What should you know about cracked skin on feet?

The soles carry pressure and may develop thick, dry skin that splits when it cannot flex easily. Open shoes, frequent bathing, dry indoor air and long periods standing can add stress. Itch, redness and scaling may point toward atopic dermatitis or another irritation; thicker plaques elsewhere can occur with psoriasis. Peeling between the toes has a different pattern and may need assessment rather than heavy occlusive cream. Cracks can hurt during walking and provide an opening for infection, especially when the surrounding skin is inflamed.

Rinse with warm rather than hot water and dry carefully, including between the toes. Apply a rich, fragrance-free emollient to dry areas after bathing and before bed. Wear breathable socks and shoes that reduce rubbing; change damp socks promptly. Do not cut thick skin with blades or pull loose edges. A pharmacist or clinician can advise whether a stronger softening product is appropriate, particularly if you have reduced sensation or circulation problems.

Have a clinician look at cracks that are deep, recurrent, bleeding, draining or surrounded by warmth and spreading redness. Prompt assessment is appropriate with fever, increasing swelling, severe pain or difficulty walking. People with diabetes, reduced foot sensation or circulation problems should seek advice early because a small fissure may be harder to notice and heal.

Is the cracking mainly dryness and pressure, or could dermatitis or psoriasis be involved? Which emollient is suitable for my feet? Do I need advice about footwear, fungal symptoms or foot checks?