Heel Fissures
Treating Cracked Heels and Restoring Comfort
Understanding and Managing Painful Heel Fissures
Heel fissures, or cracked heels, occur when the skin around the heel becomes dry, thickened, and splits under pressure. While often seen as a cosmetic issue, deep cracks can cause pain, bleeding, or infection—especially for individuals with diabetes or weakened immune systems. Proper care can prevent complications and restore smooth, healthy skin.
Causes
The most common cause of heel fissures is xerosis (dry skin). Cracks form when pressure and friction act on hardened skin, often around existing calluses. Contributing factors include:
- Standing for long periods or walking barefoot
- Open-backed shoes that allow the heel to expand
- Excess body weight
- Dry skin conditions such as eczema or psoriasis
- Diabetes or thyroid disorders that reduce skin moisture
When left untreated, the skin may split deeply, leading to pain or infection.
Symptoms
Heel fissures usually develop gradually and may appear on one or both heels. Common symptoms include:
- Hard, thickened skin along the heel edges
- Visible cracks or splits that may bleed
- Pain when standing or walking
- Redness and swelling around the heel
Severe fissures may lead to open wounds that require medical attention.
Treatment Options
Early treatment focuses on hydration, exfoliation, and protection.
Conservative Care:
- Soak feet in warm water, then gently remove dry skin with a pumice stone
- Apply a thick, fragrance-free moisturizer twice daily
- Use occlusive creams or petroleum jelly at bedtime with cotton socks
- Avoid open-backed shoes and wear footwear with proper heel support
Medical Care:
If fissures are
painful, bleeding, or infected, seek podiatric treatment. A physician may:
- Debride thickened skin safely in-office
- Prescribe medicated creams or dressings
- Address underlying conditions like diabetes or fungal infections
Prevention
Keep your heels moisturized daily, avoid prolonged standing on hard surfaces, and wear well-fitting, supportive shoes. Regular podiatric care can help prevent recurrence.
If you have painful or persistent heel cracks, schedule an appointment with our office. We’ll identify the cause and create a treatment plan to relieve discomfort and protect your feet from infection.
Start Your Journey to Wellness Today
Talk With Foot and Ankle Specialist Today!
Ready to take the first step towards healthier, pain-free feet? Contact us to schedule an appointment or to learn more about our foot and ankle services. Our dedicated podiatric team is here to provide personalized care and answer any questions you may have about your lower extremity concerns. Reach out today and let us help you achieve optimal foot health and mobility for an active lifestyle.