Cracked and painful heels: what should you know?

Heel skin becomes vulnerable when it is dry, thick, or less flexible. Standing and walking then force the edges of a fissure apart, causing sharp stinging or soreness. Dry Skin may be the main issue, but Athlete's Foot can cause scaling and irritation that contributes to cracking. Cracked Skin elsewhere, or a rash on both feet, gives a clinician useful context when deciding whether this is simple pressure-related dryness.

Use lukewarm water, a gentle cleanser, and a thick fragrance-free moisturiser after drying. A heel balm or dressing can reduce rubbing from shoes; keep any open split covered with a clean, non-stick pad. Wear cushioned, well-fitting shoes and avoid sandals that leave the heel exposed to friction. Do not cut callused skin yourself. Ask about Emollient Therapy if the heel remains rough despite regular care.

Arrange an examination if pain is worsening, the crack is deep, bleeding, or interfering with walking. Redness that spreads, warmth, swelling, pus, fever, or a foul smell can indicate infection and warrants prompt care. Anyone with diabetes, numb feet, poor circulation, or reduced ability to inspect the feet should seek advice early for an open fissure.

Is the pain coming from a superficial fissure or a deeper wound? What dressing, moisturiser, and footwear changes would best protect this heel?