Dry, thick skin around the heels can split into cracks (heel fissures). Shallow cracks are mostly a nuisance, but deeper ones can be painful, bleed and become infected. Our podiatrists carefully remove the hard skin and help you keep your heels in good condition.
Why heels crack
Hard skin builds up around the edge of the heel and loses its flexibility, so it splits when the heel spreads as you walk. Common contributors include dry skin, open-backed shoes and thongs, long periods standing, warm weather and some health conditions, including diabetes and thyroid conditions.
A fungal skin infection (tinea) is also a common cause that many people don’t realise. It can look like nothing more than dry, flaky skin around the heels, and won’t settle with moisturiser alone. We check for it at your appointment and treat it if it’s there. Read more about fungal infections.
How we treat cracked heels
- Removing the hard, thick skin so the cracks can close
- Checking for and treating a fungal skin infection if there is one
- Caring for any deep or painful cracks
- Advice on which moisturisers to use and how often
- Footwear advice to reduce the load on the edge of your heel
Looking after your heels at home
- Wash your feet with a low pH body wash, which supports your skin’s natural barrier
- Moisturise daily with a heel balm, ideally one containing urea, at night before bed
- Gently file between appointments rather than cutting or shaving
- Choose shoes with a closed back where you can
- If you have diabetes, poor circulation or reduced feeling, don’t remove hard skin yourself
Sometimes advice is all you need
Not everyone needs treatment. Sometimes the most helpful thing is a clear explanation of what’s going on, practical advice and a plan you can manage yourself. We’ll always talk you through every option, including no treatment, so you can decide what’s right for you.
Frequently asked questions
Why do my heels crack more in summer?
Sandals, thongs and bare feet put more load on the edge of the heel, and the skin often gets drier.
How often should I come in?
It depends on how quickly your hard skin builds up. We’ll suggest a timeframe that suits you.
Is a pedicure enough?
For mild dry skin, often yes. For deep, painful or bleeding cracks, or if you have diabetes, see a podiatrist.
Do I need a referral?
No. You can book directly with one of our podiatrists.
Can I claim on private health?
We don’t offer on-the-spot claiming. If your extras cover includes podiatry, you can claim with your fund using your itemised receipt. Check with your fund about your level of cover.