Features of subungual hematomas. Subungual hematoma or bruise under the nail: treatment and causes Bruise under the nail swollen finger

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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 shoes. 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

  1. To quickly improve your condition after limb injury, you need to be able to provide emergency assistance to yourself or another person.
  2. 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 contract and the sharp pain to subside, apply ice to your finger every half hour for five minutes.
  3. 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.
  4. 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.

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 hematoma under the nail (subungual hematoma, subungual hematoma) is an accumulation of blood in the space between the nail bed and the nail plate.

A hematoma under the nail is the result of direct trauma to the nail. The pressure created by this blood under the nail causes severe pain.

Causes
Blood under the nail most often appears after a mechanical injury to the fingers or toes.

  • This type of injury includes numerous scenarios:
  • Hitting the finger with a blunt object (hammer);
  • A heavy object falling on your feet or hands;
  • Finger getting caught in a door and other types of domestic injuries;
  • Wearing inappropriately tight shoes;

Taking medications that affect blood clotting.

Symptoms and signs of subungual hematoma

Blood under the nail is the main sign of a hematoma.

After an injury, the natural color underneath the nail changes to red, maroon or another dark color.

The pressure created between the nail plate and the nail bed, where blood collects, causes quite severe pain.

The pain that accompanies a subungual hematoma can also be caused by other injuries, such as a bruise, sprain, limb fracture, traumatic skin wound, and nail damage.

Do I need to see a doctor?

When to seek medical help for a subungial hematoma:

  • If the pain is mild and the hematoma (collection of blood) occupies less than 25% of the area under the nail, then home care may be considered.
  • If the hematoma under the nail covers 50% or more of the nail area, then medical attention is required.

If the injury that is causing blood under the nail is severe enough to cause severe pain and swelling, you should see a doctor. Mechanical injuries can lead to broken finger bones or damage to the nail bed under the nail, requiring additional medical attention.

Diagnosis of subungial hematoma

X-ray

X-ray radiation is a simple and effective method for detecting finger bone fractures. However, x-rays do not provide any information about bleeding or hematoma formation under the nail.

Physical diagnosis

Depending on the type and extent of the injury and the amount of blood under the nail, your doctor may decide to remove the nail to check for possible damage to the nail bed. But usually, if the nail is not damaged and there are no lacerations, it is not removed.

How to remove a hematoma under a nail at home

Ice, elevation (keeping the arm or leg above the level of the heart), and pain medications are a simple list of recommendations for how to treat small hematomas under the finger at home.

  • Wrap the ice in a towel (do not apply the ice directly to the skin). A bag of frozen vegetables (corn or peas) wrapped in a towel works as an effective ice pack.
  • If the hematoma under the finger is large and occupies more than 50% of the area, the help of a health care professional is needed.

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  • If part of the nail is lost as a result of an injury, home care is recommended until the nail bed becomes less painful and tender, usually within seven to ten days.
  • Twice a day, soak in antibacterial soap and water for 10-15 minutes
  • After the procedure, apply a dry, sterile dressing.

Treatment of hematoma under the finger

Several methods are used to remove blood from under the nail. Options include removing part of the nail or trephination of the nail to drain (drain) accumulated blood. For this purpose, the nail plate is perforated with a hot metal wire, or by screwing in a hollow needle, or the electrocautery method is used (not in the case of acrylic nails due to the risk of fire). All these methods allow the blood under the nail to drain out, which in turn reduces pain. Drainage does not occur immediately and in extreme cases can last up to a day and a half.

Don't be alarmed if a healthcare professional decides to use a simple paper clip to remove blood from under the nail: this technique, although older, is still used by some practitioners. The paperclip is straightened to release the pointed end, which glows under the fire. Then a quick perforation of the nail plate is performed .

After removing the hematoma under the nail, a damp sterile bandage is applied. Usually this is the entire procedure for treating a hematoma under the nail. In rare cases, the doctor decides to completely remove the nail and apply stitches.

Neither technique is preferred.

When exactly the blood drains from under the finger and the hematoma goes away depends on the doctor’s experience and the procedure.

