Reader needs new strategy for cracks

Dear Dr. Roach: I am a 76-year-old male in excellent health. The skin on my heels tends to be dry and callous, and at times develops cracks that can become surprisingly painful and take time to heal. I shower and change my socks daily.

I’ve tried applying Vaseline or Aquaphor as a preventive measure with some success, but the cracks still occur. Could there be bacteria or fungi involved that contribute to this problem? Can you recommend a medication that might provide superior value? — R.L.

Many people experience cracking in the skin of the heel. Dry skin is the most common cause, and proper footwear, regular moisturizing and avoiding excess washing with harsh soaps and hot water all may help. If the problem continues, it is more likely an inflammatory condition like eczema than it is a fungal or bacterial infection.

Making the proper diagnosis will help guide treatment, which may include steroid ointments or even glue to repair the cracking. A podiatrist or dermatologist would be a good first stop.

Dear Dr. Roach: My 80-year-old wife recently began to have tremors in her left leg while walking with her walker. After looking at several MRIs of her back, her orthopedic doctor said everything appeared to be OK and recommended she see a neurologist. Can a neurologist somehow help to eliminate or reduce the tremor in her left leg? — B.R.

Tremor in one body area should indeed be evaluated by a neurologist. The list of possibilities is too long to summarize, but knowing that the tremor is restricted to one leg and only occurs with movement will help the neurologist start to narrow down the possibilities.

Once she has a diagnosis, then the neurologist can discuss the options for treatment.