What should you know about very cracked heels?

Heel skin can become dry and thick, then split when pressure makes the heel spread during standing or walking. The cracks may feel tight, catch on socks, sting, or bleed. Athlete’s foot can also affect the feet, especially when there is itching, scaling, or peeling between the toes. Cracked skin is a symptom rather than a complete diagnosis, so persistent fissures may need assessment for dermatitis, psoriasis, or other causes.

Wash gently and dry carefully, including between the toes. Apply a rich moisturiser to the heels soon after washing and again before bed; emollient therapy can help soften and protect the outer skin. Wear cushioned, well-fitting shoes and socks, and avoid walking barefoot on hard surfaces. A foot file can smooth thick skin after washing, but stop if it hurts or bleeds. Do not cut the cracks with blades or apply harsh acids without professional advice.

Seek prompt care for warmth, swelling, pus, spreading redness, fever, or worsening pain. Arrange an assessment for deep bleeding fissures, repeated cracking, marked itching, or skin changes that do not improve with consistent moisturising. People with diabetes, reduced sensation, or circulation problems should seek advice early about any open heel crack.

Could a fungal infection or another skin condition be contributing? Which moisturiser is suitable, and how often should I use it? Is filing safe for my skin? How should an open or bleeding fissure be dressed?