Cracked heels of heel fissures are unsightly and can become painful as well as act as a portal for infection for those who are at risk such as those with diabetes. For this reason they do need to be taken seriously. The cracked heels are more common in those who are overweight and those who tend to have a drier skin. Once that build up of the drier thicker callused skin cracks, then that cracked skin does not heal and will then act to try and ‘tear’ the skin below causing the pain and maybe bleeding in some cases. This can be particularly dangerous if diabetes is present.
The only way to deal with cracked heels is to remove that dry thicker callused skin on a regular basis. This can be done by a podiatrist or can be done via self care with the use of foot files to par down the thicker skin. If there is a crack in the skin below that callus, then this will need to be taped to hold the edges together until it heals. In the most severe cases of cracked heels, then medical glue might have to be used to help repair the fissure.
The prevention of cracked heels is a long term self care program. Foot files must be used used to help keep the thickened skin reduced down o that it can not crack and an emollient must be applied daily to keep the skin supple so that it will tend not to crack or tear.