abstract: While the incidence of sacral pressure ulcers has remained constant over the last ten years, the prevalence of heel pressure ulcers has increased. Heel ulcers can delay mobilisation and prolong hospital stay. They also contribute, either directly or indirectly, to other more serious complications such as cellulitis, osteomyelitis and deep vein thrombosis. Pressure ulcers on the heel are among the most difficult to heal as this area of the body has no appreciable soft tissue pad so, once damage occurs, the progression of the ulcer is quick. High risk patients should be nursed on a pressure relieving mattress but should also wear a heel protection devise.