Cracked heels are a really frequent foot problem, sometimes called heel fissures. They are as a result of dried-out skin and made more complicated should the skin round the edge of the rearfoot is callused. They can be painful to weightbear on and the skin can bleed.
Many people tend to have a normally dry skin which makes the skin easy to crack. The thickened dry skin (callus) about the heel which may be more prone to tear is usually due to weight bearing reasons which increase pressure in that area (eg the way you move).
Factors that might be also mixed up in the cause of cracked heel skin include:
* extented standing
* being overweight
* open back in the shoes
* some medical conditions increase the risk to a drying skin (for example diabetes mellitus)
* skin disorders (eg dermatitis)
Self management for cracked heels:
* Using an oil based lotion two times a day is very fundamental to be able to get on top of this problem. A pumice pad can be used to reduce the thickness of the thickened skin. It is important to avoid open back shoes or thin sole shoes.
* Never attempt to cut the hard skin yourself with a blade or scissors. There is a possibility of an infection occuring and taking too much off.
The podiatric treatment of cracked heels may include the following:
* analyzing the explanation for the problem, so this can be remedied
* taking off the hard thick skin by carefully debriding it (frequently the cracks will likely not recover if the skin is not removed). This may have to be done frequently. Regular maintenance may be the best way to avoid the disorder.
* when the cracked heels are very painful, strapping are useful to 'hold' the edges of fissures with each other while they get better (a maintenance routine next to prevent it happening again is essential).
* prescription and help and advice regarding the most suitable lotion or emollient.
* assistance with shoes and self-care of the disorder.
* insoles may be used to alter the way you walk for preventing the thicker skin from developing (these are typically suggested for cases of heel callus and aren't suitable for everyone).
* a heel "cup" can be utilized to maintain the fat pad from expanding laterally. This cup is used inside the shoe and will be helpful at prevention if utilized on a regular basis.
* on rare instances some Podiatry practitioners and Dermatologists have used a skin 'glue' to stick the sides of the skin with each other, to ensure the cracks might mend.