Subsequent treatment

  • Once a subungual hematoma has resolved, follow-up is usually not required.
  • Antibiotics are usually not needed after blood has been removed from under the nail.
  • If a nail has been removed and the cut in your nail bed has been stitched, you should see a doctor within 48 to 72 hours to be re-evaluated.
  • Self-dissolving sutures are typically used, so suture removal is not necessary.
  • If the sutures are insoluble (nylon), they must be removed after about seven days.

How to avoid subungual hematoma?

Use common sense and practice various safety precautions - do not get your fingers caught in doors or have heavy objects fall on your feet.

Professional footwear is an important element of safety precautions. For example, in certain high-risk jobs such as construction. Or playing certain sports - you should not play football in rag sneakers.

Watch your children's hands when you open and close car doors.

Avoid Distractions - Finger injuries often occur when the person using the tool is distracted.

Don't lift anything you can't lift alone. Find people to help you carry heavy objects so you don't drop them on your toes.

Forecast

Once the large hematoma under the nail drains, the pressure under the nail will decrease and the pain will be significantly reduced.

The hole created by the perforation will remain and heal at the rate at which the nail normally grows.

One possible risk and long-term complication of a subungual hematoma is loosening of the nails.

If the injury is severe and involves soft tissue disruption, healing may be difficult. This complication can lead to nail deformation or abnormal nail growth.

The deformity can be temporary and will go away after the nail grows, or, despite all the efforts of doctors and proper home care, it can be permanent, and a clearly deformed nail will remain that way forever.

A bruise is a consequence of internal hemorrhage. It is formed as a result of the rupture of small vessels, which can happen with a blow or bruise. If the vessels of deep tissues are damaged, then such a formation is called a hematoma. The difference from a regular bruise is the intense pain and swelling.

Often people experience bruising under the nail. Many people are sure that this problem is not serious, so they do not consult a doctor. But there are cases when it is impossible to do without medical care and pain relief.

The most common reasons for the formation of bruises under the nails of the big toes include the following:

  1. Impacts - a hematoma causes pain and affects the appearance of the nail. If severe injury occurs, the nail plate may burst, which leads to its deformation.
  2. Severe bruise, dislocation, leg fracture, foot injury.
  3. Wearing tight and uncomfortable shoes.
  4. Weak walls of blood vessels that burst under mechanical stress on any part of the body.
  5. Diabetes mellitus - capillary rupture can occur due to angiopathy.
  6. Taking medications that affect blood clotting.
  7. Professional activity. Bruising under the nail plate can occur in ballerinas and dancers.

How do bruises under the nails form?

Within two hours after a leg or nail injury, hematomas begin to form. Swelling and redness appear in the damaged area. After some time, blood is released from the burst vessels, which accumulates under the nail.

A bruise manifests itself in several stages:

  1. A pink spot is formed, the nail bed is crimson, and the nail is blue. The victim feels pain and numbness in the damaged area.
  2. A large purple spot is growing on the nail.
  3. After 3-4 days, the hematoma becomes blue and its edges are clear. The bruise is reduced and there is no discomfort when pressing on it.
  4. After 7 days, the formation turns black and gradually disappears. With such dynamics, the hematoma resolves on its own.

Sometimes this condition of the nail is discovered not after an injury, but against the background of concomitant diseases. Provoking factors include:

  • heart failure. Due to oxygen deficiency, the color of the skin under the nails may change. In this case it turns blue.
  • onychomycosis. A fungal infection causes discoloration of the nail plate. In addition, it can become denser and painful. The finger itself begins to itch very much.

If no action is taken, the nail deformation may progress. And with a fungal infection, the infection will penetrate deeper and deeper.

What does a bruise under a toenail look like?

Immediately after injuring the thumb, the nail turns red. After a few hours it turns blue and after the blood has clotted, it turns black. In such cases, the nail often cannot be avoided without slipping and the formation of a new plate.

Clotted blood under the nail is a blood clot, which can cause infection, leading to destruction and suppuration of the tissue.

In some cases, the nails become covered with black spots due to the spread of fungus or when cutaneous melanoma is diagnosed. Such formations are similar to hematomas, which do not disappear as the nail plate grows, but continue to deform it.

Medications for hematoma

Immediately after a blow or bruise, apply a cold compress to the damaged area. Due to the effects of cold, pain is reduced and blood clots do not form. If you feel severe pain after an injury, you can take a painkiller.

