Subungual Hematoma. A subungual hematoma is a bruised fingernail or toenail that develops after sudden trauma to your nail — like hitting your fingertip with a hammer or dropping a brick on your toe. A simple drainage procedure can ease your pain and support healing.
Get a paper clip, not a needle, and straighten it. Hold one end of the paper clip with a cloth so you don't burn your fingers, and heat the other end in a flame until it's red-hot. Now touch that hot tip to your nail, right where the blood is, to melt a hole. Don't push it, just touch it.
They may look unpleasant but they'll go away within a few days or when your nail grows out.
It can take up to 9-12 months for a subungual haematoma on the toenail to fully grow out. However, if there is severe damage to the nail bed, the nail may grow back disfigured or sometimes there is little to no nail regrowth at all.
You may be able to relieve the pain at home with a cold compress or a warm soak. It may be necessary to apply an antibiotic to prevent infection to your nail. Talk with a doctor if you are in extreme pain or suspect a more serious reason for the symptom.
Subungual hematoma healing stages
The bruise you see on your nail should gradually grow out over the next weeks or months. You'll see more and more space appear between the discolored part of your nail and the base of your nail (at your cuticle).
See your healthcare provider if your blood blister doesn't improve within a week. You should also reach out to your healthcare provider if your blood blister appears infected. If your blood blister is infected, your skin will look red and swollen. The blister will fill with white, yellow or green pus rather than blood.
Use scissors to remove the detached part of the nail if the nail is partly attached. Soak your finger or toe in cold water for 20 minutes after trimming the nail. Apply a thin layer of petroleum jelly, such as Vaseline, and cover the area with a non-stick bandage.
More than 1 to 2 days since injury: By this time, blood within a subungual hematoma will likely have clotted and trephination will not be effective.
Bleeding into the skin is usually minor and heals on its own within about two weeks. Occasionally, certain medications (like blood thinners) or chronic conditions can make you more likely to develop bleeding into the skin. Treating underlying conditions can lower your risk of bruising.
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