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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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]


Surgical Care

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



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.