Deep cracks in your heels, known as heel fissures, are the most likely reason for bleeding heels. These cracks develop when the skin on your heel becomes excessively dry and hard, losing its elasticity and subsequently cracking. Over time, these cracks deepen, potentially bleeding and becoming painful.
Causes of Bleeding Heels:
- Dry, cracked skin: This is the most common cause. Dry skin lacks moisture, making it brittle and prone to cracking. This can lead to very deep cracks that bleed.
- Excessive weight: Bearing excessive weight puts extra stress on your heels, increasing the risk of cracks.
- Prolonged standing or walking: Similar to excessive weight, this constant pressure on your heels can lead to dryness and cracking.
- Certain medical conditions: Conditions like diabetes can impair blood circulation and nerve function in the feet, making them more vulnerable to cracking and infection. Diabetes can damage nerves and blood vessels in the feet over time.
- Improper footwear: Ill-fitting shoes, especially those that are too tight or don't provide adequate support, can put excessive pressure on the heels and worsen existing cracks. As seen in a Reddit post discussing bleeding heels from wearing Dr. Martens.
Symptoms of Heel Fissures:
- Pain: Deep cracks can cause pain, especially when standing or walking.
- Bleeding: Deep fissures often bleed, especially when pressure is applied. This bleeding can be a symptom of heel fissures.
- Open wounds: These wounds increase the risk of infection.
- Inflammation: The surrounding area may become red and inflamed.
When to Seek Medical Attention:
Consult a doctor if:
- The bleeding is severe or doesn't stop easily.
- You have signs of infection (increased pain, swelling, redness, pus).
- You have diabetes and experience heel fissures. Diabetics are particularly susceptible to foot infections.
- The cracks are deep and persistent despite home treatment.
