Skin abnormality on heels of both feet

I’m a 31 year old male and have been struggling with dry, dead skin on the heels of both my feet for the last 7 years. After visiting 2 different podiatrists and using countless prescription topical and oral antifungals (Lamisil mostly), I have yet to see any improvement whatsoever. Whenever my podiatrist cut off all the dead skin, scrape and file my heels, it will look good and healthy for only a week or so before my heels start itching, small white spots appear (which I was told is due to sweat not being able to escape) and the skin dies, leaving me with hard, dead skin with a white colouration that can get quite painful sometimes. I try to gently file off the dead skin on a daily basis and then moisturize, but its never enough and after moisturizing my heels show a yellowish colour due to the dead skin. I don’t know what to do anymore because I don’t believe it is Athlete’s foot, as I have no other symptoms anywhere on my feet to indicate that. Any help/advice will be greatly appreciated.
Many thanks!!

One Response

  1. Foot-com

    Hello and thank you for your question. If you have done various treatments and the doctors are suspecting a fungal infection, it may be beneficial to do a biopsy.

    The biopsy would be able to determine if there is a fungal infection, dermatitis or just dry skin. If it is just dry skin, there may be a biomechanical reason of why you are getting excess friction to your heels.

    For patients who just have dry skin, using creams that contain urea or lactic acid are best – and I encourage patients to use them under occlusion at night. I hope this helps!

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    Dr. Emily Splichal
    Please be advised: we do not provide medical advice, diagnosis or treatment.
    By law, we cannot give specific medical advice over the Internet.

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