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By Crofton Podiatry
January 10, 2018
Category: Heel Pain

When it comes to foot problems, the balls of the feet and the heels tend to incur many of the most common issues. The heels in particular are prone to pain from heel spurs and discomfort from the surrounding soft tissues (Achilles tendon, plantar fascia). It’s important to pay attention to these problems so that they don’t lead to chronic issues or get worse.

And speaking of problems that can get worse, don’t forget about the skin that covers the heels. The skin is subject to a lot of wear and tear and can incur damage and irritation as well. The following are heel skin problems and what might cause them:

  • Blisters: Those who wear high heels may be all too familiar with blisters that form on the back of their heels. Actually, many shoes with closed heel cups that do not have padding can cause painful blisters. And don’t forget about shoes with thin straps in the back – they can cause blisters, but also dig into the skin if they are too tight.
  • Heel callus: When the heel endures friction or irritation, the skin around the area can thicken and harden. Ill-fitting shoes, repetitive motions, or standing for a long period of time can put extra pressure on the bottom of the heels, leading to thickened skin. However, the thicker it gets, the drier and more uncomfortable it can become. Those with diabetes with peripheral neuropathy are prone to developing calluses, as they lose sensation in their feet and do not make adjustments to reduce friction on their heels.
  • Heel fissures (dry, cracked heels): Friction and continuous rubbing of the skin around the heels can also cause heel fissures. This is common when wearing open-backed shoes, such as sandals, which can leave the skin on the feet to become dry. When the heels are dry and friction is present, the skin can crack and bleed. This uncomfortable and painful condition should be treated promptly to prevent worse symptoms, like ulcers. Those with skin disorders like psoriasis or eczema should be more attentive to the skin on their feet as they are more likely to have problems with dry, cracked heels that take a long time to heal.

The cold, dry winter air can make heel skin problems worse. Moisturize your feet nightly with foot creams to relieve discomfort and nourish the skin. Additionally, use padding and orthotic inserts to relieve pressure on the parts of the heels that may be affected. Orthotics can help keep the feet in place, reducing the friction that is caused when your feet slide around in the back of the shoe. 

Having recurring skin problems on your heels this winter? Consult with our board-certified podiatrist, Dr. Brad Toll at Crofton Podiatry to get the right treatment. Make an appointment at our Crofton, MD by calling (410) 721-4505. Our team is ready to assist you at our office, which also serves the surrounding Gambrills, Odenton, and Bowie areas.

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2411 Crofton Lane, Suite 25
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Podiatrist - Crofton, Crofton Podiatry, 2411 Crofton Lane, Suite 25, Crofton MD, 21114 (410) 721-4505