How To Treat Cracked Heels – Umina Podiatry

How To Treat Cracked Heels

Dry Cracked HeelHow To Treat Cracked Heels

How to treat cracked heels is a common question at this time of year. You might have been on holidays or getting around in open backed shoes or bare feet due to the warmer weather.

Heel cracks are something we are all prone to, but there are some things that can predispose people.

·         Dermatitis

·         Psoriasis

·         Keratoderma

·         Dry skin

·         Conditions like diabetes and hypothyroidism

These conditions may see you developing hard dry thickened skin around the edges of your heels.

We all become more likely to develop this thick skin if we are overweight, standing on hard surfaces a lot, or wearing open backed footwear.

As we stand on our feet, the cushioning pad of fatty tissue under our heels will expand. The skin surrounding this fat pad needs to be both strong and flexible, as it is constantly moving and stretching with every step we take.

Dry thick skin loses its flexibility, so is more liable to split and crack instead of move and stretch.

Think of a healthy green leaf on a tree which is soft and flexible. Once it falls from the tree it becomes dry and brittle and will crack or crumble when you try and bend it.

The first signs will be small splits on the surface of the heels. If left untreated these weak points in the skin will deepen and become painful to stand on. In severe cases they can bleed and become prone to infection. If you have medical conditions such as those listed above, then you should seek professional help for any foot wound.

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Preventing Cracked Heels

Firstly, if you have any of the conditions listed above, you should seek medical advice and ensure they are managed optimally.

Looking after the thick skin will involve regular moisturising, preferably with a product designed specifically for dry cracked heels. This is likely to contain ingredients like Urea, Lactic Acid, or Salicylic Acid. These should be used in conjunction with a pumice stone or foot file to remove excess hard skin by gently rubbing over the area. It is safer to avoid using implements that resemble graters or contain blades.

Use dressings and antiseptic if cracks are deep or painful to help prevent infection. People with diabetes should be especially careful of foot wounds and seek professional advice without delay.

If home management does not improve your heels after 2 weeks then it is time to get professional help.

This could involve

·         Debridement of the hard skin by a podiatrist using a sterile surgical blade

·         Strapping the area to protect the skin

·         The use of heel cups or gel pads to assist with shock absorption

·         Using products to hold the edges of cracks together allowing them to heal.

Podiatrists are the best people to deal with all kinds of foot problems, and can advise you on the best treatments available for cracked heels or dry skin.

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