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Why Are Heels So Thick?

Published in Foot Health 2 mins read

Heels can become thick due to excessive pressure and friction. This leads to a condition called hyperkeratosis, where the skin produces extra keratin to protect itself. The result is hardened, thickened skin on the heel.

Understanding Hyperkeratosis

Hyperkeratosis is a common skin condition. It's the body's natural response to prolonged pressure or friction. Think of it like a callus, but more pronounced. The increased pressure on the heel, especially in shoes that don't provide adequate support or cushioning, stimulates the skin to produce more keratin, a protein that makes up the outer layer of your skin. This leads to the buildup of thick, hard skin on the heel.

Factors Contributing to Thick Heels:

  • Tight-fitting shoes: Shoes that are too tight or narrow constrict the foot, increasing pressure on the heel.
  • Improper footwear: Shoes without adequate cushioning or support put extra stress on the heels.
  • Standing for long periods: Prolonged standing increases pressure on the heels.
  • Walking on hard surfaces: Hard surfaces like concrete can contribute to heel thickening.
  • Underlying medical conditions: Certain medical conditions can also contribute to thicker heels.

Treating Thick Heels:

If you have excessively thick heels, it's important to address the underlying cause. This may involve changing your footwear, using cushioning inserts, or addressing any underlying medical conditions. In some cases, a podiatrist may recommend treatments such as:

  • Removing excess keratin: This can be done through filing, shaving, or chemical peels.
  • Moisturizing: Keeping the skin hydrated can help prevent further thickening.

The excessive pressure can cause the skin to produce too much keratin, resulting in the formation of thick, hard skin on the pressure points of the feet, such as the ball and heel. This is precisely what happens in the case of excessively thick heels.