Cracked heels painful to walk on: what to know

Each step loads the heel and stretches the skin. A shallow split may sting, while a deeper fissure can expose sensitive tissue and hurt when the edges separate. Thick callused skin, dry [Skin Cracking](/symptoms/skin-cracking/) and shoes that rub the back of the foot can all add pressure. Itch and scale on the sole or between the toes may also fit Athlete's Foot.

Pain does not identify the cause by itself. The depth of the crack, surrounding redness, drainage and changes in walking are more useful clues than pain alone.

Wash gently and dry without rubbing. Apply a rich moisturiser around the heel; [Emollient Therapy](/treatments/medical-dermatology/emollient-therapy/) can improve flexibility in dry surrounding skin. Wear cushioned, closed shoes with a secure heel and avoid footwear that presses on the split. Reduce activities that cause repeated rubbing while the area is sore. Do not pour harsh antiseptics into a fissure or cut away the edges. A pharmacist or clinician can advise whether a protective dressing is suitable.

Arrange medical advice if pain limits walking, the crack is deep or bleeding, or the area is not settling with protection. Seek prompt care for increasing warmth, swelling, pus, spreading redness or fever. Have the foot checked early if you have diabetes, poor circulation or reduced sensation, even when the wound looks small.

Is the pain from depth, infection or pressure? Would a dressing or prescription treatment help? Which shoes and activities are safest while the heel closes?