A long winter and spring stuck inside in the dry air may have made the skin on your feet, especially your heels, super dry — dry enough to crack like a fault line. And while COVID-related self-isolation may tempt you to keep your feet hidden, cracks in your heels can fracture into deep cuts, or fissures, that can be pretty painful and even get infected. We asked board-certified dermatologists Shel Desai Solomon, MD, founder of Preston Dermatology & Skin Surgery in North Carolina, and Samer Jaber, MD, founder of Washington Square Dermatology in New York City, what causes dry, cracked heels and the best treatment for dry heels.
“Cracked heels occur when you have a disruption of your skin barrier,” explains Jaber. “It can be from a medical condition, like psoriasis or eczema, or can occur when your skin is very dry.”
Other variables that can dry skin on heels enough to crack are age (your skin gets thinner, less elastic and some common medications can contribute) and, of course, winter can be quite the culprit. “Heels are at their worst in winter,” says Solomon. “Indoors and outdoors there is less humidity in the air, and a lack of humidity causes the skin to become drier. Drier skin means more cracking and peeling.” This kind of cracking can cause wounds that can easily get infected if not treated, and if you happen to have a compromised immune system or diabetes, an infection can become a serious health risk, Solomon says.
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