Cracked Heels (Fissures)

Heel fissures are cracks or splits in the skin of the heels, often caused by dryness and a lack of moisture. They can be painful and may bleed if they become deep. 

Symptoms

Causes

Common contributing factors include:

Dry Skin

Especially in colder weather or dry environments.

Prolonged Standing

Being on your feet for long periods can put extra pressure on the heels.

Obesity

Increased weight can contribute to more pressure on the heels.

Footwear

Wearing shoes that don’t provide proper support or fit can worsen the problem.

Medical Conditions

Conditions like diabetes or eczema can also make individuals more prone to heel fissures.

Treatment Options

Treatment for MTSS generally includes:

Moisturisers

Applying thick creams or ointments regularly can help keep the skin hydrated.

Foot Soaks

Soaking feet in warm water can soften the skin, making it easier to remove dead skin.

Exfoliation

Gently filing the thickened skin with a pumice stone can help reduce calluses and cracks.

Protective Footwear

Wearing supportive shoes can help alleviate pressure on the heels.

Medical Treatments

In severe cases, a healthcare provider may recommend medicated creams or treatments.

It’s important to consult a healthcare provider for a pIf heel fissures are severe, recurrent, or accompanied by signs of infection, it’s best to consult a healthcare professional for appropriate care.
roper diagnosis and to discuss the best treatment options based on individual circumstances.

Frequently Asked Questions

Here are some frequently asked questions about medial tibial stress syndrome (MTSS):

What causes heel fissures?

Heel fissures are primarily caused by dry skin, prolonged standing, obesity, wearing improper footwear, and certain medical conditions like diabetes or eczema.

Yes, they can be painful, especially when walking or standing, particularly if the fissures are deep or bleed.

To prevent heel fissures, keep your feet moisturised, wear supportive shoes, avoid prolonged standing, and maintain a healthy weight. Regular foot care, including soaking and exfoliating, can also help.

Symptoms include cracks or splits in the skin of the heel, dryness, thickened skin, pain or discomfort, and bleeding in more severe cases.

Mild heel fissures may heal on their own with proper care and moisturising. However, deeper fissures may require more attention and treatment.

Treatments include using thick moisturisers, soaking and exfoliating the feet, wearing supportive footwear, and, in some cases, seeking medical treatments like medicated creams.

You should see a doctor if the fissures are severe, persistent, show signs of infection (such as redness, swelling, or pus), or if you have underlying health conditions that could complicate healing.

In some cases, heel fissures can indicate underlying health issues, especially if they are recurrent or accompanied by other symptoms. It’s best to consult a healthcare provider if you’re concerned.

Look for thick, moisturising creams or ointments specifically designed for foot care. Products containing urea or salicylic acid can be particularly effective for thickened skin.

Yes, home remedies like soaking your feet in warm water, using coconut oil, or applying aloe vera can help, but ensure to follow up with a good moisturiser for best results.

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