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(HealthDay News) — Dry, cracked skin on the heels can be more than just embarrassing, it can also be very painful.

The American College of Foot and Ankle Surgeons mentions these risk factors that can cause or worsen cracked heels:

  • Walking barefoot.
  • Dry skin.
  • Open-backed shoes.
  • Excess weight.
  • Friction in the backs of shoes.
  • Decreased nerve function.
  • Complications of a medical condition such as diabetes, a thyroid condition, kidney disease or circulation problems.

— Diana Kohnle

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