Dry Heels

Dry Heels

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Following these tips from board-certified dermatologists can help prevent and treat dry, cracked heels.
It’s easy for the skin on your feet to become dry and cracked, especially in the winter. Fortunately, there are steps you can take to treat dry, cracked heels at home and prevent them from coming back.
To care for dry, cracked heels, follow these tips from board-certified dermatologists.
Limit baths and showers to 5-10 minutes. Bathing for too long can dry out the skin, making dry, cracked heels worse. Be gentle when blotting your skin dry with a towel.
Use a gentle, fragrance-free cleanser. This will help your feet retain their natural oils.
Moisturize within 5 minutes of bathing. Look for a moisturizing cream that contains 10-25% urea, alpha hydroxy acid, or salicylic acid, and apply it to your heels immediately after bathing while your skin is still damp and whenever your heels feel dry to lock in moisture.
Before bed, apply plain petroleum jelly. Consider wearing socks at night to avoid getting grease on your bedding.
Protect your heels. During the day, apply a liquid bandage over the cracks in your heels to create a protective barrier, which can help reduce pain, speed up healing, and stop germs from entering your skin.
Wear the proper shoes. If you have dry, cracked heels, avoid open-heeled shoes, such as flip flops or slingbacks, shoes that are worn down, or shoes that don’t fit properly.
Sometimes, cracked heels are caused by a medical condition, such as diabetes. If your dry, cracked heels are severe or do not improve after following these tips, talk to a board-certified dermatologist.
The American Academy of Dermatology gratefully acknowledges the support from DermStore .

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Dry Feet & Cracked Heels: Causes & Treatment

January 18, 2021 5:54 pm
Published by Foot and Ankle Group

©2022 Foot & Ankle Group, LLC., All Rights Reserved.
When you take off your socks, are your feet a cracked nightmare? That gnarly, flakey skin not only itches, but as it worsens, dry feet can also really hurt. Deep cracks can cause soreness, redness and swelling, and more— especially when standing or moving.
Take a small bit of comfort in knowing that you’re not alone. The most recent survey from the National Foot Health Assessment found that 20% of American adults ages 21+ have experienced cracked skin on their feet. While these results date back to 2012, this is still likely a more common issue than many imagine.
In this post, we’re here to help you figure out why your feet are dry by looking at common causes of both Xerosis, AKA dry skin anywhere on your body, as well as certain foot infections and conditions.
We’ll also offer some easy home treatment options to see if you can beat the cracking without professional help!
While many symptoms of dry feet are common indicators of generalized skin dryness anywhere on your body, others aren’t so obvious.
Keep in mind that your reaction will often vary based on the root cause of the dryness and its severity, which we’ll explore below…
Xerosis, AKA dry skin, is caused by two major factors: a deficiency in the skin barrier lipids or a deficiency of Natural Moisturizing Factors (NMF)— both of which Eucerin does an excellent job explaining . Oftentimes these deficiencies are a direct result of internal influences and/or external factors , but commonly foot dryness, in particular, is associated with infection :
Additionally, obesity can exasperate dry feet , with excessive weight pressing down on your pads and causing deeper cracking.
These foot infections are often picked up from walking barefoot , getting an unsanitary pedicure , showering in gyms, etc.
Oftentimes, Xerosis (dry skin) on your feet can be treated at home with proper attention and care.
In our How to Permanently Heal Cracked Feet post, we outline some great DIY advice around:
However, oftentimes external and internal influences or infections need to be addressed to prevent a recurrence of dry feet flakiness and pain.
That’s where a podiatrist comes into play— counseling you on important adjustments to your everyday routine, ways to live with a pre-existing condition to prevent dry skin, and treatment for pesky fungal or bacterial foot infections.
Only a trained podiatrist can give you a true diagnosis as to whether you’re suffering from Xerosis and what internal or external factors may be the cause, such as a foot infection.
A foot specialist can also help safely and near-painlessly treat dry feet by:
It’s not always easy to tell if your feet are just naturally dry or if you are suffering from another issue. A prime example of this is foot peeling, which could be both a symptom of dry skin conditions like eczema and the result of excessive moisture from a condition like hyperhidrosis. Confusing, right?
Here at Foot & Ankle Group, our skilled podiatrists can get to the bottom of your dry feet cause and offer the treatment options you need for quick relief.
Give us a call to set up an appointment at 239.936.5400, today.

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What's the best way to treat cracked heels at home?
Answer From Lawrence E. Gibson, M.D.

Dry skin: Tips for managing. American Academy of Dermatology. https://www.aad.org/public/diseases/dry-sweaty-skin/dry-skin#overview. Accessed Feb. 18, 2019.
Kermott CA, et al., eds. In Mayo Clinic Book of Home Remedies. 2nd ed. New York, N.Y.: Time Inc. Books; 2017.
Litin SC, et al., eds. Skin, hair and nails. In: Family Health Book. 5th ed. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018.
Gibson LE (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 18, 2019.

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How to heal cracked heels

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Cracked heels, also known as fissures, can be a nuisance but can occasionally lead to more serious problems if left untreated. Treat them by giving your feet a little more attention, beginning with moisturizing them at least twice a day. Look for thick moisturizers (Eucerin, Cetaphil, others). Some moisturizers contain skin-softening agents, such as urea, salicylic acid or alpha hydroxy acid, which may help remove dead skin. They may cause slight stinging or irritation.
Give your heels extra attention before going to bed: Soak your feet for about 10 minutes in plain or soapy water and pat dry. Then gently rub your heels with a loofah or foot scrubber to help remove dead skin. Apply a heavier, oil-based cream or petroleum jelly (Vaseline, Aquaphor Healing Ointment, others), then slip on a pair of thin cotton socks at bedtime to help the moisturizer work.
Don't ignore dry, cracked heels, as over time you may develop deeper fissures, which increases your risk of infection. If self-care measures don't help, talk with your doctor about other treatment options.
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