Nail trauma occurs when the toenail sustains an injury due to physical impact, such as kicking a hard object, dropping something heavy on the toe, or stubbing the toe. This injury can cause the nail to detach partially or completely from the nail bed, a condition known as onycholysis. Depending on the severity, nail trauma may result in pain, bleeding, discoloration, and changes to the nail's appearance or growth pattern.
Causes of Nail Trauma
Physical Impact:
Kicking or stubbing the toe against a hard surface.
Dropping heavy objects on the toe.
Wearing ill-fitting or tight shoes that press against the toenail.
Repetitive Trauma:
Long-distance running, hiking, or other activities that place repeated pressure on the toes.
Risk factors include participating in high-impact sports, wearing improper footwear, or having pre-existing nail disorders.
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Signs and Symptoms of Nail Trauma
Pain and Tenderness: Discomfort in the affected area, especially when pressure is applied.
Bleeding: Blood may collect under the nail or seep from the injured area.
Discoloration:Bruising under the nail (subungual hematoma) resulting in black, purple, or red discoloration.
Nail Detachment: Partial or complete lifting of the nail from the nail bed.
Swelling and Redness: Inflammation around the injured nail.
Irregular Nail Growth: Thicker, discolored, or distorted nail regrowth following the injury.
Treatment and Management of Nail Trauma
Treatment for nail trauma focuses on relieving symptoms, preventing infection, and promoting proper healing. Depending on the severity, the following measures may be recommended:
Dressing and Monitoring: Applying sterile dressings to protect the nail bed and monitoring the injury for signs of infection or complications.
Pain Management: Over-the-counter pain relievers and cold compresses can help manage discomfort.
Nail Trimming: Carefully trimming the damaged nail to prevent further snagging or tearing.
Nail Bed Cleaning: Cleaning the area beneath the nail to remove debris and reduce the risk of infection.
Total Nail Avulsion (Severe Cases): If the nail is severely damaged or causing significant discomfort, it may be entirely removed to allow proper healing.
If you’ve experienced nail trauma, early intervention can prevent long-term complications like infections or nail deformities. See our podiatrist to receive personalized care and guidance.