Cracked Heels and Skin Fissures: Remedies and Relief at Acacia Foot and Ankle Surgeons

Apr 17, 2024
misc image
Cracked heels and skin fissures are not just unsightly; they can also be painful and uncomfortable. These conditions often result from dry skin, lack of moisture, or excessive pressure on the feet.

Understanding Cracked Heels and Skin Fissures:

Cracked heels, also known as heel fissures, occur when the skin on the bottom of the feet becomes dry, thickened, and hardened. This can be caused by various factors, including prolonged standing, wearing open-back shoes, obesity, or certain medical conditions such as diabetes or thyroid disorders. Skin fissures are deep cracks in the skin, often accompanied by pain, bleeding, and in severe cases, infection.


  1. Urea Cream: Urea cream is a common treatment for cracked heels and skin fissures. It works by softening and moisturizing the skin, making it easier to exfoliate dead skin cells and promote healing. Urea is a natural compound that helps the skin retain moisture, allowing it to become more supple and less prone to cracking. Regular application of urea cream can significantly improve the condition of cracked heels and prevent recurrence.

  2. Amlacin: Amlacin is another effective treatment for cracked heels and skin fissures. It contains a combination of ingredients, including ammonium lactate, which helps to exfoliate dead skin cells and soften the skin. Amlacin also has moisturizing properties, helping to hydrate the skin and promote healing. It is often recommended for individuals with particularly dry or thickened skin on their feet.

  3. Insert and Orthtoics: Custom orthotics are designed to give your feet better support and distribute the forces all across the bottom of the foot rather than in specific locations. Patients who have higher arches than average foot, often time develope calluses on the bottom of the heels due to increase in pressure to the area. Use of custom orthtoics can help to limit the pressure and prevent heel fissures. Learn more about orthotics. 
  4. Professional Debridement: In addition to topical treatments, professional debridement performed by a qualified podiatrist like Dr. Kaveh Panahi can provide significant relief for cracked heels and skin fissures. Debridement involves the removal of dead, thickened skin using specialized instruments. This not only improves the appearance of the heels but also reduces pain and discomfort. Regular debridement sessions may be recommended for individuals with severe or chronic cases of cracked heels.

At Acacia Foot and Ankle Surgeons, patients have access to comprehensive care for various foot and ankle conditions, including cracked heels and skin fissures. Dr. Kaveh Panahi and his team of experienced podiatrists offer personalized treatment plans tailored to each patient's needs. Whether it's prescribing topical creams like urea or amlacin, performing professional debridement, or providing advice on foot care and footwear, patients can expect compassionate and effective care at Acacia Foot and Ankle Surgeons.

Conclusion: Cracked heels and skin fissures can be both painful and unsightly, but effective treatments are available to provide relief and promote healing. Urea cream and amlacin are excellent options for moisturizing and softening the skin, while professional debridement performed by experts like Dr. Kaveh Panahi can address more severe cases. If you're struggling with cracked heels or skin fissures, don't hesitate to seek help from a qualified podiatrist. With the right treatment and care, you can restore the health and appearance of your feet and enjoy greater comfort and mobility.