How to remove a bruise under your big toe nail. Blood under the nail (hematoma under the nail) - what to do, how to get rid of it Treatment of hematoma under the toenail

Observed in patients with psoriasis. Fingernails are affected in 42% and toenails in 6% of cases. The symptom reflects the orientation of the capillary plexuses in the nail bed and the fragility of these capillaries in active psoriasis. Longitudinal subungual hemorrhages in the nails can be an analogue of the Auspitz sign (blood dew symptom) on the skin, developing in the nail bed. Longitudinal subungual hemorrhages can also be observed in mimicry of psoriasis.

When forming longitudinal subungual hemorrhages They have a plum color, which darkens to brown or black after a few days of treatment. The blood comes into contact with the ventral layer of the nail plate and moves distally. From time to time, longitudinal subungual hemorrhages stop briefly due to the fact that they are in contact with the nail bed and not with the plate.

Most occur in the distal third, where the nail plate separates from the nail bed. In this area, especially fragile spiral capillaries form a pink line 4 mm proximal to the fingertip, normally visible through the nail. The rupture of these superficially located vessels with thin walls gives rise to linear hemorrhages that look like wood splinters under the nails.

Rare variations of proximal longitudinal subungual hemorrhages include matrix tumors, Langerhans cell histiocytosis, trichinosis, and mono- or polydactylar longitudinal erythronychia.

Longitudinal subungual hemorrhages are more common in men than in women and more common in blacks than in light-skinned people. Nail changes and age-related disorders are more common in older patients, in whom longitudinal subungual hemorrhages are most common. In women, such disorders are usually limited to one finger.

Subungual hemorrhages can also occur due to trauma to the nails and with the use of a number of drugs, including docetaxel, paclitaxel and, especially, imatinib.

Repetitive microtrauma with partial displacement second toe on the thumbnail can cause bilateral triangular hemorrhages. Most causes of longitudinal subungual hemorrhages are listed in the table below.


a - Psoriatic pinpoint hemorrhages.
b - Pinpoint hemorrhages in mimicry of psoriasis.

A hematoma under the nail of the big toe is a bruise that appears for various reasons: due to mechanical trauma, from wearing uncomfortable narrow shoes made of hard material for a long time. There are other pathologies that provoke the appearance of damage. Why hematomas are dangerous, how to get rid of them faster, and how to prevent their occurrence, we will tell you in this article.

Causes

A bruise is a blood clot that flows from broken blood vessels. Appears both on the fingers and on other parts of the body.

The reasons for their formation are different:

  • Mechanical impact. If you hit your finger sharply on a hard object or drop something heavy on it, a bruise will appear. Such damage occurs frequently. Hematoma also appears during finger fractures if a strong blow falls on the nail.
  • Wearing narrow and hard shoes. If a person plays sports in uncomfortable sneakers that squeeze the big toe, hematomas occur. Such disciplines include football, skiing and skating.
  • Taking medications that regulate blood clotting. It happens rarely, but if the problem occurs, consult a doctor.
  • Cardiovascular failure. Due to the lack of oxygen caused by the pathology, all the nails on the toes and fingers often darken.
  • Other serious illnesses. Diabetes mellitus, oncology, thrombocytopenic purpura or melanoma. The doctor will make an accurate diagnosis.
  • Fungal infection. In addition to dark spots, there will also be symptoms such as itching, peeling of the nail and changes in its color.

In each of these cases of bruising on the nails of the big toes (regardless of the cause), consultation with a specialist is required.

What does a bruise under a nail look like?

Immediately after a finger injury, a purple spot appears, which gradually becomes purple-black in color. It is clearly visible through the nail plate. Often the hematoma is round, less often it is elongated. In addition to the unaesthetic appearance, a person experiences sharp pain and a sensation of pulsation in the affected area.

If the bruise appeared as a result of wearing tight shoes, then the pain is not so severe, but for a long period it does not go away, even if you take off your shoes or boots. Swelling often appears on the finger. As the nail heals, it turns greenish and yellow.

How does a hematoma form?

Bruises under the toenails appear as a result of hemorrhage from burst blood vessels. If the injury was severe, it leads to partial or complete peeling of the nail. To prevent this from happening, it is advisable to consult a doctor as soon as possible. If you couldn't avoid losing your nail, don't worry. This phenomenon is temporary: it gradually grows back, although it becomes uneven or thickened.

Methods for treating bruises under the nails

Before starting therapy for a hematoma, you need to understand the reason why it formed. If this is an injury, then the treatment will be mainly local. If it appears as a result of diabetes, cardiovascular failure or other diseases, then it is necessary to eliminate the cause, and not just its consequences. When medications are to blame, they should be discontinued and another treatment method prescribed.

Do you need a doctor?

Medical help is not needed if the bruise is small and the pain is not intense. This happens with minor injuries or wearing tight shoes. You should change it, and as the nail grows, the hematoma will go away. In case of mechanical damage, contacting a doctor will help relieve pain faster. The doctor will also identify a more serious cause of bruises, which are present not only on the legs, but also in other places.

First aid

To quickly improve your condition after limb injury, you need to be able to provide emergency assistance to yourself or another person.

  1. Immediately apply ice or a heating pad with cold water to your finger: this will significantly reduce the risk of subungual hematoma formation. To make the blood vessels shrink and the sharp pain subsides, apply ice to your finger every half hour for five minutes.
  2. If a nail is damaged, it must be urgently treated with an antiseptic. This will prevent the wound from becoming infected and developing an infection.
  3. Then apply a tight bandage to the area where the bruise occurred. This technique will reduce swelling and significantly reduce the risk of nail plate rejection.
  4. Make sure the knuckles are not broken. To do this, move them, and if these movements cause severe pain, then immediately visit the nearest trauma center for assistance.

If there is no fracture in the leg, then a consultation with a doctor will still not be superfluous. Severe pain from a hematoma will not go away quickly, but the doctor will quickly remove it with the help of surgical manipulation. Using a sharp, thin, sterile instrument, he will make a small hole in the nail through which the accumulated blood will come out. This procedure helps protect the nail from rejection and speeds up the treatment process.

If for any reason the doctor is unavailable, then this manipulation is carried out independently. But if complete sterility is not maintained, the consequences can be severe (blood poisoning, loss of limb).

Drug therapy

If your nail is damaged due to injury, quickly wash the area with antibacterial soap and apply antibiotic ointment. Drug options:

  • tetracycline;
  • synthomycin;
  • erythromycin.

Apply a sterile dressing. To prevent inflammation from occurring and spreading, take Ibuprofen. To quickly get rid of a hematoma, use Venitan, Troxevasin, Venoruton gels or ointments of similar action.

The pharmaceutical industry is growing rapidly, offering patients new drugs to treat bumps and bruises. But before starting therapy, it is necessary to find out the reason for their appearance.

Traditional methods of treatment

If the injury is small and not advanced, then you can use traditional methods of alleviating the condition and further therapy. In mild cases, a few days are enough for the bruise to go away. There are many recipes for how to cure hematoma. Let's describe some of them:

  1. Sagebrush. It will reduce pain and help the blood clot dissolve faster. Fresh grass is kneaded until the juice appears and applied to the bruised area. After drying, it is replaced.
  2. Plantain. An analgesic and anti-inflammatory agent. The leaves, crushed into pulp, are applied to the bruise.
  3. St. John's wort. It is taken orally 3-4 times a day or a compress is made from the decoction (pour boiling water over 1 tablespoon of the herb and let stand).
  4. Hop. The cones of this plant relieve pain well. They are boiled for a long time, and then 4 parts of Vaseline are added to 1 part of the broth. This ointment is applied to the hematoma until relief occurs.
  5. Onion. The vegetable pulp is applied to the bruised area.
  6. Melissa. An infusion is made from the herb (4 tablespoons pour 2 cups of boiling water, leave for 30 minutes). A compress is applied with this liquid.

