Cracked skin around heels are a standard painful and infrequently unsightly problem. The fissures occur within the heel when the fats pad below the heel bone expands out sideways. This expansion stretches the skin around the fringe of the heel and if the skin is dry and thick, it’s highly more likely to crack or split. This cracking of the dry hard skin, then pulls on the good skin beneath and might tear it. This becomes painful and can bleed. The mechanism is just like squashing a tomato, in that when the pressure is applied, the tomato expands and the skin splits. The same process occurs when the fats pad below the heel expands out sideways.
The principle risk factors for cracked heels are weight Foot Problems, wearing open heel sneakers and dry thick skin. These which can be overweight most likely have more fats underneath the heel to broaden out sideways and carry more weight to compress the heel fats pad out from below the heel bone. Wearing an open shoe allows the fat pad to increase out from below the heel to place pressure on the skin, whereas wearing a closed in shoe will assist maintain the fat under the heel. These will dry skin and calluses skin are at significant risk for this, as it’s easy for this type of skin to crack. Once it has cracked, it is not going to heal and put pressure on the nice skin beneath it.
One of the best therapy for cracked heels is meticulous debridement or shaving off of the thick skin around the edges of the spilt. Strapping then needs to be utilized to hold the sides collectively, as even with the thick skin removed, regular weight bearing will nonetheless try and stretch to edges apart. As soon as this has healed, ongoing care is then wanted long run to prevent them happening again. The usage of some form of file is advisable to maintain the thick callused skin down and if this does not work, then regular debridement from a podiatrist could also be needed. Emollient and moisturising lotions really do have to be utilized every single day to keep the skin supple, so it is not going to fissure. Avoiding open back footwear and wearing closed in shoes across the heel can even assist cease the fat pad increasing and putting pressure on the skin. This typically helps most people with this problem. If not, then a heel cup to assist preserve the fat below the heel is recommended.