Foot Focus Podiatry

Mon - Fri : 08:30 - 5:30   |   reception@footfocuspodiatry.com.au
08 9258 4152 |
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pic-cracked-heels-300x214 Cracked Heels

Cracked Heels

A common skin condition when the skin on your heel becomes dry, hard and begins to crack.  If heel cracks remain untreated, they can progress into fissures (deep cracks in the callous), which split the skin at a deeper level (dermis) and then become very painful and may bleed. Causes of Cracked Heels
  • Walking barefooted or footwear such as thongs, sling or open backed sandals which dries the feet and also increases shearing forces on the skin.  Or wearing shoes all week and then thongs/open heeled shoes on the weekend or your holidays.  Your skin like a constant environment in terms of moisture and heat and changes of this cause cracks.
  • Genetics -Skin type is often genetic. Some heels get thick very thick callus but don’t crack whereas others have no callous at all but crack badly.
  • Long standing at work or home, especially on hard floors.
  • Increased weight which causes increased pressure on the heels causing callus or deeper cracks.
  • Inappropriate footwear that don’t support the heels from expanding sideways under pressure.
  • Unhygienic circumstances or conditions as well as fungal infections (tinea)
  • Climate change such as low humidity, or dry summers or cold winters.
  • Deficiency in Vitamins, minerals, or zinc.
  • Hormonal Conditions such as thyroid or estrogen imbalances.
  • Circulation problems or diabetes

Treatment

Our podiatrists are experts at painlessly debriding (removing) heel callous with or without cracks/fissures.  This is part of our general foot care treatment should you ever come in for nail care or primary podiatry care. Our podiatrists will then recommend using certain creams or heel balms which will make your heels feel soft and smooth again.  We sell many creams and home devices (handles with sandpaper material or pumous handles)  that you can use to help maintain your heels and callouses in general. In addition, our podiatrists may also be able to treat the underlying causes to your cracking as well as giving you the right advice on how to keep your heels in great condition. So for any of your podiatry skin or nail concerns ring 08 92584152 or view our contact us page.
  • Winograd procedure- This procedure will be done in hospital setting under local and or general anaesthesia and it is reserved upon failure of the phenolization or if there is significant amount of skin overlapping the nail with soft tissue growth. This procedure involves removing a portion of the skin along with the nail down to the level of the bone. Sutures (stitches) will be applied to close the surgical site. The procedure takes about 10-15 minutes to be performed and your foot will be bandaged. You will be seen within first 5 days and then the sutures will be removed in 10-14 days. Currently this procedure can only be performed by Reza Naraghi (podiatric surgeon).  He will prescribe appropriate pain medication for your post-operative pain management. You will be in open sandal and or post op shoe for 2 weeks. This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a Winograd then please click here.
  • Zadik Procedure- This procedure is used with permanent total nail removal is desired. The indications for the procedure are significant ingrowing nail on both borders, thickened and painful nails and bony growth under the nailbed. This procedure can be done under local with sedation and or under general anaesthesia at a hospital and or day surgery centre. Sutures will be applied and will be removed 14 days post surgery. You can not get your foot wet and your foot will be in a sterile bandage for 2-3 weeks. You may need pain medication post surgery. On average it will take six weeks for your nail bed area to heal. Following that you can wear most close shoes.

Matrixectomy with phenolization- This procedure involves removing the nail partially or totally and ablating (destroying) the root using a weak acid called phenol. This will cause permanent ablation of the root of the offending nail and prevent ingrown nail recurrence. This procedure is successful 95% of the time. The procedure takes about 10-15 minutes and can be performed in our rooms using local anaesthesia with or without sedation. Post operatively you will be required to soak your toe and apply a daily dressing. Wearing open toe shoes for at least 3-4 days is recommended. You maybe required to take oral antibiotics. Most patients do not require pain medication following the procedure, and if needed Panadol is sufficient for pain management. You can go back to regular shoes after one week.  This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a partial nail matrixectomy with phenolisation then please click here.