If medicinal herbs are not available, then take any dark green plant, rub it with your hands until juice forms and apply it to the hematoma. The chlorophyll pigment contained in the leaves heals wounds and bruises.

What is the danger?

Most often, hematomas on the extremities do not pose a threat to life. They are quite easy to treat or go away on their own. But in some cases you need to consult a doctor urgently:

  • the hematoma is large and occupies almost the entire nail;
  • the patient experiences unbearable pain, which may be a consequence of a fracture;
  • when the color of the nail has changed without injury.

To find out whether the joint is damaged, the traumatologist will order an X-ray examination. If the bruise is not due to injury, additional diagnostic methods will be carried out.

Preventing bruises under the nails

You can protect yourself from minor injuries and bruised fingers if you are careful when handling heavy objects at home and in the workplace. There are other measures that will help avoid bruises under the nails caused by other reasons. Wear comfortable shoes and do not put excessive stress on your feet. If the problem is a result of wearing high-heeled shoes, stop wearing them.

It's important to eat right. Include the required amount of vitamin C in your diet, which helps strengthen blood vessels. If bruises appear on your body that are not related to injury, immediately visit a doctor. These may be symptoms of diseases of the circulatory system or other pathologies that need to be treated immediately. Be careful and take care of your health!


A bruise under the nail is a blood clot that forms after a bruise. Blood from damaged vessels begins to accumulate under the nail plate. After the blow, the person feels pain in the injured finger. The bruise under the nail quickly increases in size.

  1. If you accidentally hit your foot on furniture, the capillaries on your toes burst. Blood from damaged vessels instantly collects in the tissues under the nail plate.
  2. A bruise under the nail may appear after accidentally pinching a limb.
  3. Football and basketball players are at risk of getting this injury.
  4. The reason for the formation of a bruise under the big toe nail can be the use of shoes that are too narrow.
  5. A heavy object falling on your leg.
  6. Hemorrhage may be a consequence of increased vascular fragility.
  7. Dislocations and fractures of the limbs are often accompanied by the formation of hematomas under the nails.
  8. Blackening of the plate may be due to a fungal infection.

Symptoms

The formation of a hematoma is accompanied by the following symptoms:

  • damaged tissues swell;
  • in the area of ​​the injured nail, the skin quickly turns red;
  • any attempt to change the position of the bruised finger leads to severe pain;
  • the patient feels pulsation in the sore finger.

Symptoms persist for 2-3 days. After this, the nail plate begins to darken. With strong impacts, not only blood vessels are damaged. The nail itself cannot withstand mechanical stress. As a result of injury, it peels off.

How does a hematoma form?


There are several stages in the formation of bruises:

  1. Immediately after a bruise, blood from damaged capillaries flows under the nail plate. The victim sees a small red spot. Gradually, the damaged area begins to darken. The patient complains of severe pain and numbness of the finger. The area of ​​the blood stain under the nail increases. It takes on a purple hue.
  2. Subsequently, the hematoma becomes dark blue.
  3. During the restoration process, the stain decreases. The victim feels virtually no pain.
  4. After about 3-4 weeks, the bruise under the nail will completely resolve.
  5. The length of the recovery period depends on the degree of damage and the characteristics of the person.

What should you do first?

Apply a cold object to the bruised nail. This will reduce pain and help stop the development of the hematoma. After a strong blow, the nail can easily peel off. The injured area under the nail plate should be immediately lubricated with an antibacterial agent. Be sure to apply a bandage to prevent infection. In case of severe damage, you cannot do without the help of a qualified specialist.

Treatment methods

After the blow, the patient feels severe pain, since there are quite a lot of nerve endings in this place. To reduce pain, the victim is prescribed painkillers (Analgin, Ketorolac). If the nail plate peels off, it is necessary to wash the wound. After disinfection, you can apply an ointment with a wound-healing effect (Troxevasin, Venoruton) to the damaged area. Important! The damaged nail must be secured to avoid accidental snagging. To do this, you can use a sterile bandage or patch.

In what cases is medical help needed?

The formation of a large hematoma that occupies the entire area of ​​the nail is a reason to contact a specialist. To treat such patients, doctors resort to emergency treatment. To remove accumulated blood, the specialist performs drainage. With a special instrument, he pierces the nail plate in the center of the hemorrhage. After this, a sterile bandage is applied to the sore finger. In particularly difficult cases, it is necessary to remove the nail plate. The procedure ends with suturing. Intense pain may indicate a broken finger.

What is the danger of a hematoma under the nail?

The risk of nail detachment after receiving a strong blow is quite high. The damaged area is not protected from various microbes. Fungal infections are especially difficult to treat. Sometimes the new nail that grows after peeling becomes deformed. Even the most professional pedicure specialist cannot hide such a defect. When a hematoma appears, it is necessary to immediately begin to prevent mycosis.

How to avoid hematoma formation

  1. When choosing winter shoes, keep in mind that you will be wearing them with insulated socks. Don't buy boots (or any other shoes) that make you feel uncomfortable.
  2. People often get a bruised toe by hitting their foot on the corner of a piece of furniture. You need to be careful when moving around the house.
  3. Don't skimp on sports shoes. This is especially true for people who play professional football or basketball.
  4. Don't forget to trim your nails regularly. When wearing tight shoes, you can damage the nail plate.
  5. Poor nutrition can cause poor nail condition. They begin to crumble and can be damaged even from a slight mechanical impact.

Traditional methods

There are several effective methods that can help with damage to the nail plate:

  1. Fresh wormwood leaves need to be crushed until the juice appears. Apply the mixture to the bruise and secure it with an elastic bandage. After drying, change the compress.
  2. St. John's wort decoction can be used not only as compresses. To speed up the healing process, you need to take 1 tbsp. spoon 3 times a day.
  3. Thanks to plantain, you can stop the inflammatory process in the wound under the nail. The leaves of the plant must first be crushed and applied to the sore finger. Plantain helps relieve swelling and reduce pain.
  4. To prepare the infusion 4 tbsp. Pour 2 cups of boiling water over spoons of chopped lemon balm herb. The decoction will be ready within 30 minutes. Soak a piece of cloth in the infusion and apply it to the sore finger. The compress should be applied 3-4 times a day.

Bruise under the big toe nail. VIDEO

Bruises are the result of internal hemorrhageand saturation of surrounding tissues. When struck, small subcutaneous vessels rupture, which leads to local bleeding. Damage to blood vessels deep in the tissue is called a hematoma; it is accompanied by greater aching pain compared to a mild bruise and has a larger volume.

Causes of bruises under the nail plates

There are many known reasons why bruises appear under the nails. The main ones are listed below.

  1. A hematoma can form on any part of the body that is exposed to an external blow. No one is immune from such a phenomenon as a bruise on the nail. It is possible to injure your nails by closing a door, hammering nails, dropping a tool on the floor, or moving furniture. You can get injured both at home and at the workplace when dealing with heavy objects, tools, and machines. A subungual hematoma causes severe physical pain, but at the same time spoils the appearance of the nails. When struck, not only can a hematoma form under the nail, but the nail plate itself can burst, causing the nail to become deformed.
  2. Bruises under the nails sometimes also appear with a severe bruise, dislocation, fracture of the hand, or injury to the foot. In these cases, bruising may extend over a large radius, including the nails of the extremities.
  3. The appearance of subungual hematomas is sometimes provoked by wearing tight and uncomfortable shoes.
  4. The appearance of a bruise sometimes also indicates weak walls of blood vessels, which can rupture in any part of the body, forming painful hematomas, including under the nail.
  5. The cause of hematomas under the nails is angiopathy, which appears in diabetes mellitus and leads to weakness of the vessel wall.
  6. Bruises under the fingernails or toenails may also appear after taking medications that directly affect blood clotting.
  7. Bruising under the nails is the result of professional artistic activity; ballerinas and dancers often encounter this phenomenon.

