Wound Be Gone: A Complete Solution for Cracked Heels

Published: 30th November 2009
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Cracked heels are a common foot problem that is often referred to as heel fissures. Cracked heels are commonly caused by dry skin (xerosis), and made more complicated if the skin around the rim of the heel is thick (callus). For most people this is a cosmetic problem but when the fissures or cracks are deep, they are painful to stand on and the skin can bleed, in severe cases this can become infected. F or many it's worse in the winter months or for those who live in dry climates. But going barefoot and wearing shoes with open backs can exacerbate the problem, meaning that even in the summer one's feet are in rough shape. Unfortunately, as the condition worsens, it becomes more difficult to treat, since regular moisturizers will not penetrate the dry, dead, thick skin on the heels.

Causes of cracked heels

Cracked heels are caused by a number of reasons, which are stated as follows:

• In active sweat glands

• Dry skin

• Prolonged standing

• Obesity

• Open backed shoes can be a contributing factor

• Surgery to the lower extremities

• Heel Spurs

• Mal-alignment of the metatarsal bones (the bone structure of the sole of the foot)

• Flat feet and high arched feet

• Abnormalities of gait (walking)

• Using excessively hot water is a contributing factor

• Eczema and psoriases can also be contributing factors

Signs/ symptoms of cracked heels

The first sign of getting cracked heels is the development of dry, hard, thickened skin around the rim of the heel. This is called a callus and may be yellow or dark brown discolored area of skin. Initially small cracks over the callus are visible. If left untreated and as more pressure is placed on the heel, these cracks become deeper and eventually walking and standing will be painful. The cracks may be so deep that they begin to bleed.

In severe cases, cracked heels can become infected, and lead to cellulitis. This must be treated with elevation of the area, debridement of dead tissue, and antibiotics. Cracked heels are of particular concern for diabetic patients, who may suffer neuropathic damage (loss of feeling, particularly of the feet), as the fissures may lead to diabetic foot ulcers.

Treatment of cracked heels

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 moisturizing cream on a regular basis to keep the skin supple and hydrated. Special heel balms, ointments and gels are available that contain descaling (keratolytic) or water-retaining (humectant) agents. Feet should be inspected daily and on the first sign of any cracking, a moisturising routine 2-3 times a day may be all that is needed to heal the heel. A pumice stone can be rubbed gently against the callus to take away some of the thick hard skin before applying moisturiser.

The fissures may be treated with a liquid, gel or spray bandage to reduce pain, protect and allow more rapid healing.

If the condition gets worse and no improvement is seen then a visit to a podiatrist may be required. The treatments may include:

• 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

• Insoles, 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.

Wound be gone revolutionary topical gel can be used in treating the cracked heels. Nowadays many beauty salons use wound be gone for applying on cracked heels and even on cracked skin of hands. It provides faster soothing and regeneration of skin following chemical peels. Wound be gone does miracles when it comes to wound healing. It even reduces the pain caused by cracked heels.


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Wake Pharma US, Inc.

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