Painful Red Spots on the Heel: Causes and Solutions

Red spots that are painful?

Hello, my girlfriend has discovered a deep red spot on her heel that feels like there is blood accumulating inside.
It hurts when touched, and walking also causes pain.
Upon closer inspection, there is a small black dot inside, which feels slightly raised to the touch.
We are unsure what to do...

Xu, 20~29 year old female. Ask Date: 2017/10/12

Dr. Wu Yuxin reply Dermatology

Please seek medical attention as soon as possible.
An examination is necessary to determine the issue and to address it appropriately.

Reply Date: 2017/10/12

More Info

Painful red spots on the heel can be concerning, especially when they are accompanied by tenderness and discomfort while walking. Based on the description provided, there are several potential causes for the symptoms your girlfriend is experiencing.
1. Hemangioma or Vascular Lesion: The deep red spot that feels like it has blood inside could be a hemangioma, which is a benign tumor made up of blood vessels. These can appear as red or purple spots on the skin and may be tender to the touch.
2. Bruising or Contusion: If there has been any recent trauma to the heel, even if it was minor, a bruise could form. Bruises can appear red initially and then change colors as they heal. The presence of a small black dot might indicate a deeper bruise or a small blood vessel that has ruptured.

3. Plantar Wart: A plantar wart, caused by the human papillomavirus (HPV), can also present as a small, raised, dark spot on the heel. These warts can be painful, especially when pressure is applied, such as during walking.

4. Infection: If the area is swollen, warm, or there is pus, it could indicate an infection, such as cellulitis or an abscess. This would require prompt medical attention.

5. Fungal Infection: Conditions like athlete's foot can cause red, painful spots on the feet, although they usually present with additional symptoms like itching or peeling skin.

Recommendations for Care:
- Avoid Pressure: Until the cause is determined, it is advisable for your girlfriend to avoid putting pressure on the affected heel. This may involve using crutches or a cane to alleviate weight on the foot.

- Ice Therapy: Applying ice wrapped in a cloth to the affected area for 15-20 minutes several times a day can help reduce swelling and numb the pain.

- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help manage pain and inflammation.

- Keep the Area Clean: If there is any break in the skin, it is crucial to keep the area clean and dry to prevent infection.
- Monitor Symptoms: Keep an eye on the spot for any changes in size, color, or pain level. If it worsens or does not improve within a few days, it is essential to seek medical attention.

When to See a Doctor:
- If the pain is severe and persistent.

- If there are signs of infection, such as increased redness, warmth, swelling, or discharge.

- If the spot changes in appearance or if new symptoms develop, such as fever or chills.

- If there is difficulty walking or bearing weight on the foot.

Conclusion:
While some causes of painful red spots on the heel may be benign, it is essential to monitor the symptoms closely. If there is any doubt or if the condition does not improve, consulting a healthcare professional is the best course of action. They can provide a proper diagnosis and treatment plan tailored to your girlfriend's specific situation.

Similar Q&A

Red Spots on the Soles: Understanding Skin Issues and Treatments

Hello doctor, I have developed numerous red spots on the soles of my feet and toes. Initially, I didn't think much of it, but I've noticed that they have increased in number and the color has darkened. They are not itchy, but they feel raised to the touch. I initially t...

Dr. Lin Xinpeng reply Dermatology
Hello: There are still concerns about distortion in the photos. It is recommended that you visit a professional dermatologist for a more accurate diagnosis regarding your issue. It is not advisable to use ointments or make self-assessments before a definitive diagnosis is made.

Understanding Red Spots on Feet: Possible Causes and Treatments

The photo in the link shows a red spot on my foot that has been present for over a year. It is not itchy or painful, but it is slowly spreading with small red dots. I have seen two dermatologists. One suggested that it might be due to prolonged standing and friction from my shoes...

Dr. Wu Yuxin reply Dermatology
Your photo is unclear and cannot be assessed. If, as you mentioned, it has been present for a year, a biopsy should be considered. It is advisable to seek medical attention at a hospital as soon as possible.

Understanding Leg Pain: Causes, Symptoms, and Treatment Options

Hello: For the past month, I have been experiencing persistent soreness in both legs, from my thighs to the soles of my feet, which becomes more pronounced after walking for a while. This symptom started occurring after the Lunar New Year last year. About 20 years ago, I develope...

Dr. Lai Junlong reply Family Medicine
Hello: Based on the symptoms, it appears to be a vascular issue. "Both legs have been persistently aching, from the thighs to the soles of the feet, especially more pronounced after walking a certain distance." Clinically, it is necessary to consider the possibility of ...

Unexplained Redness and Swelling in the Foot: Seeking Answers

At the end of the text, there are images. Since there is a lot of text, I will summarize the key points first: From this past Monday (12/18) to yesterday (12/23), I have been taking antibiotics for five days. The wound does not feel significantly better and still hurts. It is bea...

Dr. Liao Zhongxin reply Internal Medicine
Dear readers: Regarding the issue of "unexplained redness and swelling in the foot," here is the response: A: 1. You are a very attentive and patient person; it is rare for someone to keep such detailed records of their medical history. 2. The progression of the wound ...