What should you know about itchy heels of feet at night?

Night-time itching can feel stronger when you are resting and there are fewer distractions. Dry, cracked heel skin commonly feels tight and itchy. Scaling, peeling, soreness between the toes, or a spreading edge can occur with [Athlete's Foot](/conditions/athletes-foot/). Small deep blisters on the sides or soles may fit dyshidrotic eczema. Redness that follows a new shoe, sock, detergent, or foot product suggests [Contact Dermatitis](/conditions/contact-dermatitis/). Examine both feet in good light and note cracking, blisters, scale, moisture, and whether the itch reaches between the toes.

Wash gently, dry carefully around and between the toes, and use breathable footwear. Avoid very hot water, fragranced products, and scratching. If the skin is dry but intact, a plain moisturiser applied to the heel can support the barrier; keep thick moisturiser away from moist spaces between toes. Change damp socks and do not share towels or footwear.

If the pattern resembles a fungal infection, a pharmacist or clinician can advise whether [Topical Antifungal Treatment](/treatments/medical-dermatology/topical-antifungal-therapy/) is suitable and how long to use it. Do not apply steroid creams to a suspected fungal rash without guidance, as they can alter its appearance and allow it to persist. Keep a brief record of products, footwear, and nighttime symptoms.

Book an assessment if itching persists, repeatedly wakes you, cracks bleed, or the rash spreads despite sensible foot care. Seek prompt attention for increasing warmth, swelling, pus, severe pain, fever, or red streaking. People with diabetes, reduced sensation, poor circulation, or a weakened immune system should seek advice early when the heel skin breaks.

Does the pattern fit [Dyshidrotic Eczema](/conditions/dyshidrotic-eczema/) or a fungal infection? Should the skin be tested? Which moisturiser or footwear changes are appropriate, and how should I protect any cracks?