Walking on Cracks: A Study of Heel Fissures and Their Management

Cracked heels, affecting nearly 48% of the population, are more prevalent in females and individuals with high foot strain, such as housewives and farmers. Characterised by dry, thickened skin and fissures, the condition can lead to pain, bleeding and infection if untreated. Common causes include barefoot walking, ill-fitting footwear, obesity and systemic conditions such as diabetes and hypothyroidism. Though often benign, investigations and preventive care are essential. Traditional remedies and Ayurvedic practices remain popular, with modern interventions focusing on hydration and barrier repair. With rising awareness and demand, the irony is that though the cracked heel treatment market is predicted to reach USD 2.3 billion by 2033, there is not much literature available on cracked heels.