Most often the bruise occurs on the big toe. It also suffers when wearing tight shoes. A hematoma on the nail of the big toe causes discomfort when moving and does not allow you to put on shoes without pain.

What does a bruise under a nail look like?

At the moment of impact, blood leaking from damaged vessels collects under the nail. Since it cannot flow out due to the high density of the nail plate, it remains under it. The blood coagulates, changing its color over time until it completely resolves.

In the first minutes after a nail injury, it turns red, after a few hours it turns blue, and after the blood clots, it turns completely black.


The returning blood clot takes a very long time to dissolve, the old nail plate slides off and is replaced by a new one. Often, in order to remove it from under the nail plate, you need to wait until the damaged nail has grown completely, gradually trimming and cleaning it.

An accumulated blood clot under the nail plate is not a favorable environment, especially if the nail burst during the bruise. If no measures are taken, infections may develop under the plate, leading to tissue destruction and rotting.

The hands and feet, as well as nails, may become covered with black spots due to fungus or cutaneous melanoma. They are very similar to nail hematomas, but in comparison with them they do not disappear as the nails grow, but continue to destroy and deform it.

Methods for treating bruises under the nails

How to treat a hematoma on the big toe? If a limb is damaged and the radius of the bruise includes the nail plate, then the entire hematoma should be treated, not the nail individually.

Immediately after injury, cold is applied to the injury site through a towel or cloth. The duration of the procedure is about twenty minutes, after which a break is required. This procedure will reduce pain and the size of the hemorrhage. The doctor prescribes painkillers. Pain-relieving gels can be used locally; during the resorption stage, after a few days, heparin ointment can be used. In some cases, traditional methods can be used as a supplement to the main treatment after consulting a doctor.

Traditional methods of treatment

Treatment with traditional recipes allows you to speed up the process of bruise resorption at home. You can use the following methods:

  • the greatest effect in the treatment of subungual hematomas on the legs was noticed by traditional healers when using compresses with onion pulp;
  • plantain has a cooling effect; compresses with cut leaves of this plant can relieve swelling around the nail and reduce inflammation;
  • Fresh wormwood has an analgesic effect on subungual bruises; its juice, absorbed into the nail, penetrates deep into the tissue and inhibits the inflammatory process;
  • St. John's wort tincture (1 tbsp flowers + 1 tbsp boiled water) helps fight subungual bruises from the inside. It is taken three times a day until the pain subsides;
  • baths with sea salt and essential oils help relieve inflammation and growth of the nail plate, which allows you to speed up the process of cutting off a deformed nail with blood clotted underneath it;
  • lotions with a strong solution of potassium permanganate make it possible to relieve pain.

Drug therapy

If bruises form under your toenails, you can seek help from a medical facility. Doctor's help will be appropriate only until the blood under the nail has clotted.

A bruise that forms under the big toe nail is removed by opening the nail plate to extract uncongealed blood. To do this, perforate the nail using a medical drill or surgically remove the entire nail plate. A medical needle or wire heated over a burner flame is also suitable. The hot metal easily melts the tissue without causing pain, and the blood comes out from under the plate. A sterile bandage is applied to the site of the perforation; over time, the nail slips off. These procedures allow you to accelerate the growth of healthy, smooth nails. Additionally, antibacterial and anti-inflammatory drugs are prescribed as long as there is a need.

Preventing bruises under the nails

Preventive measures will help prevent the appearance of bruises on the nails, in particular the big toes. These include:

  • a balanced diet containing foods rich in vitamin C (it helps strengthen the walls of blood vessels);
  • wearing comfortable shoes of your size;
  • extreme caution when lifting heavy objects;
  • compliance with safety regulations in the workplace;
  • refusal to wear high-heeled shoes;
  • It is mandatory to visit a doctor if bruises appear in any part of the body, because this may be a symptom of a disease of the circulatory system.

Attentiveness in everyday life and a responsible attitude towards your well-being will protect you from such troubles as bruises under your nails.

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1 Why does a bruise appear under the nails?

The formation of hematomas is a normal physiological process. When struck, the blood vessels are damaged and blood is released from them. It remains under the nail plate, as it cannot flow beyond it due to the high strength of the nail. Over time, the blood clot may turn black and the finger may become slightly swollen. Then the hematoma changes color, the plate separates from the bed, and the nail becomes slightly convex.

A bruise that appears on the big toe nail can cause negative complications. Firstly, infections can penetrate into the space that forms between the plate and the nail bed. Secondly, the nail remains very fragile until it is completely renewed. If pressure occurs as it grows, it may become deformed.

A characteristic symptom of the formation of a hematoma is severe throbbing pain, which subsides over time. If the injury is severe enough, it may be permanent. When the plate fuses, the patient may feel discomfort, and pain appears only as a result of pressure.

2 Causes of hematoma formation

The main factors that provoke the appearance of bruises on the fingers:

  1. Mechanical shock - occurs as a result of a heavy object falling on the leg or a finger being pinched. This type of damage occurs most often. In addition, bruising may occur with fractures.
  2. Uncomfortable shoes. If constant pressure occurs, a hematoma appears. Discomfort occurs when a person puts on boots. People who engage in winter sports often suffer from bruises - due to the special structure of the shoes, the fingers experience constant pressure.
  3. Use of medications that affect blood clotting. Bruises rarely form for this reason. To solve the problem, you should consult your doctor.
  4. Cardiovascular failure. With this disease, all organs, including the skin, suffer from a lack of oxygen. As a result, the body weakens and is unable to resist diseases. Typically, with this pathology, all fingernails and toenails turn black.
  5. Serious diseases - diabetes, melanoma, oncology. Only a qualified specialist can determine the exact cause.
  6. Fungal infection - if the nail is infected with a fungus, its peeling is accompanied by itching and other symptoms.
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If the hematoma is not a consequence of external influences or wearing uncomfortable shoes, you should definitely go to the doctor.

Only a specialist can conduct the necessary research and detect the disease at the first stage of its development.

3 How to treat a hematoma

You can treat a bruise under the big toe nail yourself or under the guidance of a doctor. First of all, the damaged area must be placed under cold water to stop the bleeding, reduce the amount of blood under the plate and the risk of subsequent detachment. Alternatively, you can use ice cubes. Regular iodine is suitable for disinfection. This first aid is suitable for all hematomas under the nails. Further therapy is selected depending on the characteristics of the injury.


  • Treatment with traditional methods

Drug therapy will help remove the bruise that has formed under the nails. There are several options:

  1. Drainage - the site of the bruise is punctured so that the blood comes out. Then apply a bandage - it will prevent the spread of infection. Thanks to the elimination of blood, a bruise does not appear.
  2. Surgical intervention - the nail is completely removed, as a result of which the plate begins to grow again and takes on the correct shape.

Blood can only be removed if little time has passed since it was released. Later, you can get rid of the clot only by removing the nail plate. In some cases, you can do without a doctor and complex treatment. The nail will begin to grow and it will be enough to cut it off. But this is a long process that can take a long time - from three to six months.

