Cracked heels develop when the skin around the heel becomes dry, thickened, and begins to split. These cracks, also called fissures, often appear along the outer edge of the heel where pressure is greatest. The problem usually begins with a buildup of hard skin known as a callus. As pressure increases beneath the heel, the fatty tissue that cushions the foot spreads outward, placing stress on the surrounding skin. When the skin lacks enough flexibility, small cracks may form. Several factors contribute to cracked heels, including prolonged standing, excess body weight, and wearing open-backed shoes. Certain skin conditions, such as eczema or psoriasis, may also increase the likelihood of developing heel fissures. People with diabetes may be more vulnerable to complications from cracked skin. Understanding these causes helps explain why heel cracks sometimes worsen over time.
Symptoms of cracked heels vary depending on the severity of the skin damage. Early signs often include dry, rough skin and thickened areas around the heel. The affected skin may appear yellow or dark brown as calluses develop. Small cracks may initially cause little discomfort, but deeper fissures often become painful when walking or standing. Continued pressure may cause the cracks to widen and extend into deeper layers of skin. In more severe cases, the skin may bleed or become infected. Infection may cause additional redness, swelling, and discomfort around the affected area. Cracked heels are particularly concerning for individuals with diabetes because reduced sensation in the feet may make injuries difficult to notice. Deep fissures may also increase the risk of developing foot ulcers. Recognizing these changes is important for preventing further complications.
Podiatric care focuses on treating damaged heel skin and addressing the factors contributing to repeated cracking. A podiatrist examines the heels to determine the severity of the fissures and identify areas of excessive pressure. Treatment may involve carefully removing thickened skin to reduce discomfort and improve flexibility. A podiatrist may also recommend specialized moisturizing treatments or protective dressings to support healing. For deeper cracks, medical-grade tissue adhesives may help hold the skin together. Supportive insoles or heel cups may be recommended to distribute pressure more evenly across the heel. Treatment recommendations depend on the condition of the skin and any underlying health concerns. If cracked heels are causing pain or interfering with walking, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.
If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact one of our podiatrists from David A. Scalzo, DPM, PC and Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.
Cracked Heels
It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.
Ways to Help Heal Them
- Invest in a good foot cream
- Try Using Petroleum Jelly
- Ease up on Soaps
- Drink Plenty of Water
Ways to Prevent Cracked Heels
- Moisturize After Showering
- Skip a Shower
- Keep Shower Water Lukewarm
- Don’t Scrub Your Feet
If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need.
If you have any questions, please feel free to contact our office located in Duryea, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
