General

Cracked Heels: Are you ready to defeat?

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8 Oct 2016 - General
 

Cracked heel or Heel Fissure is a common problem in both sexes specially during winter. Severely cracked heel can be painful and make walking difficult.

 The best form of treatment for cracked heels is to prevent them from occurring in the first place. This can be achieved by simply rubbing the heels with a moisturising cream or jelly on a regular basis to keep the skin supple and hydrated. Special heel balms are available that contain descaling (keratolytic) or water-retaining (humectant) agents,such as: Urea, Salicylic acid, Alpha-hydroxy acids, Saccharide isomerate. 
For severely cracked heels or if no improvement is seen after a week of self-treatment a visit to a podiatrist may be required. Treatments may involve the following.
•    Debridement – cutting away hard thick skin (this should not be attempted at home using scissors or razor blade as there is a risk of removing too much skin and infection occurring)
•    Strapping – bandage/dressings around the heel to reduce skin movement
•    Prescription for stronger softening or debriding agents, e.g. urea or salicylic acid creams
•    In soles, heel pad or heel cups to redistribute the weight of the heel and provide better support (prevent the fat pad from expanding sideways)
•    Special tissue glue to hold the edges of the cracked skin together so it can heal.

Crack heels are very common in dry atmospheric regions and this condition ranges in severity from cosmetic issue to a painful problem. I have seen crack heels that have blood in heel fissures and individuals have difficulty in walking. Heel fissures can be caused by lack of moisture, dry air, improper foot care, unhealthy diet, ageing, prolonged standing on the hard floor and wearing hard shoes. So it is crucial to keep the heels hydrated with good moisturizers to prevent drying. Medical treatme...
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Fissuring occurs when the skin is under tension. This commonly occurs in the epidermal layer of the skin, but it can also involve the dermis. Once it involves the dermis, it can be a potential cause of infection. This is common in the heel margin because tension stress in high in that area. There are a lot of factors that contribute to skin quality such as the presence of a vascular disease, diabetes, immunocompromised state or the presence of an infection. For deep heel fissures, it has to be d...
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Heel fissures can be really painful, specially because the heel is the main weight bearing point of the legs. And once a person gets heel fissures it is fairly difficult to completely cure it because the heel is quite prone to minor trauma. As you said in the article, prevention is always the best thing and using ointments on the sole to prevent dehydration is one of the most important ways to prevent the occurrence of heel fissures. There are expensive products that contain various medicinal co...
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