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  • Unconventional methods of treatment

The following methods are suitable for self-treatment of hematomas:

  • compress - after a blow, you need to apply ice to the injury site or immerse your finger in cold water;
  • means for active nail growth - all kinds of baths with essential oils, sea salt and other useful elements.
  • potassium permanganate solution - lower your finger and steam it for twenty minutes;
  • compresses from wormwood - grind the herb to a paste and apply to the injured area;
  • plantain leaves – relieve inflammation;
  • onion – chop and apply to the problem area, wear for several hours.

It is impossible to completely remove a bruise using these methods, but folk recipes will help reduce inflammation and accelerate the growth of the nail plate. Hematoma is a serious problem, so it is better to see a doctor so that your nails do not remain deformed. It is recommended to use any medications and folk remedies only after a visit to the doctor.

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4 Prevention

Basic preventive measures are aimed at preventing possible injuries. To do this, you need to follow safety rules at work.

At home, you should be careful when performing any activities.

Injury to the nails due to tight shoes can be avoided if you choose such products wisely. It is better to buy comfortable shoes or boots than to chase fashion.

It is very important to maintain good hygiene and ensure you have a balanced diet.

A bruise under the big toe nail is a consequence of internal hemorrhage with blood soaking into nearby tissue structures. Subungual hematoma occurs due to impact, which ruptures small subcutaneous vessels. In the area of ​​​​damaged vessels on the nail of the big toe, a hematoma formation causes pain to a person, bruises under the nails can reach large volumes.

Why do they arise?

A hematoma under the nail plate can form due to numerous reasons.

Some of the few causes of bruising on the nails are:

  • On the human body, subcutaneous hemorrhage can occur in any area that has been subjected to external shock. It is impossible to insure against a bruise under a fingernail or toenail. You can get injured in any way: when closing doors, hammering nails, falling tools, dragging heavy objects. A bruise under a toenail due to an injury is very painful, and such a nail is unpleasant to look at. Due to injury and the resulting hematoma under the nail of the big toe, the nail may become deformed.
  • A bruise on the nail appears when a person is seriously hurt or has a dislocated limb. With this option, hematomas spread to large areas of the body and can even form under the toenails.
  • Hemorrhage on the big toe can occur due to wearing shoes that are not the right size.
  • Hemorrhages of the big toes appear due to weakened vascular walls. Such hemorrhages also occur in any area of ​​the body and cause pain.
  • Angiopathy due to diabetes mellitus causes bruising of the subungual area.
  • If a person practices ballet or dancing for a long time, this will also cause hematomas of the subungual area.
  • Sometimes bruises under the nail area are formed due to taking medications that increase blood clotting.
  • Heart and vascular failure, oncological processes, mycoses and other pathologies also provoke the appearance of bruises in the subungual area.

How does a hematoma appear under the nail?

Why did the bruise appear under the nail plate? When an impact occurs, blood accumulates under the nail plate from damaged vascular tissues. This blood does not flow beyond the nail area because it is too dense, so the blood is trapped under the nail. Blood clotting occurs, after a certain period its color changes until it is completely absorbed.

A few minutes after a person is injured, the nail area becomes red, after a certain period it turns blue. When the blood has clotted, the nail plate will turn black.

The process of resorption of the blood clot is long, the nail slips and is replaced by a new nail plate. Accumulated hemorrhage under a burst nail, if the injury is not treated, is the cause of the addition of an infectious process, which will lead to the destruction of tissue structures.

The soles of the feet and hands with nail plates become covered with black spotted formations due to mycoses and skin melanoma. They are similar to hemorrhages, but as the nails grow, they do not disappear, but destroy the nail plate.

About treatment

How to treat hemorrhages on the nail plate of the thumb? If the leg is damaged and the hematoma covers the entire nail area, the entire hematoma is treated, and not just the damaged nail. At the moment when the finger was injured, cold is applied to it through the tissue surface.

The duration of such exposure should not exceed 20 minutes, then a pause is necessary. This manipulation will reduce pain and the area of ​​the hematoma.

The doctor prescribes medications to relieve pain.

You can apply gels locally to relieve pain. After a few days, an ointment containing a heparin component is used. Non-traditional methods of treatment can also complement basic treatment measures, which should be used after consulting with a doctor.

About traditional methods of treating bruises

How to remove a bruise? The following methods will help you do this:

  • Using a compress with finely grated onion in the form of a paste will help cure a bruise.
  • A plantain compress will cool the injured area. Finely chopped leaves will relieve swelling and inflammatory processes.
  • St. John's wort tincture is used. The proportion of its preparation is as follows: one tablespoon of flowers to the same volume of boiled water. Take 3 times a day until pain disappears.
  • If you use baths that contain essential oils and sea salt, the blood clots under the nail will resolve faster.

When the nail is opened

If an extensive bruise in the subungual area has formed, you can get help at a medical facility. Such help is appropriate only until blood clotting occurs under the nail. The nail plate is perforated with a special drill or surgically removed.

For this purpose, a medical needle or wire heated by a burner is also used. A hot needle melts tissue structures without pain or blood loss from under the nail. The operated finger is bandaged with a sterile bandage; after a certain period, the nail plate will slide off.

Thanks to this manipulation, a healthy nail will grow faster. If necessary, use agents that destroy bacteria and relieve inflammation.

About prevention

It is better to prevent hemorrhages from appearing under the nail plates, and the following measures can help prevent these hemorrhages:

  • You need to eat a balanced diet rich in ascorbic acid. Vitamin C will strengthen vascular tissues.
  • Shoes should be worn in the correct size so that your toes are not pinched.
  • Strong overloads on the legs are unacceptable.
  • Be sure to follow safety precautions at work.
  • Be careful when lifting heavy objects.
  • High heels are not allowed.
  • If hemorrhages appear in any area of ​​the body, you should consult a doctor.

Preventive measures will always help prevent bruises. But if an injury occurs and a bruise forms on the nail area of ​​the thumb, or simply a person’s body is covered with bruises for no apparent reason, then it is better to consult a specialist and receive appropriate treatment.

A hematoma under the nail is a hemorrhage under the nail plate that occurs due to one or another mechanical impact (minor household trauma, etc.). Bruises on the fingers and toes are quite common, since no one is immune from bruises of the extremities. After an injury, a hematoma may form under the nail; the appearance of a bruise is accompanied by pain and swelling, sometimes peeling of the nail plate.

Shulepin Ivan Vladimirovich, traumatologist-orthopedist, highest qualification category

Total work experience over 25 years. In 1994 he graduated from the Moscow Institute of Medical and Social Rehabilitation, in 1997 he completed a residency in the specialty “Traumatology and Orthopedics” at the Central Research Institute of Traumatology and Orthopedics named after. N.N. Prifova.


To get a subungual hematoma, it is enough:

  • hit the finger with a hammer;
  • hit your finger on the leg of a table or cabinet;
  • pinch or squeeze a finger;
  • drop something heavy on your arm or leg, etc.

Also, the reasons for the appearance of a bruise under the nail can be prolonged wearing of uncomfortable and tight shoes, playing football without special boots, the development of certain diseases (melanoma, heart disease, diabetes, increased fragility of blood vessels), etc.

It is very rare, but it is possible for a hematoma to appear under the nails after taking medications that affect blood clotting.

In some people, hematomas under the nail appear quite often due to the anatomical structure of the limbs, when the second toe is longer than the first. Constant injury to the toe when wearing tight shoes leads to the formation of bruises.

Symptoms

Subungual hematoma is accompanied by the following symptoms:

  • severe throbbing pain in the area of ​​the bruise;
  • blue discoloration of the subungual space;
  • formation of edema and swelling of the finger;
  • limitation of finger motor function;
  • numbness of the limb.

The bruise under the nail gradually changes its color from red to dark blue and purple.

