Pregnancy and Dry, Cracked Heels - An Overlooked Skin Symptom

Dry, cracked heels are among the most common pregnancy symptoms. The swelling of your belly and water retention can cause cracked, dry heels due to the pressure on your feet. This condition may be treated effectively using the proper treatment methods.

Pregatips
Pregnant women suffering from cracked heels are usually told that it is just another discomfort or simply due to spending more time standing. In reality, cracked and dry heels in pregnant women are a skin condition caused by various reasons, which include hormones, nutrition and mechanics, and it should not be taken lightly. If you have noticed that your heels have started looking cracked and dry ever since you became pregnant, here are the reasons why.

Why Pregnancy Causes Dry, Cracked Heels

There are multiple factors involved in this process during pregnancy, which result in greater sensitivity of your heel skin to dryness and cracking compared to any other time.

  • The effect of hormones on skin: During pregnancy, the effects of hormones such as estrogen and relaxin influence skin hydration and texture.
  • Increased body weight and pressure: With an increase in the weight of your body in pregnancy, there comes an increase in the pressure that will be exerted on the heels each time you walk. This causes the skin to become stretched and cracked since the skin becomes less elastic when it is dry.
  • Restricted blood flow to the feet: As the baby develops inside, there is pressure put on the blood vessels of the legs. Therefore, blood flow to the feet may decrease, which means that the skin on the heels will not get enough oxygen and nutrition and thus becomes dry and thick.
  • Nutritional factors: The skin is an indicator of one’s nutritional status, and some deficiencies that commonly occur during pregnancy have effects on skin condition. A problem with thyroid function, which may arise or intensify during pregnancy, is associated with thick, dry skin and cracking of the heels.

How to Treat Dry, Cracked Heels During Pregnancy

The good news is that cracked heels respond well to consistent, simple care.

  • Soak your feet in warm water for 10 to 15 minutes, then gently use a pumice stone on thickened areas two to three times a week.
  • Apply thick, urea-based heel cream or foot balm immediately after soaking while your skin is still damp.
  • Put on cotton socks after applying cream at night to lock in moisture.
  • Moisturise your feet every day, not just when they feel dry.
  • Stay well hydrated by drinking plenty of water daily.
  • Wear supportive, well-fitted shoes with closed backs and cushioned soles.
  • Elevate your feet when resting to support circulation and reduce swelling.

When to Consult Your Doctor

Contact your health care provider when any of the following apply to you.

  • Heel fissures are deep, painful, or are demonstrating signs of infection (redness, warmth, swelling, or drainage).
  • Dry skin is extreme or is affecting other areas besides the heels.
  • Heel dryness occurs with fatigue, hair loss, or cold intolerance, a combination of symptoms which may be indicative of hypothyroidism.
  • Foot and ankle swelling is considerable or sudden, occurring along with facial and hand swelling. This combination requires immediate attention, as it may represent preeclampsia.
The condition of having dry and cracked heels during pregnancy is an actual skin problem which arises because of the hormonal changes, the increase in weight, the pressure, the decrease in circulation and the nutritional requirements. Proper moisturising using creams containing urea, filing the feet, wearing proper shoes, and hydrating are ways of treating the condition efficiently. In case the cracks are deep or painful or if there are additional symptoms associated with the condition, one should seek medical advice.

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FAQs On Pregnancy and Dry, Cracked Heels - An Overlooked Skin Symptom

  1. Is it safe to use a pumice stone for cracked heels during pregnancy?
    Yes, using a pumice stone or a gentle foot file for softer skin is perfectly safe in pregnancy. The trick is to use it gently without over-exfoliating, especially if the skin is already damaged and sensitive. An electric foot file should never be used for cracked skin.
  2. Can cracked heels during pregnancy be caused by thyroid problems?
    Cracked heels combined with extremely dry skin are usually indicative of hypothyroidism. If you have very dry heels and experience excessive fatigue, hair loss, sudden weight loss or gain, or feel excessively cold, please have your thyroid levels checked at the same time as routine antenatal blood tests.
  3. Will cracked heels get better after childbirth?
    Yes, they will get better for the majority of women. Once pregnancy hormones subside, the weight starts to go down, and the circulatory system returns to normal functioning, the heel skin usually gets much better.
Medically Reviewed By:
"Dr. Astha Jain Mathur MBBS, DGO, FMAS, FICMCH Consultant Obstetrician & Gynecologist Ankura Hospital For Women and Children, Indore