Cracked Heels: Causes, Treatments, and Vaseline Benefits - Dermatology

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What causes some women to have rough cracks on the soles of their feet? How can it be treated? Additionally, what is the function of petroleum jelly? It seems there are many different types of petroleum jelly on the market, and can patients with Fabry disease use it?

Lai, 10~19 year old female. Ask Date: 2008/02/29

Dr. Zhang Zhibo reply Dermatology


Hello: Cracked heels are a common complaint among many patients.
The causes typically include fungal infections such as athlete's foot or occupations involving frequent contact with cleaning agents and water.
In younger individuals, allergic predisposition should be considered, as conditions like dyshidrotic eczema can lead to chronic dermatitis characterized by thickening and peeling of the skin.
In summary, various factors can lead to impaired moisture retention in the stratum corneum, ultimately resulting in rough skin and cracks.
Treatment methods must identify and eliminate the underlying causes for complete resolution.
If necessary, skin biopsies or fungal cultures may be performed for accurate diagnosis and effective treatment.
Generally, while using moisturizers (such as petroleum jelly, urea, moisturizing lotions, or ointments) can help prevent worsening of the condition, it may not guarantee complete healing.
There are two types of petroleum jelly available on the market: more oily and hydrophilic.
White petroleum jelly is a more purified byproduct of petroleum and is considered a less irritating substance, making it suitable for patients with G6PD deficiency as well.

Reply Date: 2008/02/29

More Info


Cracked heels, also known as heel fissures, are a common condition that can affect individuals, particularly women. The appearance of rough, cracked skin on the heels can be attributed to several factors, including dry skin, prolonged standing, improper footwear, and certain medical conditions. Understanding the causes, treatments, and the benefits of Vaseline can help in managing this condition effectively.


Causes of Cracked Heels
1. Dry Skin: One of the primary causes of cracked heels is dry skin. When the skin loses moisture, it can become rough and flaky, leading to cracks. This is often exacerbated by environmental factors such as low humidity, cold weather, and hot showers.

2. Prolonged Standing: Individuals who spend long hours standing, especially on hard surfaces, can develop pressure on their heels, leading to thickened skin and cracks.

3. Improper Footwear: Wearing shoes that do not provide adequate support or protection can contribute to heel fissures. Open-back shoes or sandals can expose the heels to the elements, increasing the risk of dryness and cracking.

4. Medical Conditions: Certain health issues, such as diabetes, eczema, psoriasis, and thyroid disorders, can affect skin health and lead to cracked heels. Individuals with diabetes, in particular, should be vigilant about foot care to prevent complications.

5. Obesity: Excess weight can put additional pressure on the heels, causing the skin to stretch and crack.


Treatments for Cracked Heels
1. Moisturizing: Regularly applying a thick moisturizer to the feet, especially after bathing, can help retain moisture. Look for creams that contain urea, glycerin, or lanolin, as these ingredients are effective in hydrating the skin.

2. Exfoliation: Gently exfoliating the feet with a pumice stone or foot scrub can help remove dead skin cells and prevent the buildup of thickened skin.

3. Hydration: Drinking plenty of water is essential for maintaining skin hydration from the inside out.

4. Footwear: Wearing supportive shoes that fit well can help alleviate pressure on the heels and prevent further cracking. Avoiding open-back shoes can also protect the heels from environmental factors.

5. Medical Treatment: In severe cases, over-the-counter treatments containing salicylic acid or prescription medications may be necessary. If cracked heels are associated with a medical condition, addressing the underlying issue is crucial.


Benefits of Vaseline
Vaseline, or petroleum jelly, is a popular and effective moisturizer for cracked heels. Its occlusive properties create a barrier that locks in moisture, preventing further dryness. Here are some benefits of using Vaseline for cracked heels:
1. Moisture Retention: Vaseline helps to seal in moisture, making it an excellent choice for individuals with dry skin.

2. Protection: It forms a protective layer over the skin, shielding it from external irritants and preventing further damage.

3. Healing: By keeping the skin hydrated and protected, Vaseline can promote healing and reduce the appearance of cracks.

4. Versatility: Vaseline can be used on various parts of the body, not just the feet. It can be applied to elbows, knees, and other dry areas.


Varieties of Vaseline
There are several types of Vaseline available on the market, including scented and unscented versions, as well as formulations with added ingredients like aloe vera or cocoa butter. While these variations may offer additional benefits, the basic petroleum jelly is effective for treating cracked heels.


Vaseline and Patients with Fabry Disease
Fabry disease, a genetic disorder, can lead to skin issues, including dry skin. Patients with Fabry disease can generally use Vaseline, but it is essential to consult with a healthcare provider before starting any new treatment, especially if there are concerns about skin sensitivity or other complications.

In conclusion, cracked heels can be a bothersome condition, but with proper care and treatment, it can be managed effectively. Regular moisturizing, proper footwear, and the use of products like Vaseline can significantly improve the condition of the skin on the heels. If symptoms persist or worsen, it is advisable to seek medical attention for further evaluation and treatment.

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