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Cracked heels

Dry, split heels that sting with every step are common; the first step is understanding how deep they are and why they keep reopening.

Dry, split skin can sting with every step and can feel embarrassing. It is a common problem, and the first priority is understanding how deep it is and why the skin keeps reopening.

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Why do heels crack?

Cracked heels develop when dry or thickened skin around the heel loses flexibility and splits under pressure. Open-backed footwear, prolonged standing, skin conditions and some health problems may contribute.

Does this sound like cracked heels (heel fissures)?

Other skin conditions that can look like cracked heels
  • Fungal or inflammatory skin disease: scaling, itch or widespread skin change may need different treatment
  • Infection: increasing redness, warmth, swelling or discharge needs medical review
  • Ulceration: particularly important with diabetes, reduced sensation or poor circulation

What should I do now about cracked heels?

Moisturise consistently rather than only when the skin splits. Do not use blades on your heels. Avoid putting moisturiser between the toes, where excess moisture can cause problems. Stop a product if it causes significant irritation. With diabetes, poor circulation or reduced feeling, don’t cut or file the skin yourself; have cracks checked early.

What could happen at a cracked heel appointment in Burwood?

What a cracked heel assessment can clarify

Cracked heel treatment options after assessment
  • Careful reduction of thick callus when safe, to reduce edge pressure
  • Regular heel balm or moisturiser; urea-containing products may suit some people
  • Footwear that supports and contains the heel rather than allowing the rim to spread
  • Dressings or off-loading for painful open fissures
  • GP or dermatology input when infection, inflammatory skin disease or another medical cause is suspected

Common questions about cracked heels

Can cracked heels become infected?
Yes. Deeper open fissures can allow infection, particularly in a high-risk foot.
Will removing the hard skin once stop them returning?
Not necessarily. An appointment can relieve painful hard skin where appropriate and help you build a practical plan for moisturising, pressure and footwear to reduce recurrence.
What moisturiser should I use?
A heel balm or emollient may help; the best strength depends on whether skin is simply dry, heavily callused, open or inflamed.
Clinical information sources

These sources support the general information above. Individual assessment may lead to different advice.

  1. DermNet NZ, “Cracked heel”
  2. healthdirect Australia, Symptom Checker and health advice