Cracked heels, also called heel fissures, develop when skin around the heel becomes excessively dry, thick, and less flexible. Pressure from standing or walking causes the skin to split. Causes include low moisture, prolonged standing, and pressure on the fat pad beneath the heel. Genetics can affect skin thickness, while obesity adds pressure to the heels. Other risk factors include open-backed shoes, walking barefoot, and skin conditions such as eczema or psoriasis.

Symptoms often begin with dry, rough, or flaky skin around the heel edges. Initial signs include redness, itchiness, and fine cracks. Skin may feel tight after walking. As the condition progresses, the skin thickens and cracks deepen. Standing or walking can become painful as pressure stretches damaged tissue. Severe heel fissures may extend into deeper layers, causing bleeding and making everyday activities difficult. Open cracks also allow bacteria to enter and cause infection.

Cracked heels develop through three stages. Initially, dryness and roughness appear without significant splitting. Moisturizing may prevent damage. During progression, thickened skin develops visible cracks, with increasing redness and discomfort when pressure is applied. In the severe stage, fissures deepen and may bleed, swell, or cause substantial pain. People with diabetes, poor circulation, or reduced sensation should seek care from a chiropodist early because foot wounds can become serious. Spreading redness, warmth, or worsening pain also requires prompt medical attention.

To help prevent cracked heels, apply a thick moisturizer daily, especially after bathing, and wear supportive, closed-back footwear. Avoid cutting thickened skin at home because this can cause injury. A chiropodist can assess heel fissures, reduce excess skin, and recommend suitable treatment for lasting foot health. If your cracked heels are persistent, painful, or deep, it is suggested that you consult a chiropodist to explore effective relief and management solutions.

Cracked heels, also known as heel fissures, can cause pain and discomfort. If your cracked heels are bothering you, please consult with Emily Yu, B.Sc from Uptown Foot Care Clinic. Our specialist will assess your condition and provide you with quality foot and ankle treatment. 

Dry, thickened skin around the rim of the heel is typically the first sign of cracked heels. While this condition is common and usually just a nuisance, some cases can be more severe. If left untreated and as more pressure is placed on the heel, the cracks become deeper and eventually walking and standing can be painful. These deep cracks or fissures can bleed and also become infected. Those with diabetes need to be especially careful as fissures could lead to diabetic foot ulcers. 

Causes

Cracked heels can be the result of several different factors, including: 

• Dry skin
• Taking long, hot showers or using harsh soaps
• Standing for long periods of time
• Walking barefoot
• Walking in shoes with an open back, such as sandals or flip flops
• Wearing shoes that do not fit properly
• Living in a cold or dry climate
• Certain skin conditions, such as eczema or psoriasis

Treatment

There are many at-home treatment remedies for cracked heels. Applying moisturizers to the heel can help hydrate the skin. Soaking your feet in warm water and exfoliating them with a loofah or pumice stone can help to buff away dead skin cells. If you are afflicted with cracked heels, it is recommended that you see a chiropodist for treatment. 

Prevention

You can prevent cracked heels by:

• Avoiding standing in one position for prolonged periods of time
• Wearing well-fitted shoes with a closed back
• Washing your feet with gentle soaps and lukewarm water
• Moisturizing the feet daily

If you have any questions please feel free to contact our office located in Toronto, ON .