If the hematoma under the nail is caused by prolonged wearing of uncomfortable shoes, then there is no pronounced acute pain. Unpleasant sensations intensify with increasing load on the fingers.

First aid


A small bruise under the nail will disappear over time without external help, but the lack of treatment for the hematoma can lead to unpleasant consequences in the form of deformation of the nail plate, nail detachment, the development of fungus, etc.

To avoid serious damage to the nail and alleviate the condition, it is important to be able to provide first aid, both to yourself and to another person:

  1. The first thing to do is make sure the injured finger is not broken. It is enough to try to bend and straighten your fingers several times. If unbearable pain occurs, you should immediately go to the emergency room.
  2. After injury, the injured finger is placed under cold water or put ice on it, food from the freezer, etc. The finger is “cooled” for 20-25 minutes. This action will help narrow the blood vessels and relieve pain.
  3. To prevent infection of the damaged area, the wound is washed and treated antiseptic – brilliant green solution, hydrogen peroxide, iodine and etc.
  4. To reduce pain, the victim can take painkillers ( Analgin, Ibuprofen and etc.).
  5. Apply to the injured finger sterile tight adhesive bandage, bandage or cloth. A pressure bandage will reduce the likelihood of nail rejection and peeling of the nail plate.

Treatment methods

Doctors recommend seeking medical help not only if you suspect a fracture. If the hematoma under the nail is large, painful, or bruises form without injuring the extremities, you must consult a doctor.

Traditional medicine


After examining the hematoma, the doctor prescribes treatment. If the bruise is small, the doctor treats the damaged area with an antiseptic and applies a bandage. If the nail plate comes off, the injured area is additionally treated with syntomycin or tetracycline ointment. For speedy healing, wound healing gels and ointments are used, for example, Venoruton, Troxevasin and etc.

If a subungual hematoma occupies a large part of the nail, drainage is performed to remove the blood clot - a puncture in the nail plate. After the procedure, a damp sterile bandage is applied to the finger. For serious injuries, surgical intervention is indicated - removal of the nail.

For mild injuries, subungual hematoma can be treated at home. Complete renewal of an injured nail plate is a long process and may take several months.

Treatment at home


It is possible to treat a subungual bruise at home only in cases where the nail does not peel off and there is no suppuration under it.

Effective methods of traditional medicine:

  1. You can relieve throbbing pain by tying a leaf of white cabbage to your finger.
  2. Applying potassium permanganate lotions and treating the damaged nail with wormwood juice quickly relieves swelling and pain.
  3. Treating the nail with castor oil emulsion promotes faster healing.
  4. You can relieve inflammation and accelerate nail growth using baths of essential oils. Sea salt baths strengthen the nail plate.
  5. In order for the blood clot under the nail to resolve faster, compresses of chopped onion are applied to the injured area.

Precautionary measures

After receiving an injury, you should never trim the detached nail plate yourself; this can cause bleeding and blood poisoning (sepsis).

To prevent the appearance of hematomas under the nail, you need to adhere to some recommendations:

  • wear comfortable loose shoes;
  • regularly trim your nails short;
  • follow safety rules when lifting weights, performing physical exercises, etc.;
  • strengthen the walls of blood vessels by taking vitamin C;
  • prevent household injuries.

Such an injury, which is not serious at first glance, like a bruise under a nail, can lead to a number of unpleasant consequences - the development of a fungal infection, panaritium, and even sepsis. Therefore, you should treat a subungual hematoma yourself very carefully in compliance with all sanitary standards. If the bruise does not go away for a long time, you need to consult a doctor.

How to get rid of a hematoma under the nail at home if for some reason you did not see a doctor

A subungual hematoma is a blood clot and can appear as a result of various injuries or exposure to other similar factors. As a result, the nail will have an unsightly appearance and will also be very painful. Therefore, it is important to know about all the features of the symptoms, the causes of the disease, its treatment and, of course, preventive measures.

How does a subungual hematoma appear?

Bruises (hematomas) under the nails are formed due to the accumulation of blood under the nail plate. The main risk factors leading to the formation of subungual hematomas are:

  • wearing uncomfortable, tight shoes;
  • taking certain medications that affect blood clotting (rare);
  • various injuries, blows to the finger;
  • skin cancer;
  • strong squeezing of a finger (for example, it can occur when pinched by a door or many other objects);
  • increased fragility of blood vessels.

Symptoms of the disease

Hematoma under the nail

If a person suffers a nail injury, he will undoubtedly feel pain. The degree of pain depends on the force of the blow, pinching, etc. During an injury, a gradual accumulation of blood begins to occur in the subungual area. The patient will complain of throbbing pain and swelling. The most important sign of the development of the disease is a change in the color of the nail plate.

It may become reddish with a hint of blue. Typically, after some time of blackening, the damaged area darkens to a purple color with shades of dark blue. The edges of the subungual hematoma become clearly visible, the darkened lesion decreases in size. By this period, the pain disappears completely or can only be felt if you press on the bruise.

When about 7 days have passed since the injury occurred, the bruise under the nail becomes black and its diameter is 3-5 mm. Then the pain disappears, the edges of the affected area are still clearly visible. After about another seven days, the subungual hematoma should resolve and disappear completely.

In most cases, it still does not disappear, so it can be found on the nail plate. At the beginning of the disease, a hematoma was an accumulation of blood formed under a person’s nail. Over the entire period of development, this blood is well absorbed into the nail plate, as a result of which it changes its color.

Therefore, the subungual formation often remains on the plate. It can be recognized by a spot or dot painted black. The hematoma can be coated with dark-colored varnish or masked using other similar methods, because this is completely safe. The plate will grow, and the hematoma will begin to move towards the free edge, which will soon allow it to be cut down using a file from a manicure set.

In general, such a subungual formation formed on the big toe or hand does not pose a danger to human life. Of course, for several days after the injury, the affected area hurts, like all bruises, but it does not cause any harm to health.

It is very unpleasant that the signs of a hematoma may be similar to the symptoms of some other serious diseases. Therefore, if you notice a suspicious dark spot on your nails, consult a doctor to get examined, and it is also recommended to remember the last few days and make sure that you have not been injured anywhere.

It is worth noting that sometimes local darkening of the nails can cause a fungal infection in its final stages. The variety of spots is quite rich, but each of them is very similar to a hematoma, which can be at both the initial and complicated stages of development.

Since they do not form at the very beginning of the disease, a person has the opportunity to undergo all kinds of necessary examinations prescribed by the doctor. If you haven't been injured anywhere in the last few days, you may have nail fungus.

With a subungual hematoma obtained on the legs, for about seven days after the injury, the person is very worried about the severe pain of the bruises. This can be observed even though the finger itself was not touched. Usually the nail hurts if you put pressure on it.

In addition, the pain causes discomfort even without pressure. It manifests itself as throbbing pain. With a fungus, unlike a subungual hematoma, the pain can be expressed to the smallest extent. The main sign of a fungal infection is itching.

Symptoms of nail fungus

When you notice the presence of at least one of the symptoms listed below, immediately go to see a doctor so that he can prescribe an examination and proper treatment for the disease. So, signs of fungus:

  • itching of the skin around sore fingers, peeling;
  • presence of bad odor;
  • the formation of cracks between the fingers, which are very
  • painful;
  • bluish or yellowish color of the nail plate;
  • fragility of the nail, brittleness.

Signs of a subungual hematoma may indicate that a person has diseases of the cardiovascular system. In most cases, all nails instantly take on a bluish color. What is the reason for this phenomenon? This indicates incomplete saturation of the fingertips with oxygen, so they become a little bluish, and the nails, accordingly, blue.

