Black Heel (Calcaneal Petechiae) Treatment & Management

Updated: Apr 12, 2019
  • Author: Christine Malcolm, MD, FRCPC; Chief Editor: Dirk M Elston, MD  more...
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Treatment

Medical Care

Treatment is not necessary for black heel (calcaneal petechiae) because the lesion resolves spontaneously with discontinuation of the causative activity. The placement of a felt pad in the heel of the shoe may be curative.

Skin lubrication, heel cups, a change of footwear, wearing two pairs of thick socks, and a break from training may reduce the incidence of black heel (calcaneal petechiae). [9]

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Surgical Care

Paring down the black heel (calcaneal petechiae) lesion with a scalpel blade may result in a complete clearing of the dyschromia.

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Activity

Sports participation can be continued without harm to the patient, although the black heel (calcaneal petechiae) persists unless padding is added to the heel of the athletic shoe.

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