Have you ever suffered from dry skin? What about on your foot or heel? If you have, you may have suffered from heel fissures.
It
is kind of an unusual term for a common foot problem. A fissure is a
crack. Just like you can have fissures in the earth, you can have
fissures in your skin and a fissure can be very painful. Typically, this
will occur on the foot in the heel. People's heels tend to dry out and
get dry, cracked and scaly. When one of those cracks develops into a
deep crevice, we call it a heel fissure and they can cause a lot of
pain. Heel fissures may be caused by wearing open-back sandals or shoes
that allow for a lot of slippage around the heel while walking, or by a
skin condition such as eczema or psoriasis. Diabetes and excess weight
can also contribute to heel fissures.
The good thing is, heel
fissures can be very simple to treat. Often, you don't even need to see a
podiatrist. A few things we would recommend you try that you can do at
home are:
1. Take a nail clipper and clip the hard skin on either side of the crack
2. File down the dead, dry skin
3.
Soak your feet (warm water helps to soften the skin and makes removal
of the dry skin easier. If you are going to use a pumice stone, it helps
to soak the skin beforehand.)
4. Use a pumice stone to break up some of that dry skin
5. Finally, just use a good lotion. For some cases, that will work great.
If
you decide against the home treatments, or if they are not working for
you and you come into our office with heel fissures, we will trim the
dry skin and pull all of that off to get it down to where the skin is
soft, pink and healthy. Then, we will put a cautery type of an agent on
there to cover up the exposed skin, which is sore. Finally, we will
recommend a good prescription strength lotion. The urea-containing
lotions are usually the best lotions in these situations. Urea is a very
strong softening agent. In our office, we recommend something called
RevitaDerm, which is an over-the-counter lotion that we carry. It is 40%
urea and is prescription strength. The way we recommend using the
lotion is to lather it on really thick at night after you have used the
pumice stone to break up some of the dry skin. Then, put a sock over
your feet. If you leave the RevitaDerm on while you sleep, the medicine
can really penetrate. It creates a warm, moist environment that allows
that skin to become really soft.
However, if you do that too many
nights in a row it can become painful because your skin becomes too
soft. So go through that process every other night for a week or so, but
continue to put the lotion on in the morning and at night on the days
when you are not using the pumice stone.
This method usually
eliminates the heel fissures and the dry skin. Once you get on top of
the problem, you need to stay on top of it by lubricating that skin to
keep it soft. That way you can treat your heel fissures, eliminate that
pain and avoid the problems and infection that can potentially develop
with untreated heel fissures.
It can be a very tough problem for
people who need to be on their feet but continue to have this horrible
dry, cracked skin that causes them pain. Don't let heel fissures
continue to cause you pain or run the risk of letting an untreated heel
fissure turn into something worse, such as an infection. Start the
in-home treatments and if that doesn't work for you, see a podiatrist.
You don't have to live with pain of untreated heel fissures.
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