Cracked heels / heel fissures

Cracked heels are often referred to as fissures
and are usually caused by dry skin.
This is often an annoyance and a cosmetic problem but when the fissures are deep, standing, walking or any pressure placed on the heel can be painful. Deep fissures may result in skin bleeding and pain.  

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The first sign of cracked heels is the development of dry, hard, thickened skin around the heel. Hard skin, usually on the outer edge of the heel may result in pain while walking and increased discomfort in thin sole or open back shoes. If left untreated and with more pressure placed on the heel, these cracks become deeper and eventually walking and standing will be painful.

In severe cases cracked heels can become infected, and lead to cellulitis.

This must be treated with debridement – cutting away hard thick skin (this should not be attempted at home using scissors or razor blade) and antibiotics if necessary.