How to Handle a Bruised Toenail
A bruised toenail can be more than just a cosmetic nuisance—it can be painful and make it hard to go about your daily routine.
A bruised toenail typically results from an injury or trauma to the nail, which damages the blood vessels underneath.
The resulting blood pools under the nail causing the characteristic dark purple or black discoloration.
Most bruised toenails heal with at-home care, but there are some instances when you should seek medical attention:
- Severe Pain or Swelling. If the pain is intense and doesn’t subside with rest or medication, it may indicate a more serious injury, like a fracture.
- Nail Detachment. If the toenail starts to lift or detach from the nail bed, it could lead to infection or further damage.
- Infection Signs. Any increase in redness, warmth, or discharge should be taken seriously and checked by a doctor.
- Dark Discoloration and Pressure. If the bruise is large and causing significant pressure under the nail, a doctor might need to drain the blood to relieve the pressure.
What Causes a Bruised Toenail?
- A sudden impact, like kicking something hard or accidentally hitting your toe, can cause bruising.
- Shoes that don’t fit properly, especially those that press against your toes, can lead to injury and bruising over time.
- Activities like running, hiking, or playing sports often put pressure on the feet and can lead to trauma to the toenail.
Whether it’s from an unexpected stub, an injury during exercise, or even a tight shoe, this condition is common but can be treated with the right approach.
We drain the blood by using a diamond burr – a type of rotary tool often used in podiatry procedures. The diamond burr creates a small, precise hole which drains the blood and fluid which results in a much more comfortable nail.
It’s important to have this procedure done by a healthcare professional to minimize the risk of infection or further injury. Always follow post-drainage care instructions, and monitor your toenail for signs of complications as it heals. If you’re unsure whether you need the procedure, consult a podiatrist to get expert advice tailored to your situation.
If you need any assistance regarding nail traumas or any related conditions, email 📩 us on: info@thechelseaclinic.uk
We are independent prescribers able to prescribe any medication from the BNF relevant to the lower limb, foot and ankle.
Are you suffering from any hand or foot condition? At The Chelsea Clinic, we can help. One of our podiatrists can assist and then recommend what treatments are best to get you back on track. Podiatrist South Kensington
Schedule an appointment here or you may call us at +44 (0) 207 101 4000.
We hope you have a feetastic day!
-The Chelsea Clinic and Team
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