Often, bluing may indicate recent use of dark-colored varnish without applying a special protective coating. The nail may not have been fully painted if you applied the varnish after polishing. Dark color will appear in areas where the most intensive cutting took place.

Treatment

It is necessary that the treatment of subungual hematoma be carried out by doctors. Let's consider the features of the treatment process. First, iodine is taken and the nail is treated. (Other disinfectants may also be used.) Then the nail is punctured using a hot needle in the area where the greatest amount of blood accumulation is observed. (This place is usually the most convex).

As a result, blood begins to be released. If not, you should gently press down on the edge of the nail. After removal of the subungual formation is completed, the patient is given a cool bandage. Instead of a bandage, you can also take, for example, ice and place it on a clean, dry napkin. Then the nail plate is treated with a disinfectant again, and the bandage is placed on the finger.

This method of therapy for subungual hematoma promotes the release of blood, which promotes rapid healing and makes the affected area less painful. Using this method, treatment does not cause pain, because there are very few nerve endings in the nail. It is worth noting that it can cause the development of inflammation and the addition of some infections. But if the specialists do everything correctly, you won’t have to worry about anything.

Remember, if the subungual hematoma was under the toenail, you need to do this procedure without wearing shoes or find a fairly loose and comfortable model.

Traditional methods of treatment

A bruise under the nail (that is, hematoma) can be cured using many effective folk remedies. Let's consider several treatment options.

  • You can use plantain, because it eliminates pain and relieves inflammation. A thin plantain leaf is applied to the affected area.
  • It is very easy to prepare a tincture of lemon balm for compresses. You need to take 4 tbsp. l. lemon balm herbs, pour 400 ml of boiling water. Leave for half an hour, then start applying compresses.
  • Subungual hematoma is treated with ordinary onions. Onion juice is combined with the resulting mushy mass and applied to the diseased nail.
  • St. John's wort can be used. A decoction is prepared from it and used internally. Recommended dose – 1 tbsp. l. three to four times a day. In addition, the decoction is often used as a means of applying compresses.

Take care of the condition of your nails! Try to avoid injuries, give preference to loose shoes, and eat foods enriched with vitamins and microelements. If you suspect you have a subungual hematoma, consult a doctor, let him examine you, advise the correct diagnosis and treatment!

Methods for eliminating hematoma under fingernails

Bruises are the result of internal hemorrhage and penetration of surrounding tissue. When struck, small subcutaneous vessels rupture, which leads to local bleeding. Damage to blood vessels deep in the tissue is called a hematoma; it is accompanied by greater aching pain compared to a mild bruise and has a larger volume.

Causes of bruises under the nail plates

There are many known reasons why bruises appear under the nails. The main ones are listed below.

  1. A hematoma can form on any part of the body that is exposed to an external blow. No one is immune from such a phenomenon as a bruise on the nail. It is possible to injure your nails by closing a door, hammering nails, dropping a tool on the floor, or moving furniture. You can get injured both at home and at the workplace when dealing with heavy objects, tools, and machines. A subungual hematoma causes severe physical pain, but at the same time spoils the appearance of the nails. When struck, not only can a hematoma form under the nail, but the nail plate itself can burst, causing the nail to become deformed.
  2. Bruises under the nails sometimes also appear with a severe bruise, dislocation, fracture of the hand, or injury to the foot. In these cases, bruising may extend over a large radius, including the nails of the extremities.
  3. The appearance of subungual hematomas is sometimes provoked by wearing tight and uncomfortable shoes.
  4. The appearance of a bruise sometimes also indicates weak walls of blood vessels, which can rupture in any part of the body, forming painful hematomas, including under the nail.
  5. The cause of hematomas under the nails is angiopathy, which appears in diabetes mellitus and leads to weakness of the vessel wall.
  6. Bruises under the fingernails or toenails may also appear after taking medications that directly affect blood clotting.
  7. Bruising under the nails is the result of professional artistic activity; ballerinas and dancers often encounter this phenomenon.

Most often the bruise occurs on the big toe. It also suffers when wearing tight shoes. A hematoma on the nail of the big toe causes discomfort when moving and does not allow you to put on shoes without pain.

What does a bruise under a nail look like?

At the moment of impact, blood leaking from damaged vessels collects under the nail. Since it cannot flow out due to the high density of the nail plate, it remains under it. The blood coagulates, changing its color over time until it completely resolves.

In the first minutes after a nail injury, it turns red, after a few hours it turns blue, and after the blood clots, it turns completely black.

The returning blood clot takes a very long time to dissolve, the old nail plate slides off and is replaced by a new one. Often, in order to remove it from under the nail plate, you need to wait until the damaged nail has grown completely, gradually trimming and cleaning it.

An accumulated blood clot under the nail plate is not a favorable environment, especially if the nail burst during the bruise. If no measures are taken, infections may develop under the plate, leading to tissue destruction and rotting.

The hands and feet, as well as nails, may become covered with black spots due to fungus or cutaneous melanoma. They are very similar to nail hematomas, but in comparison with them they do not disappear as the nails grow, but continue to destroy and deform it.

Methods for treating bruises under the nails

How to treat a hematoma on the big toe? If a limb is damaged and the radius of the bruise includes the nail plate, then the entire hematoma should be treated, not the nail individually.

Immediately after injury, cold is applied to the injury site through a towel or cloth. The duration of the procedure is about twenty minutes, after which a break is required. This procedure will reduce pain and the size of the hemorrhage. The doctor prescribes painkillers. Pain-relieving gels can be used locally; during the resorption stage, after a few days, heparin ointment can be used. In some cases, traditional methods can be used as a supplement to the main treatment after consulting a doctor.

Traditional methods of treatment

Treatment with traditional recipes allows you to speed up the process of bruise resorption at home. You can use the following methods:

  • the greatest effect in the treatment of subungual hematomas on the legs was noticed by traditional healers when using compresses with onion pulp;
  • plantain has a cooling effect; compresses with cut leaves of this plant can relieve swelling around the nail and reduce inflammation;
  • Fresh wormwood has an analgesic effect on subungual bruises; its juice, absorbed into the nail, penetrates deep into the tissue and inhibits the inflammatory process;
  • St. John's wort tincture (1 tbsp flowers + 1 tbsp boiled water) helps fight subungual bruises from the inside. It is taken three times a day until the pain subsides;
  • baths with sea salt and essential oils help relieve inflammation and growth of the nail plate, which allows you to speed up the process of cutting off a deformed nail with blood clotted underneath it;
  • lotions with a strong solution of potassium permanganate make it possible to relieve pain.

Drug therapy

If bruises form under your toenails, you can seek help from a medical facility. Doctor's help will be appropriate only until the blood under the nail has clotted.

A bruise that forms under the big toe nail is removed by opening the nail plate to extract uncongealed blood. To do this, perforate the nail using a medical drill or surgically remove the entire nail plate. A medical needle or wire heated over a burner flame is also suitable. The hot metal easily melts the tissue without causing pain, and the blood comes out from under the plate. A sterile bandage is applied to the site of the perforation; over time, the nail slips off. These procedures allow you to accelerate the growth of healthy, smooth nails. Additionally, antibacterial and anti-inflammatory drugs are prescribed as long as there is a need.

Preventing bruises under the nails

Preventive measures will help prevent the appearance of bruises on the nails, in particular the big toes. These include:

  • a balanced diet containing foods rich in vitamin C (it helps strengthen the walls of blood vessels);
  • wearing comfortable shoes of your size;
  • extreme caution when lifting heavy objects;
  • compliance with safety regulations in the workplace;
  • refusal to wear high-heeled shoes;
  • It is mandatory to visit a doctor if bruises appear in any part of the body, because this may be a symptom of a disease of the circulatory system.

