My heels are so dry they’re cracking and catching on socks. What causes this?

These conditions disrupt the normal barrier function of the skin, making it more vulnerable to environmental factors that cause dryness. Managing these underlying conditions with appropriate treatments can help reduce the incidence of cracked heels.

Certain medical conditions can predispose individuals to cracked heels. Diabetes, for example, can lead to neuropathy and poor circulation, which in turn can reduce the skin’s ability to heal and maintain moisture. People with diabetes are advised to inspect their feet regularly for any signs of dryness or cracking.

Hypothyroidism can also contribute to dry skin, including on the heels, due to reduced sweat and oil gland activity. Poor circulation, often seen in peripheral artery disease, can lead to insufficient nutrient and oxygen delivery to the skin, resulting in dryness and cracking.