Cracked Heels: Causes, Treatment and Smooth-Skin Routine
Cracked heels develop when the skin around the heel becomes dry and thickened, then splits under the pressure of walking. Most cases are cosmetic and respond well to a simple moisturising routine, but deep fissures can be painful and prone to infection.
Why heels crack
The skin on the heel has no oil glands, so it dries easily. Pressure from standing and walking spreads the heel pad sideways; if the surrounding skin is dry and inflexible, it splits. Open-back shoes, low humidity, prolonged standing and certain skin conditions all contribute.
A heel-care routine that works
- Soak feet in warm water for 10 minutes to soften the skin.
- Gently exfoliate hardened skin with a pumice stone or foot file — never a blade.
- Apply a thick urea- or salicylic-acid-based heel balm.
- Seal in moisture by wearing cotton socks overnight.
- Repeat daily until smooth, then maintain a few times a week.
Prevention
- Moisturise heels daily
- Wear supportive, closed-back shoes for long days
- Stay hydrated and avoid very hot, long soaks that dry skin
- Use a humidifier in dry climates
When fissures need care
Deep cracks that bleed, become painful, or show signs of infection need attention. Anyone with diabetes should treat cracked heels seriously, as fissures can become a wound entry point — seek professional foot care rather than self-treating.
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Frequently asked questions
- What is the best treatment for cracked heels?
- A urea-based heel balm after exfoliation, sealed overnight with cotton socks, works for most people within a couple of weeks.
Sources & further reading
- Cracked heels, NHS
- Dry skin, Mayo Clinic
- Heel fissures, American Podiatric Medical Association (APMA)