Cracked Heels: Causes, Prevention, and Treatment - Well Heeled Podiatry

Cracked Heels: Causes, Prevention, and Treatment

Written by: Monique Milne

Cracked heels, often referred to as heel fissures, are a frequent foot issue that a lot of individuals end up having to deal with. Despite the fact that they may appear to be nothing more than a simple cosmetic problem if they are not handled, they may become unpleasant and even lead to infections. 

If they are not addressed, they can even lead to infections. In this blog post, we will explain the elements that contribute to cracked heels, as well as give some helpful tips on how to treat the disease and avoid getting it in the first place.

What Causes Cracked Heels?

1. Dry Skin

Dry skin is the primary culprit behind cracked heels. When the skin lacks adequate moisture, it becomes less elastic and more prone to tearing and cracking. Several factors can contribute to dry skin:

  • Genetic Predisposition: Some individuals are genetically predisposed to have drier skin. They might produce less oil and sweat, leading to drier skin not just on their heels but also on other parts of their body, such as their hair and face.
  • Environmental Factors: Living in areas with low humidity or harsh winters can strip the skin of its natural moisture, making it drier.

2. Aging

As we age, our skin undergoes various changes:

  • Decreased Oil Production: The skin’s ability to produce oil diminishes, leading to reduced natural lubrication.
  • Loss of Elasticity: The skin loses its natural elasticity, making it more susceptible to external pressures and, consequently, cracking.

3. Skin Conditions

Certain dermatological conditions can exacerbate heel fissures:

  • Athlete’s Foot: This fungal infection can cause dryness, scaling, and itching, which can lead to cracks if not treated promptly.
  • Eczema: Characterised by inflamed, itchy, and dry skin, eczema can make the skin more vulnerable to cracking.
  • Psoriasis: This autoimmune condition leads to the rapid buildup of skin cells, causing scales and dry patches that can crack.

4. Excess Weight

Carrying extra weight has a direct impact on our feet:

  • Increased Pressure: The added weight puts more pressure on the fat pad of the heel, causing it to expand sideways. The skin can crack under this pressure if it is not flexible enough.
  • Altered Gait: Being overweight can also change the way a person walks, leading to uneven pressure distribution on the feet and increasing the risk of heel fissures.

5. Footwear

The type of shoes we wear plays a significant role in foot health:

  • Open-back Shoes: Shoes without proper heel support, like flip-flops or open-back sandals, expose the heel to external elements, increasing the risk of drying and cracking.
  • Ill-fitting Shoes: Shoes that don’t fit well can cause friction against the heel, leading to dryness and cracks over time.

6. Environmental Factors

Geographical location and climate can influence skin health:

  • Dry Climates: Areas with low humidity, such as deserts or regions with cold winters, can sap the skin of its natural moisture.
  • Exposure to Harsh Elements: Walking barefoot on hot sand or rough terrains can strip the skin’s protective oils, leading to dryness and cracks.

Prevention is Better than Cure

1. Moisturise Regularly

Keeping the skin hydrated is crucial in preventing cracks and dryness.

  • Choosing the Right Moisturiser: Opt for foot creams or oils that contain ingredients like shea butter, coconut oil, or hyaluronic acid. These ingredients are known for their deep moisturising properties.
  • Consistency is Key: Make it a nightly routine to apply moisturiser to your feet, ensuring you pay special attention to the heel area. For an added boost, wear cotton socks after moisturising to lock in the hydration.

2. Choose the Right Footwear

The shoes you wear can significantly impact the health of your feet.

  • Supportive Heel: Shoes with a supportive heel cup can help distribute pressure evenly across the foot, reducing the risk of cracks.
  • Breathable Materials: Opt for shoes made of breathable materials like leather or canvas. This ensures that any moisture (like sweat) can evaporate, keeping the feet dry and reducing the risk of fungal infections.
  • Rotate Your Shoes: Avoid wearing the same pair of shoes every day. Rotating between different pairs allows each set to air out, reducing moisture buildup.

3. Stay Hydrated

Hydration from within plays a pivotal role in skin health.

