Cracked skin around heels are a typical painful and sometimes unsightly problem. The fissures happen in the heel when the fat pad below the heel bone expands out sideways. This growth stretches the skin across the edge of the heel and if the skin is dry and thick, it is highly likely to crack or split. This cracking of the dry hard skin, then pulls on the good skin below and can tear it. This becomes painful and may bleed. The mechanism is similar to squashing a tomato, in that when the pressure is applied, the tomato expands and the skin splits. The same process happens when the fats pad beneath the heel expands out sideways.
The principle risk factors for cracked heels are obesity, wearing open heel footwear and dry thick skin. These which are overweight probably have more fat under the heel to expand Subplate Nail Fungus out sideways and carry more weight to compress the heel fats pad out from beneath the heel bone. Wearing an open shoe allows the fat pad to increase out from beneath the heel to place pressure on the skin, whereas wearing a closed in shoe will help preserve the fats under the heel. Those will dry skin and callmakes use of skin are at significant risk for this, as it’s simple for this type of skin to crack. As soon as it has cracked, it is not going to heal and put pressure on the good skin beneath it.
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 needed long term to stop them occurring again. The use of some type of file is recommended 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 should be applied every single day to keep the skin supple, so it will not fissure. Avoiding open back shoes and wearing closed in footwear around the heel may also assist cease the fat pad increasing and putting pressure on the skin. This usually helps most individuals with this problem. If not, then a heel cup to assist maintain the fats under the heel is recommended.