What should I do about dry, cracked heels with thick skin and fissures?
Jun 02, 2024
Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Dryness, thickened skin, and cracking on the heels may be caused by factors such as dry skin, insufficient moisturization, prolonged standing or walking, vitamin deficiency, or skin fissures. These conditions can be improved through general treatments, foot massage, dietary adjustments, and medication. Additionally, regular physical exercise should be performed in daily life to promote blood circulation in the feet.
Dryness, hard skin, and cracking on the heels may be caused by factors such as dry skin, insufficient moisturization, prolonged standing or walking, vitamin deficiency, or skin fissures. It is recommended to seek medical advice promptly and improve the condition through general treatments, foot massage, dietary adjustments, and medication. Specific causes are analyzed as follows:
1. Dry skin: Prolonged exposure to dry environments or inadequate moisturizing may lead to loss of skin moisture, resulting in dry, cracked heels with thickened, hardened skin and fissures. It is recommended to regularly apply moisturizers such as petroleum jelly or glycerin to maintain skin hydration.
2. Lack of moisturization: Failure to routinely use moisturizing creams or foot creams—especially on the heels—can over time deprive the skin of sufficient hydration, leading to dryness, hard skin, and cracks. It is advisable to consistently use moisturizers containing ingredients like urea or glycerin, and to apply them immediately after bathing or washing the feet.
3. Prolonged standing or walking: Continuous pressure on the feet can cause skin compression and friction, leading to callus formation and subsequent cracking. It is recommended to avoid prolonged standing or walking when possible, wear breathable and comfortable footwear, and perform regular foot massages.
4. Vitamin deficiency: A diet lacking variety or involving picky eating may result in deficiencies of essential vitamins and minerals such as vitamin E, vitamin D, and zinc, which can contribute to dry skin and heel fissures. It is recommended to include more vitamin-rich foods in the daily diet, such as nuts, seeds, and spinach.
5. Skin fissures: These typically result from a combination of factors including dry skin, lack of natural oils, prolonged exposure to cold or dry environments, and physical or chemical irritation. The heel area, subject to constant pressure, friction, and insufficient protection, is particularly prone to developing fissures. Patients may use anti-inflammatory medications as directed by a physician, such as hydrocortisone cream, desonide cream, or tacrolimus ointment, and should avoid contact with irritating substances.
It is recommended to seek timely medical evaluation and treatment based on individual circumstances. Additionally, engaging in moderate physical activities such as running or basketball can help improve foot circulation and reduce the occurrence of dry, hardened, and cracked heels.
