A wound treatment dressing for applying negative pressure wound therapy to a wound on an extremity, such as on the heel of a foot. The dressing includes a fluid manifold positioned within a fenestrated drape to form a contoured occlusive wrapping. A contoured porous pad is placed adjacent or within the wound, and is covered by the occlusive wrapping. Flexible tubing is attached to or through a port to allow fluid communication of negative pressure to the contoured pad from a source of negative pressure. The negative pressure is communicated from the source, through the tube, through the fluid manifold, and through the fenestrations of the occlusive wrapping, to the wound. The fluid manifold conducts the negative pressure from a position away from the wound site to the contoured pad at the wound site.