Cracked heels are a common foot problem, often caused by dry, thickened skin (heel fissures) that splits under pressure. While sometimes only a cosmetic concern, deep cracks can become painful, bleed, or lead to infection - especially in individuals with diabetes or compromised circulation.
The skin on the heels is naturally dry and lacks oil glands. Standing for long periods, walking barefoot, wearing open-backed shoes or sandals, and exposure to dry environments can all contribute. In some cases, underlying conditions such as eczema, psoriasis, thyroid dysfunction, or obesity may play a role.
Early signs include dry, rough, or flaky skin on the heels. As the condition progresses, deep cracks or splits may develop, sometimes with pain or bleeding. Your foot specialist will assess the severity of the fissures and examine for contributing factors like pressure points or skin disorders. Proper evaluation is especially important for patients with diabetes to avoid complications.
