eczema, psoriasis, or hypothyroidism

Cold or dry weather

The condition can worsen if cracks become deep or infected.

 

When to See a Health Professional

You should seek professional advice if:

Cracks are deep, painful, or bleeding

There's redness, swelling, or discharge

You have diabetes or circulatory issues

Over-the-counter treatments are not effective

You experience difficulty walking due to heel pain

Professional care can help manage the condition safely and prevent infection.

 

Which Health Professionals Treat Cracked Heels

If you’re looking for health professionals near me for cracked heels, you may consult:

Podiatrists (Chiropodists) – for expert foot care and hard skin removal

Dermatologists – if eczema, psoriasis, or skin conditions are involved

General Practitioners (GPs) – for infections or referrals to specialists

Pharmacists – for advice on creams and foot care products

Diabetic care specialists – if you have diabetes and foot complications

These professionals can provide treatment, prevention tips, and ongoing support.

 

Risks of Ignoring Cracked Heels

If untreated, cracked heels can lead to:

Infection, especially if cracks bleed or deepen

Painful fissures that make walking or standing difficult

Ulceration in people with diabetes or poor circulation

Ongoing skin damage and thickening

Reduced mobility or quality of life

Early care and prevention can stop small cracks from becoming bigger problems.

 

What Treatment Options Are There for Cracked Heels?

Treatment depends on the severity of the condition, but may include:

At-home care:

Soaking feet in warm water and gently exfoliating

Applying thick moisturisers or heel balms (containing urea, salicylic acid, or lactic acid)

Wearing socks after moisturising to lock in hydration

Avoiding open-back shoes or walking barefoot

Using pumice stones or foot files gently (avoid over-scrubbing)

Professional treatment:

Debridement (safe removal of thickened skin) by a podiatrist

Prescription creams for deep cracks or skin conditions

Antibiotics if an infection is present

Custom orthotic insoles to reduce pressure on heels

Consistent care and hydration are key to preventing recurrence.

 

Summary

Cracked heels are a common and treatable condition that can cause discomfort, pain, and even infection if ignored. With proper care—both at home and with professional help—you can restore healthy skin and prevent further issues. Use My Health Assistant to connect with trusted health professionals near me and step confidently into smoother, pain-free feet.