What should you know about cracked skin on heel of foot?

Heel skin becomes vulnerable when a thick rim of hard skin loses flexibility. Barefoot walking, open-backed footwear, prolonged standing and dry conditions can widen the split each time the heel bears weight. Itch or redness may suggest atopic dermatitis, and psoriasis can produce scaly plaques with fissures. Peeling, burning or scaling between the toes may indicate a separate problem. A heel fissure can be shallow and dry or deep enough to bleed, hurt and allow germs through the protective surface.

Wash briefly, dry thoroughly and apply a thick fragrance-free emollient to the heel while the skin remains slightly damp. Cover with a clean sock at night if comfortable. Choose closed, supportive footwear that limits heel slippage and avoid walking barefoot on hard floors while the split heals. Do not use blades, scissors or aggressive scraping. If hard skin is extensive, ask a professional about a suitable softening plan, especially if sensation or circulation is reduced.

Seek medical advice if a fissure is deep, repeatedly reopens, bleeds, drains or remains painful despite protective care. Redness spreading beyond the crack, warmth, swelling, pus, fever or a new bad smell needs prompt assessment. Anyone with diabetes, neuropathy or circulation problems should arrange advice early and avoid self-treating an open heel wound.

Is the heel thickening caused by pressure, eczema or psoriasis? How should I soften the surrounding skin without injuring the fissure? What footwear and dressing are appropriate for my daily activity?