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.
Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.
Cracked Heels
Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.
How Do You Get Them?
Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.
Promote Healing
Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.
Wear Socks – Wearing socks with medicated creams helps lock in moisture.
Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.
Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin.
Change in Diet
Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.
Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed.
If you have any questions, please feel free to contact one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