Attentiveness in everyday life and a responsible attitude towards your well-being will protect you from such troubles as bruises under your nails.

Bruise under the nail or subungual hematoma

A subungual hematoma is a blood clot that has formed under the nail. Such damage can occur on both the fingers and toes. The formation of a hematoma is caused by mechanical trauma - impact, compression, etc.

Reasons for education

Subungual hematomas or bruises located under the nails are formed as a result of the accumulation of some amount of blood in the space under the nail plate.

Reasons for the formation of hematomas under the nails:

  • hit on the finger;
  • pinching a finger in a door and other squeezing effects;
  • subungual hematomas on the toes can be formed due to wearing tight shoes;
  • The formation of a bruise under the nails on the toe can be caused by playing football in unsuitable shoes or other injuries;
  • much less often, subungual hematomas are formed as a result of taking medications that affect blood clotting.

Clinical picture

When a finger is injured in the nail area, the patient feels pain and blood begins to accumulate in the subungual space. The pain is pulsating, “tugging”, and sometimes there is a feeling of fullness. Swelling may form on the injured finger.

The main symptoms of a subungual hematoma are a change in the color of the nail; it becomes red with a bluish tint, then gradually darkens, becoming purple-black.

If the formation of a subungual hematoma is associated with wearing tight shoes, then the pain is not so acute, but does not go away for a long time even after the shoes or shoes are removed. In this case, the nail has a bluish tint, which subsequently acquires a black tint.

First aid for a nail injury

If a finger is injured with damage to the nail, it is necessary to apply ice to the area of ​​the bruise or pinching as quickly as possible. If ice is not available, any available cooling methods can be used. For example, use frozen food packages.

To reduce the likelihood of the inflammatory process spreading, you should take some kind of anti-inflammatory drug. For example, Ibuprofen.

If the nail plate is removed as a result of an injury, it is necessary to wash the affected area with antibacterial soap, apply an ointment that contains an antibiotic (Tetracycline, Erythromycin, Syntomycin, etc.) and apply a sterile bandage. With such an injury, the patient must consult a doctor.

To quickly resolve the hematoma, you can use ointments and gels - Troxevasin, Venitan, Venoruton, etc.

In what cases is medical help needed?

If the hematoma is small (no more than a quarter of the area of ​​the nail plate) and there is no severe pain, you can get by with home treatment.

However, there are cases when you cannot do without medical help. You need to contact a medical facility if:

  1. The hematoma is widespread and occupies more than a quarter of the area of ​​the nail plate.
  2. If the patient feels acute pain. Intense pain may be a sign of a finger fracture.
  3. If the change in nail color occurred without injury.

Diagnosis methods

Diagnosis of a subungual hematoma is made on the basis of an external examination and anamnesis (presence of injury in the recent past).

An x-ray may be ordered to ensure there is no bone damage.

Treatment

To remove blood from the subungual space, drainage is performed. To do this, using a special sterile instrument, a puncture is made in the nail plate in the center of the blood clot.

A sterile bandage must be applied to the finger after removing the blood.

After removing the blood, a damp, sterile bandage is applied to the injured finger. This is necessary to cool the injured area and prevent the nail from healing too quickly. Typically, no other treatment is required after this procedure.

For severe injuries, complete removal of the nail and suturing may be indicated. In this case, you will need to consult a doctor. Suture material, as a rule, is self-disintegrating, which means no suture removal is required.

If nylon was used for suturing, then removal of the suture material is done superiorly.

Treatment with traditional methods

Treatment with traditional methods can be used only for small subungual hematomas and full confidence that there is no bone damage.

The best remedy for hematoma, including subungual hematoma, is cold. The sooner a cold object (ice) is applied to the site of the injury, the smaller the bruise will be.

To treat subungual hematoma, use a solution of potassium permanganate.

If the hematoma has already turned black and the pain has subsided, you can use a solution of potassium permanganate. To do this, prepare a strong (dark cherry-colored) solution of potassium permanganate and heat it. The solution should be hot, but not scalding. Dip your finger into the solution and leave for a minute. This bath helps soften the nail plate and remove dried blood.

To relieve the “tugging” pain, you can tie a leaf of white cabbage to the injured finger.

Prevention and prognosis

After draining the subungual hematoma, the pressure decreases and the pain subsides. Recovery occurs quite quickly. If the nail injury was serious, a complication may arise in the form of nail deformation and abnormal growth.

Prevention of the formation of subungual hematoma consists of following safety rules when performing various works. In addition, you need to be careful to avoid injuries at home.

When choosing shoes, you should give preference to comfortable models that will not put pressure on your fingers and nails.

How should a hematoma under a fingernail or toenail be treated?

Every person has injured their fingers or toes at least once in their life. Often with such an injury a bruise forms, causing a lot of suffering and inconvenience. Most often, such injuries appear on the lower extremities.

How is a hematoma under the nail treated? We will talk about this in detail in this article.

Causes

There are many reasons why hematomas occur directly under the nails. Most often this happens due to:

  • a strong blow (a person hits a piece of furniture or a doorway with his foot);
  • falling of a heavy object;
  • pinching;
  • wearing tight or simply uncomfortable shoes (the big toenail usually suffers).

The mechanism of hematoma formation here is the same as in all other cases - as a result of physical impact, damage to blood vessels occurs. They leak blood and bruise because the fluid has nowhere to go.

Symptoms

It is worth pointing out that the hematoma itself under no circumstances is the only consequence of tissue damage. As a rule, it is accompanied by swelling and redness of the injured finger.

The collected blood, having no outflow, coagulates and a hematoma is formed. Fresh is red. Then it acquires a crimson hue and gradually turns blue. During this period, the finger often goes numb. If the blow was very strong, then often the entire foot or hand loses sensitivity.

The injury - both in a child and an adult - is accompanied by severe pain of a pulsating nature. A bruised finger loses normal mobility. After a few days, the hematoma becomes black. The color change is associated with the process of blood clotting and the oxidation of the iron contained in it.

How to help

In any serious case, the injured finger should be seen by a doctor. But first, it is worth providing first aid to the patient at home. Hematomas in children require the most attention, since their bones are not yet fully formed and they are more likely to fracture.

First of all, you need to apply a cold compress to your finger - the best solution is:

  • ice pack;
  • packaging of frozen vegetables or other products;

At worst, a cool compress will do.

You will also need to relieve pain. To do this, use any anti-inflammatory drugs available at home:

If we are talking about a child, make sure that the medicine can be given to him. Such information is provided in the instructions.

Nail peeling

The fact that the nail has separated indicates a violation of the blood supply. Here you should act promptly, since a focus of inflammation very quickly forms on the injured finger and suppuration often appears. It is advisable, as first aid, to treat the injury with an antiseptic drug, apply antibiotic ointment and bandage the finger.

A partially detached nail should not be cut or torn off - this often results in severe bleeding. In addition, the procedure itself is very painful. Place a cotton swab on it and cover it with an adhesive plaster, and then go to the emergency room - the doctors there will carry out all the manipulations if necessary.

Treatment

To remove blood, you need to pierce the nail. This procedure must be performed by a doctor. You can’t do this at home - you can get an infection. In addition, unprofessional actions can only make the patient’s condition worse.

If drainage is not done, a deformed nail will grow. This happens because the accumulated liquid lifts the damaged plate upward, and this prevents the normal growth of a new one.

After completing the procedure, apply a bandage using antiseptic solutions. This will protect the injured area from infection.

As practice shows, timely removal of accumulated blood significantly speeds up the treatment process. In addition, this method often prevents bruising.