  • Drink Water: Aim to drink at least 8 glasses of water a day. Keeping your body hydrated helps maintain skin elasticity and prevents dryness.
  • Balanced Diet: Incorporate foods rich in omega-3 fatty acids, like flaxseeds, walnuts, and fish. These nutrients help maintain skin hydration and health.

4. Avoid Prolonged Standing

Standing for extended periods can exert undue pressure on the heels.

  • Take Regular Breaks: If your job or daily activities require prolonged standing, ensure you take short breaks every hour. This can be as simple as sitting down for a few minutes or taking a short walk.
  • Foot Exercises: Simple foot exercises, like toe-tapping or ankle rotations, can help improve blood circulation and reduce the strain on the heels.

Treatment Options

1. Over-the-counter Creams

There’s a wide array of creams available in pharmacies and stores specifically designed to treat cracked heels.

  • Key Ingredients: When choosing a cream, look for ingredients like urea, salicylic acid, or lactic acid. Urea, for instance, is a potent moisturiser that can also help exfoliate and soften thickened skin. Salicylic acid and lactic acid aid in the removal of dead skin cells, promoting faster healing.
  • Application Tips: For best results, apply the cream after bathing when the skin is still slightly damp. This helps lock in moisture. Using the cream consistently, preferably twice a day, can lead to noticeable improvements within a week.

2. Foot Soaks

A relaxing foot soak can do wonders for your feet, softening the skin and preparing it for exfoliation.

  • Epsom Salt Benefits: Epsom salt, or magnesium sulphate, is popular for foot soaks. It helps reduce inflammation, soften the skin, and can even provide relief from foot aches.
  • How to Do It: Fill a basin with warm water and add a handful of Epsom salt. Soak your feet for about 15-20 minutes. After soaking, use a pumice stone or foot file to gently exfoliate the softened skin, focusing on the heel area. Finish by rinsing your feet and applying a moisturiser.

3. Visit a Podiatrist

For severe cases or if home treatments don’t bring relief, it’s essential to consult a professional.

  • Expert Diagnosis: A podiatrist can provide a thorough examination, identify the underlying causes of your cracked heels, and recommend specialised treatments tailored to your needs.
  • Specialised Treatments: In some cases, the cracks might be deep, posing a risk of infection. A podiatrist can safely remove the thickened skin, treat any infections, and provide guidance on aftercare. They might also recommend custom orthotics or specific footwear to address any structural foot issues contributing to the problem.

Cracked heels are a common problem that can be annoying, but the good news is that they can be treated. The most important things are constancy in treatment and getting to the bottom of what’s causing the problem, regardless of whether you choose over-the-counter medications, home treatments, or expert help. With the correct treatment, you may return the suppleness and softness of your feet to their previous state.

Conclusion

Cracked heels can only seem slightly annoying initially, but if they are not handled, they can progress to more serious problems. It is possible to maintain healthy, crack-free feet by first gaining an awareness of the factors that contribute to the condition and then taking steps to prevent it. Keep in mind that if you are ever unsure about anything, you should seek the advice of a podiatrist as soon as possible.

Monique Milne is the experienced Director of Well Heeled Podiatry, offering comprehensive podiatry care with a focus on sports podiatry. Her expertise spans a wide range of services, including biomechanical and gait assessments, 3D scanning and orthotics, nail surgery, children's lower limb development, and treatment for various foot and leg conditions.

With advanced qualifications in shockwave therapy, foot mobilisation and manipulation techniques (FMT), tool-assisted massage (TAS), prolotherapy, and dry needling, Monique provides cutting-edge treatments for musculoskeletal conditions of the feet and lower limbs. Well Heeled Podiatry also offers specialized services such as pre-pointe assessments, Keryflex treatments, and Moon Boot fittings.

Monique's professional background includes working in a High Risk Multidisciplinary Foot and Leg Clinic at The Queen Elizabeth Hospital in South Australia, collaborating with various medical specialists. Her experience extends to public speaking, presenting educational material, and supervising podiatry and medical students. Recognized by the Australian Podiatry Association and Sports Medicine Australia, Monique is dedicated to excellence in podiatry care and continuously seeks passionate, like-minded podiatrists to join her team at Well Heeled Podiatry.

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