Short answer: Elbows, knees and heels take pressure and friction every day, and skin that is repeatedly pressed or rubbed tends to thicken to protect what lies underneath. Heels have a further disadvantage: the soles of the feet have no oil glands. Dry air, long hot showers, going barefoot and open-backed shoes add to it. What helps is regular moisturizing, gentle exfoliation on intact skin only, and sensible socks and footwear. Deep, painful, bleeding or persistent cracks belong with a doctor, and if you have diabetes or circulation problems, check with your doctor before caring for calluses or cracked feet yourself.
These are common reasons for rough patches, though not the only ones.
Why these three places
Elbows rest on desks, armrests and car doors. Knees take your weight when you kneel to garden, clean or play on the floor. Heels carry you with every step and rub against the back of your shoes.
Skin often responds to repeated friction and pressure by thickening, the same response that produces calluses, to protect the skin underneath. Thickened skin tends to look rough and feel dry, and on heels it can crack.
Heels have a particular problem
Oil glands are found across most of the body, but the soles of the feet have none. Add weight, friction and thickened skin, and heels are among the easiest places to crack. Does Your Body Need a Skincare Routine Too? covers why some parts of the body dry out faster than others.
What makes it worse
Dry air. Cold, dry weather, a very dry climate and heated or air-conditioned indoor air all take water out of exposed skin. Skincare in a Dry Climate looks at dry climates.
Long, hot showers. Long soaks in hot water add to dryness. Shorter showers in warm rather than hot water are kinder, as Are Hot Showers Bad for Your Skin? explains.
Going barefoot. Walking barefoot on hard floors adds pressure and friction to heels.
Open-backed or worn-out shoes. Shoes that leave the heel exposed, are worn down or fit poorly add to the friction. Closed-back shoes that fit well help.
Moisturize regularly
Apply moisturizer after cleansing or bathing and any appropriate preceding steps, following the product’s directions. Use clean fingertips, and if the product comes in a jar, take it out with a clean cosmetic spatula. Rough heels may also benefit from moisturizer at night, with socks on afterward to help keep it on your feet rather than the sheets.
Which product suits depends on its complete formulation and your skin, not its texture alone. Less is best here too: use the amount the directions call for, because more at one time does not bring faster results. The same habit suits hands, as Why Hands Can Show Age So Easily, and What Helps explains.

Exfoliate gently, and only on intact skin
Gentle exfoliation can smooth the look and feel of rough, intact skin. A rinse-off body polish or, on suitable intact body areas, textured exfoliating gloves used with light pressure while bathing are possible options.
Exfoliate only intact skin, never cracked, irritated or sore skin, and on heels resist the urge to take thickened skin down hard. Do not cut or shave calluses yourself or use anything sharp on them, and take off only a little at a time: removing too much skin can cause bleeding and infection. Cutting or shaving calluses is a job for a professional.
How often to exfoliate depends on your skin and how it responds, and more often does not mean better. How Often Should You Exfoliate? explains why there is no fixed schedule.
If you have diabetes or circulation problems
With diabetes or another condition that reduces blood flow, even a minor foot injury can become a serious infection. Ask your doctor before managing a corn or callus yourself, and before exfoliating or filing your feet; a dermatologist or podiatrist can look after corns and calluses. People with diabetes are generally advised to check their feet every day, avoid going barefoot, even indoors, and keep moisturizer out of the spaces between the toes.
When to see a professional
See a doctor for heel cracks that are deep, painful or bleeding, or that are not improving with everyday care. Rough patches that itch, spread or look different from the surrounding skin are also worth a professional look.
Victoria’s approach
Victoria Nash, founder of Esenté Skincare, has been a licensed aesthetician since 2003. She also owns and operates Younger You Clinique and is an experienced skincare educator. She draws on her professional experience at Younger You Clinique when evaluating skincare products and their performance. There is no universal exfoliation schedule: Victoria considers the individual’s age, skin condition, method of exfoliation and how the skin is responding, and cracked or sore skin is not exfoliated at all. She also emphasizes responding to the environment your skin is experiencing rather than the calendar.
Two examples from the Esenté range for moisturizing rough body areas are Shea Butter Ultra Rich Hydra Crème and Cellaris Body Crème. Their larger sizes and economical pricing can make them practical choices for body care. Both come in jars, so use a clean cosmetic spatula. For exfoliating intact skin, Shea Butter Exfoliating Body Polish is a rinse-off body exfoliant; use it gently and follow its directions. These are examples, not the only suitable choices, and the spending decision is always yours. Esenté works with boutique manufacturers to develop and select formulations that meet the brand’s ingredient, performance and quality criteria. The range also includes Exfoliating Massage Gloves, which may be used gently on appropriate intact body skin while bathing or showering with a bath gel or cleansing bar. They should not be used on cracked, irritated or sore skin. If you are not sure where to start, the Ask Victoria page is open.
Frequently asked questions
They take regular pressure and friction from leaning and kneeling, and repeatedly pressed or rubbed skin tends to thicken. Dry air and hot showers add to it.
Heel skin carries your weight, rubs against shoes and has no oil glands of its own, and thickened skin along the heel rim can split. Dry air and open-backed shoes add to it.
Moisturize regularly, following the product’s directions, and choose closed-back shoes that fit. See a doctor for deep, painful or bleeding cracks.
Never cut or shave calluses or use anything sharp; leave that to a professional. Gentle filing of intact heels is a common approach; take off only a little, because removing too much can cause bleeding and infection. With diabetes or circulation problems, ask your doctor first.
There is no fixed schedule. It depends on your skin, the method and how your skin responds. If skin feels sore or looks irritated, stop, and later try again more gently or less often.
Ask a doctor, dermatologist or podiatrist first. With diabetes or circulation problems, even small foot injuries can become serious.
About the author. Victoria Nash, founder of Esenté Skincare, has been a licensed aesthetician since 2003. She also owns and operates Younger You Clinique and is an experienced skincare educator.
Reviewed by Victoria Nash, licensed aesthetician, founder of Esenté Skincare and owner of Younger You Clinique. This article is educational and is not medical advice. Ask your dermatologist or licensed skincare professional about products appropriate for your own skin and medical history.


