In some cases, when the damage is quite extensive, the specialist decides to remove the nail completely.

It is advisable to do drainage only immediately after injury, that is, until the blood clots. Later it can only be removed along with the nail plate.

If the bruise is small, then it is not necessary to contact a specialist. You just need to make sure that the damaged tissues do not become infected. Nail restoration usually takes from 3 months to six months.

Among the folk remedies, onions ground into a paste, placed on gauze and attached to a finger, will help relieve swelling. Baths with the addition of sea salt and essential oils will also be useful.

Formation of hematomas as an alarming symptom

The biggest concern should be the appearance of a bruise without a clear reason, that is, not as a result of a bruise. In this situation, you must definitely visit a doctor and consult with him.

Often, bruises under the nails appear while taking prescribed anticoagulants (drugs that prevent blood from clotting). Bruises under the nails also indicate the presence of heart failure. This happens because the body experiences a lack of oxygen.

In addition, this symptom may indicate the appearance of:

In the latter case, the fingers usually begin to itch and become inflamed.

Prevention

  • increase the proportion of foods containing vitamin C in your diet - it strengthens blood vessels;
  • wear comfortable shoes of your size and without high heels;
  • do not overload your legs;
  • When doing physical labor, do not forget about safety precautions;
  • Make sure that children do not run around the apartment and walk carefully.

How to get rid of a hematoma under the nail

Every person has experienced trauma at least once in their life. But when an injury occurs, a person does not always go to the doctor, since some injuries are not so dangerous. For example, if a hematoma appears under the nail, many people believe that it can go away on its own and do not pay much attention to it. But is such an injury really safe? And how to relieve pain?

A hematoma under the nail is the formation of a blood clot that appears as a result of severe bruising of the nail plate.

The force of the blow will determine whether there is a possibility of rupture of the blood vessels under the nail. A hematoma is manifested by acute pain and blue discoloration of the damaged area. Sometimes the finger under the nail may turn black and become slightly swollen.

A hematoma under the toenail can most often form for the following reasons:

  • kicking while walking;
  • falling of various heavy objects onto the toes;
  • walking in tight, uncomfortable shoes.

Hematoma on the toenail

Most often, hematomas can appear when a person wears tight, uncomfortable shoes. It puts pressure on the foot and the pressure causes small hematomas to form, which cause discomfort and pain. Hematomas appear much more often on the hands. They usually form when a hand is bruised or a finger gets caught in a door. How quickly a bruise goes away depends on its size and the force of the blow. If the impact force was small, the bruise may disappear within 2-3 days.

If the bruise appears on its own and does not go away for a long time, then you should go to a specialist to identify the causes of the disease.

Why do bruises appear?

Before starting treatment for an injury, you need to make sure that the patient has a hematoma. After all, darkening under the nail can also form for other reasons:

  • Physiological effects. Typically, blue marks appear after a finger gets caught in a door or when it hits a heavy object. With a strong impact, blood vessels can burst, which leads to hemorrhage under the skin. As a result, a hematoma appears. If the blueness is very large, then you need to urgently go to the doctor.
  • Wearing uncomfortable shoes. If you wear uncomfortable shoes. It turns out that there is a lot of pressure on the foot and toes, which leads to severe blueness of the feet. Before purchasing new shoes, you need to make sure that they really suit you.
  • Medicines. Some drugs affect blood clotting. Therefore, minor bruises may appear.
  • Heart failure. Due to a lack of oxygen in the blood, the shade of the nail plate may change.
  • Onychomycosis. A fungal infection that causes peeling of the nail, severe pain, itching, and hardening.

If a severe hematoma appears, the doctor will prescribe a specific treatment. But you can identify the causes of injury and determine treatment yourself at home. A hematoma is a stoppage of blood in the vessels. It stagnates and clots form at the site of the injury. Since the nail plate is very strong, hemorrhage occurs under it. The blood does not flow out, but accumulates under the skin. Therefore, the hematoma may turn dark blue or black. The injury site may swell slightly. Most often, a hematoma under the thumbnail appears within a couple of hours. If the bruise appears due to a bruise or uncomfortable shoes, and it is not the cause of any illness. The hematoma will disappear within a week.

The speed of disappearance depends on how quickly the blueness under the nail goes away. After all, the blue discoloration may disappear on its own, but the blood clot itself may need to be removed from under the nail plate by a specialist.

Hematoma under the nail treatment

If the hematoma under the big toe nail is slightly swollen after the blow, place a cold object on the area where the pain is located. The cold will reduce the pain shock and prevent clots from forming. In addition, if the pain is very severe, then it is best to take a painkiller. It will help relieve discomfort and reduce pain.

If during an impact the nail plate cracks or breaks off, then the wound must be treated with an antiseptic. The wound can also be treated with alcohol or hydrogen peroxide.

After the wound is treated, you need to determine the location of the pain. If it covers most of the nail, then it is best to go to the doctor. Since this may indicate a fracture or crack in the bone. Medical attention may be required.

If ordinary bruises appear, therapy is not needed. The blue marks will disappear after a week. To make the blueness go away faster you need to:

  1. Remove the blood clot under the nail. Usually the localization site is pierced with a small (only disinfected) needle, and the blood comes out through the hole. After all the clot has come out, the wound is bandaged with a damp bandage. This treatment method is not recommended for use at home. It is best if the entire procedure is performed by a doctor. To avoid wound infection. In addition, the fastest way to get rid of a hematoma is surgery. The old plate is removed so that after the bruise disappears, a new one, even and strong, will grow.
  2. After the pain becomes less noticeable and the bruise turns black, you can apply a manganese solution. The injured finger should be immersed in the manganese solution for a minute. This procedure will help soften the nail plate and dissolve thickened blood.
  3. Take Routine. The drug helps strengthen blood vessels. In order for the medicine to be better absorbed, it is recommended to take it in combination with vitamin C. All medicines can be purchased at pharmacies without a prescription. Before taking the drug, you should consult your doctor to avoid deterioration in health.
  4. Ketorolac, Analgin or Ibuprofen to relieve pain. Medicines will help eliminate pain from the first moment of injury. The medicine will help you wear shoes without pain and discomfort.
  5. Hyparin ointment. The ointment has an antithrombotic effect. For the best effect, you need to apply it three times a day to the injured nail plate. The ointment is used until the nail becomes pale pink.
  6. If a slight swelling is visible on the plate and sharp pain is felt on the phalanx of the finger, then a compress of dimexide and novocaine (1:3) can be applied to the lesion. Moisten gauze generously with the solution and apply to the affected area for a minute. In order for the compress to stick, it must be secured with a bandage.

Indovazin gel relieves pain and treats hematoma

What to do if treatment does not work? If there is a large hematoma, it remains under the nail after a week. And after the clots are removed, the bruise remains the same. Then you need to go to the hospital urgently. The doctor will determine the cause of the lesion and prescribe treatment if necessary. Perhaps it is not the hematoma itself that should be treated, but the problems in the body that caused such actions. Sometimes the appearance of blueness is the consequence of serious illnesses.

Conclusion

Thus, a hematoma under the nail can form for various reasons. Most often this is due to a bruise or a strong blow from a heavy object. But sometimes there may be other reasons that can only be identified by a specialist. Regular bruises do not require treatment and disappear on their own within a few days. Large hematomas take a little longer to heal. If the bruise was severe, then you may need certain therapy, which is prescribed only by a doctor.

How to forget about joint pain...

  • Joint pain limits your movements and full life...
  • You are worried about discomfort, crunching and systematic pain...
  • You may have tried a bunch of medications, creams and ointments...
  • But judging by the fact that you are reading these lines, they did not help you much...


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