What causes dry, cracked heels with thickened skin, and how can it be treated?
Sep 24, 2024
Source: Cainiu Health
Dr. Yang Ziqi
Introduction
Dryness, cracking, and thickened skin on the heels are associated with various factors such as dry weather, prolonged walking, fungal infections, diabetes, and Sjögren's syndrome. If discomfort occurs, it is recommended to seek medical attention promptly and follow a treatment plan under medical guidance, including general measures and medication. In daily life, maintain foot hygiene, wear breathable shoes and socks, and avoid prolonged walking.
Generally, dry, cracked heels with thickened skin are mainly associated with factors such as dry weather, prolonged walking, fungal infections, Sjögren's syndrome, and diabetes. If discomfort occurs, it is recommended to seek medical attention promptly and receive treatments such as general care or medication under a doctor’s guidance. Specific causes are analyzed as follows:
1. Dry Weather
Dry weather during autumn and winter can cause the skin to lose moisture easily, leading to dryness, cracking, and thickened skin on the heels. Regular use of moisturizing creams or foot creams can help hydrate the skin and maintain its moisture.
2. Prolonged Walking
Extended periods of walking place excessive pressure on the feet. The heel skin may suffer from compression and friction, resulting in dryness, cracking, and thickened skin. It is advisable to reduce walking time, rest appropriately, and wear comfortable shoes to minimize pressure and friction on the heels.
3. Fungal Infection
Warm, moist, and poorly ventilated environments promote fungal growth and reproduction, making individuals susceptible to fungal infections. This can lead to thickened skin on the heels, and even cracking accompanied by pain. Antifungal medications such as ketoconazole cream, terbinafine hydrochloride cream, or miconazole nitrate cream should be used according to medical advice.
4. Sjögren's Syndrome
Sjögren's syndrome is mostly caused by genetic factors. The patient's immune system may attack their own skin tissues, leading to skin damage and increased water loss, which results in dry, cracked, hardened, and peeling skin on the heels. Patients often experience symptoms such as dry mouth, dry eyes, and joint pain. Treatment should be conducted under medical supervision using medications such as urea ointment, hydroxychloroquine sulfate tablets, or total glucosides of paeony capsules.
5. Diabetes
Long-term excessive intake of sugar and fat may lead to diabetes. In a high-glucose environment, the body tends to lose water more easily, causing the aforementioned symptoms along with frequent urination and dry skin. Medications such as metformin sustained-release tablets, acarbose tablets, or insulin injections should be used according to medical instructions.
In daily life, it is important to maintain good foot hygiene, choose loose-fitting and breathable shoes and socks, and avoid prolonged walking.
