Cracked heels that are not healing: what to know

A heel crack is repeatedly stretched by standing and walking, so the edges may reopen before the surface has repaired. Ongoing dryness, hard thickened skin, open-backed shoes and friction can keep it active. Persistent scale or itch may indicate Athlete's Foot; inflammation, eczema, psoriasis and pressure-related thickening can also need specific care.

A fissure that stays open is different from ordinary [Dry Skin](/symptoms/dry-skin/). Read more about the broader pattern of [Cracked Skin](/symptoms/skin-cracking/) while noting that appearance alone cannot confirm the cause.

Clean gently, pat dry and use a thick moisturiser on the heel every day, especially after bathing. [Emollient Therapy](/treatments/medical-dermatology/emollient-therapy/) can soften the surrounding thick skin. Wear cushioned, closed footwear that limits heel movement and avoid barefoot walking on hard floors. Do not shave, cut or aggressively file the fissure. If the crack has not improved with consistent care, arrange an examination rather than repeatedly adding products.

Book a clinical review when a fissure remains open, keeps reopening or interferes with normal walking. Seek prompt care for warmth, swelling, spreading redness, pus, bleeding that does not settle or fever. Early assessment is especially important with diabetes, reduced foot sensation or poor circulation, because a small wound may need closer monitoring.

Could a fungal infection, eczema or pressure be delaying healing? Is the fissure deep enough to need a dressing or prescription treatment? How should I protect it during work and exercise?