Products for cracked heels: what to know

Heel fissures develop when dry, thickened skin loses flexibility and splits under pressure. Open-backed footwear, prolonged standing, friction, and dry environments can contribute. Cracked skin may sting or bleed, especially when walking. Scaling between the toes or along the sides of the feet can point to athlete's foot rather than simple dryness, and the two problems can occur together.

After washing, pat dry and apply a thick emollient to slightly damp heels, then cover with breathable socks. Reapply regularly, especially after bathing. A clinician can recommend the right emollient therapy when fissures are persistent. Avoid cutting thick skin with blades, aggressive filing, or applying irritants to open cracks. Wear shoes that support the heel and reduce rubbing. Keep feet dry, do not share towels, and seek advice about antifungal treatment if there is persistent scaling or itch.

Arrange a medical review for cracks that are deep, repeatedly bleeding, very painful, or not improving with regular moisturising. Seek prompt care for increasing redness, warmth, swelling, pus, fever, or red streaks. People with diabetes, reduced foot sensation, poor circulation, or immune problems should have foot cracks assessed early, even when they look small.

Is this dry skin, athlete's foot, eczema, or another cause? Which emollient and dressing should I use? Is the fissure infected? How should foot care change if I have diabetes or reduced sensation?