Heel Fissures: Understanding the Risks and Prevention

What Are Heel Fissures?

Heel fissures, commonly known as cracked heels, are a prevalent foot condition characterized by the splitting or cracking of the skin on the heels. This occurs when the skin becomes excessively dry and loses its elasticity, leading to painful and unsightly cracks. While they may seem like a minor inconvenience, untreated heel fissures can lead to more serious issues.

Why Are Heel Fissures Dangerous?

Risks Associated with Heel Fissures

While heel fissures might start as a cosmetic issue, they can progress to more severe complications if not addressed. For high-risk individuals, untreated heel fissures can lead to:

• Infection: Deep. open cracks provide an entry point for bacteria & fungi to enter, leading to cellulitis or even deeper infections like osteomyelitis.
• Ulcers: Diabetics and those with circulation issues may develop non-healing wounds, increasing the risk of amputation.
• Pain and Discomfort: Severe cracks can make walking painful, affecting overall mobility and quality of life
• Bleeding: Severe fissures can lead to bleeding, further aggravating the condition.

Who Is at High Risk?
Certain individuals are more susceptible to complications from heel fissures, including:

Diabetics – Poor circulation and nerve damage (neuropathy) reduce the ability to feel pain or detect infections early.
Elderly Individuals – Thinning skin and reduced elasticity make it harder for the skin to heal.
People with Peripheral Artery Disease (PAD) – Limited blood flow slows down healing and increases infection risk.
Individuals with Autoimmune Diseases (Psoriasis, Eczema, or Thyroid Disorders) – These conditions often cause chronic dry skin, increasing the likelihood of deep cracks.
Obese Individuals – Excess body weight places added pressure on the heels, worsening fissures.

Common Causes of Heel Fissures

Understanding what leads to heel fissures can help in preventing them. Some common causes include:

1. Dehydration: Lack of moisture is the primary culprit behind dry and cracked skin.
2. Standing for Long Periods: Continuous pressure on your feet can cause the skin to crack.
3. Improper Footwear: Open-back shoes do not provide adequate support, leading to fissures.

Preventing Heel Fissures - HIGH RISK

Prevention is always better than cure. Here are some effective strategies to prevent heel fissures:

• Daily Moisturization – Use a thick, urea-based cream to keep skin hydrated. Most effective after exfoliation.
• Wear Supportive Footwear: Choose shoes that provide adequate support and cushioning for your heels. Supportive, cushioned shoes reduce pressure on heels.
• Gentle Exfoliation – Avoid aggressive foot scrubs; instead, use a pumice stone on damp skin.
  
• Medical Foot Care – Regular visits to a Certified Foot Care Specialist ensure early detection and proper management.

If you or a loved one is at high risk, don’t ignore cracked heels! Proper foot care is essential in preventing serious complications.

Home Remedies for Mild Heel fissures NON HIGH RISK

If you are dealing with mild heel fissures, several home remedies can provide relief and promote healing:

1. Soak and Scrub: Soak your feet in warm water and gently scrub with a pumice stone.
2. Coconut Oil: Apply coconut oil as it is an excellent moisturizer with anti-inflammatory properties.
3. Aloe Vera Gel: Use aloe vera gel for its soothing and healing effects.

When to Seek Professional Help

If home remedies do not improve your condition or if your heel fissures become painful and infected, it’s crucial to seek professional help. A podiatrist can provide specialized treatment, such as prescription creams or medical procedures, to address severe cases effectively. Consult with your podiatrist, pedorthist, orthopedist, or Certified Foot Care Specialists in your area. 

The Importance of Regular Foot Care

Regular maintainence with your local Certified Foot Care Specialist is essential not only for preventing heel fissures but also for maintaining overall foot health. Simple habits like inspecting your feet daily for any signs of dryness or cracks and practicing good hygiene can go a long way in keeping heel fissures at bay and ensuring comfortable mobility.

THANK YOU FOR PUTTING YOUR FEET IN MY HANDS!