Walking Barefoot is the biggest risk factor for Cracked heels New 5/31/2012 Diplomat, American Board of Dermatology Fellow,American Academy of Dermatology Fellow, American Society of Mohs Surgery Former Assistant Clinical Professor of Dermatology, University of California, Irvine What are cracked heels? Cracked heels are a very common problem affecting primarily adults and the elderly. This condition is usually caused by repeat pressure or mild injury to the skin of the sole. Often a repetitive “trauma” may result from simple, daily exposure to open toe shoes and sandals. Walking barefoot or without socks are the most common causes. The human body skin normally reacts in self defense by thickening itself in areas of repeat injury. Advanced and untreated cases of cracked heel often lead to painful deep cracks or “fissures” in the heel. Cracked heels cause sore, often painful areas with flare of symptoms with increased walking and weight bearing on the feet. Rare advanced and untreated cases of cracked heel can lead to various degrees of redness, swelling, and possible clear or yellow drainage. Frequently, cracked heels can resolve without medical treatment. Helpful tips and DIY from US Board Certified Dermatologists for fast treatment of Cracked Heels. Advanced and untreated cases of cracked heel often lead to. Cracked heels may also be referred to as heel fissures and this is a very common problem. In most cases, this is purely a cosmetic issue that does not cause any health problems. Complicated cases may require treatment by a physician, most commonly a podiatrist (foot specialist) or a dermatologist. What causes Cracked heels? Cracked heel is sometimes the body’s natural defense against repeat foot injury from walking barefoot, walking without sock protection, and applying excess pressure on the heel. The skin gets irritated and as a result gets thicker to protect itself. More rubbing and pressure causes more thickening. After a while, the skin is too thick and tight and cracks under pressure. A vicious cycle may ensue from overaggressive treatment like shaving or scrubbing the thick skin. Rubbing or shaving the cracked heel without properly protecting and moisturizing the fresh skin can often lead to more thickening. This is a very frustrating condition as inappropriate self treatment can actually worsen the cracking. Silverfast ai studio 8 keygen mac 2016 update. Untreated, cracked heels may cause a break in the skin causing inflammation and possibly infection. The inflammation often causes more thickening of the skin further exacerbating the problem. Are some people more prone to Cracked Heels? Some people are simply more prone to Cracked Heels. Some risk factors include • Middle aged to older adults • Walking barefoot • Wearing sandals or flip-flops • Going sockless • Overweight individuals • Diabetes • Poorly fitted shoes with no heel support • Repeat injury or trauma to feet • Poor foot hygiene • Poor posture and gait • Congenital foot deformity • Fungal infections ( Athlete’s foot) • Arthritis • Psoriasis • Menopause • Excessive foot sweating. Barefoot Risk Which people are most commonly affected? Older adults who are diabetic and/or overweight are most susceptible. Women tend to be more affected because they wear sandals and shoes without socks. Can cracked heels spread to my hands? This does not usually spread to the hands. Palms may rarely become affected in other medical conditions called keratoderma or psoriasis. What causes infections in Cracked Heels? Bacteria and fungi can easily infect the skin of the feet and nails. The foot is a warm and moist environment and therefore a great breeding ground for many kinds of infections including Staphylococcus, Pseudomonas, Candida, and Trichophyton. It is important to treat any secondary infections resulting from or following Cracked Heels. What are possible complications? Cracked heels may rarely cause cellulitis (deeper bacterial tissue infection) and very rarely blood infections (sepsis). How do I treat a Cracked Heel at home? • Use warm soaks 10 minutes 2-3 times a day during the flare. Helpful soaks options include: • dilute White vinegar (roughly 1 part household vinegar to 4 parts water) • Epsom salts • Very dilute Clorox bleach foot bath (approximately 1/3 teaspoon Clorox in 1 medium bucket of water or 1 capful of Clorox in 1 bathtub full of water) • Elevate the foot and leg. • Apply a medicated cream like 40% urea cream (Flexitol, Urix, Carmol) 2-3 times a day ( avoid the open cracks) • After washing and drying well, push the cracked skin edges firmly together and apply a thin layer superglue to protect the area and promote healing • Wear socks and cushioned shoes daily When should I see a physician? It is important to see a physician for Cracked Heels that are very painful, infected, or not getting better after 10-14 days of conservative home treatments. Signs of infection include enlarging areas of redness or a red streak extending from the foot. Signs of cellulitus (tissue infection) include swelling, marked redness, throbbing, and pain. Yellow or green drainage from the wound is also concerning and may require drainage and oral antibiotics. Diabetic patients or any patient with a compromised immune system should immediately see a physician.
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