Is a Common Foot Problem

Cracked heels or heel fissures are a common foot problem experienced by many people. In most cases the problem is merely a nuisance and unattractive to look at, however when the cracks or fissures become deep, standing, walking or any pressure placed on the heel can be painful.

Anyone can get cracked heels but some people are more prone to the condition than others. For example:

• Dry skin for whatever reason
• Atopic dermatitis
• Juvenile plantar dermatosis
• Psoriasis, especially palmoplantar psoriasis
• Palmoplantar keratoderma
• Systemic conditions that dry the skin, including diabetes and hypothyroidism
• Dry thickened skin (corns and calluses) around the rim of the heel is the very first step towards cracked heels. Increased pressure on the fat pad under the heel causes it to expand sideways, leading to splitting or cracking of the callous. Some factors that contribute towards the callus cracking or splitting include:

1. Excessive weight or obesity
2. Prolonged standing, especially on hard floors
3. Open-back shoes and sandals, as they provide no support to hold the fat pad under the foot

The first sign of getting cracked heels is the development of dry, hard, thickened skin around the rim of the heel. This is called a callus and may be yellow or dark brown discoloured area of skin. Initially small cracks over the callus are visible. If left untreated and as more pressure is placed on the heel, these cracks become deeper and eventually walking and standing will be painful. The cracks may be so deep that they begin to bleed.

In severe cases cracked heels can become infected, and lead to cellulitis. This must be treated with elevation of the area, debridement of dead tissue, and antibiotics.

Cracked heels are of particular concern for diabetic patients, who may suffer neuropathic damage (loss of feeling, particularly of the feet), as the fissures may lead to diabetic foot ulcers.

Source: dermnetnz

 
RIVERA FOOT & ANKLE: At Orlando H.Rivera DPM, our priority is to deliver quality care to informed patients in a comfortable and convenient setting. When you have problems with your feet, you need to turn to a podiatrist who listens and responds… an experienced doctor who knows the field and can effectively diagnose and treat your needs… a friendly physician who counsels you on the best ways to maintain and improve your health. Our physician(s) meet all these criteria. Plus, you benefit from a dedicated team of trained professionals who give you the individualized attention you deserve.
 

Orlando H.Rivera DPM

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