My heels are so dry they’re cracking and catching on socks. What causes this?

Hypothyroidism can also contribute to dry skin, including on the heels, due to reduced sweat and oil gland activity. Poor circulation, often seen in peripheral artery disease, can lead to insufficient nutrient and oxygen delivery to the skin, resulting in dryness and cracking.

Environmental factors play a significant role in the development of cracked heels. Cold weather and low humidity levels can strip the skin of its natural moisture, leading to dryness and cracks. Additionally, indoor heating during winter months can exacerbate this effect by further reducing humidity levels indoors.

Being aware of these environmental triggers and taking preventive measures, such as using a humidifier and moisturizing regularly, can help maintain skin hydration and prevent cracking.

As we age, our skin naturally becomes drier and less elastic due to a decrease in collagen production and oil gland activity. This makes older individuals more prone to developing cracked heels. Hormonal changes, particularly during menopause, can further exacerbate this issue as estrogen levels drop, leading to decreased skin moisture retention.

Maintaining a consistent skincare routine that includes regular moisturizing and gentle exfoliation can help mitigate the effects of aging on heel skin.

In some cases, cracked heels can be a sign of an underlying infection or nutrient deficiency. Fungal infections, such as athlete’s foot, can cause peeling and cracking of the skin on the feet, including the heels. Addressing the infection with antifungal treatments is essential for healing.

Nutrient deficiencies, particularly in vitamins A, B3 (niacin), C, and E, as well as essential fatty acids, can lead to dry, cracked skin. Ensuring a balanced diet that provides these nutrients can help improve skin health and prevent heel fissures.

Dermatologists often recommend a combination of treatments to heal and prevent cracked heels. Regular exfoliation using a pumice stone or foot file can help remove thickened, dead skin, allowing moisturizers to penetrate more effectively.