If the nail plate bursts, the wound should be treated with an antiseptic.

  1. You can get rid of a blood clot by puncturing the affected area with a needle. After the blood comes out, the wound needs to be treated again and bandaged. It is better to entrust this procedure to a doctor.
  2. When the pain subsides and the bruise turns black, you can make a bath of potassium permanganate for your finger. The manganese solution will soften the nail and dissolve the blood clot.
  3. The following medications effectively relieve pain immediately after a bruise: Analgin, Ibuprofen or Ketorolac.
  4. Heparin ointment will help prevent the formation of a blood clot.
  5. If there is severe finger pain and swelling, you can make a compress of dimexide and novocaine in a ratio of 1 to 3.

If the hematoma does not go away after a week, and the bruise has not changed color after removing the clot, then you should consult a doctor. Sometimes this condition indicates the presence of serious health problems.

Traditional medicine

Using traditional medicine recipes, you can cure a bruise and relieve pain at home. It is recommended to pay attention to several methods:

  • A compress made from onion pulp is considered the most effective. The mass must be applied to the damaged area and wrapped with a bandage;
  • Regular plantain has a cooling effect. You can make compresses with this plant to relieve inflammation and swelling;
  • Using fresh wormwood you can relieve pain when you bruise your big toe. The juice of the herb penetrates the nail and prevents the development of the inflammatory process;
  • St. John's wort tincture should be taken orally three times a day. To prepare it, pour one spoonful of flowers into one glass of boiled water.
  • Baths of sea salt and essential oils will help relieve inflammation and speed up the growth of a new nail.
  • a strong solution of potassium permanganate is used to relieve severe pain.

If traditional and folk treatment methods do not have an effect, then it is better to seek qualified medical help.

Toes are most often susceptible to bruises and injuries. This leads to dislocations or broken bones. But most often a bruise forms under the nail. A hematoma appears as a result of injury to the capillaries and hemorrhage under the nail plate.

With timely treatment, it resolves, and the nail remains in place. If help is not provided, the frozen blood pushes the plate out, and a new one grows in its place.

A hematoma under the nail is the result of direct trauma to the nail. The pressure created by this blood under the nail causes severe pain.

Typically, a subungual hematoma forms on the big toe (ICD 10 code: S 60.1).

Most often it is formed under the influence of the following factors:

  • in case of kicks or other mechanical bruises - if a person accidentally caught furniture with his foot, or a hard object fell on the foot, etc.;
  • accidental pinching of the foot;
  • constantly wearing tight and uncomfortable shoes;
  • infection with fungal infections causes subungual hemorrhages;
  • dislocations or fractures;
  • dark spots may also indicate serious heart disease, diabetes mellitus and other disorders of the endocrine gland. In these cases, the help of a doctor is required; he will tell you what the patient should do and how to distinguish an ordinary bruise from a symptom of pathology.

After impacts, the integrity of the capillaries is disrupted, hemorrhage occurs and bruises form under the toenails.

The main symptoms include: swelling of the foot, redness of the skin, sharp pain in the damaged area. The victim also feels a pulsation.

How does a hematoma develop?







Often, after a bruise, people wonder why the nail on their big toe turned blue. After the blow, the foot swells and turns red. After one to two hours, a hematoma forms. This occurs due to damage to the blood vessels under the nail plate. Blood under the nail accumulates and a blue stain appears.

In medicine, there are several stages of this process:

  1. A pink spot forms under the plate. The victim feels first numbness and then severe pain.
  2. In place of the pink spot, a dark purple spot is formed. The painful sensations are a little dull.
  3. After 1–2 days, the bruise under the thumbnail decreases in size and turns blue. Its boundaries become clearly defined. Pain is felt if you press hard on it.
  4. Gradually the spot turns black and decreases. Doesn't cause any pain. After a week it may resolve on its own. Usually a bruise without punctures resolves after 3 to 4 weeks.

The main danger is that the blood has nowhere to go; it pushes out the plate, and a new one grows in its place. Also, the affected skin is vulnerable; fungi, bacteria and other microorganisms can join them.

You can see the stages of bruise formation in the photo above.

How to recover at home

Immediately after a bruise, you need to apply ice or any cold object to the injured area. You can even put your foot under a stream of cold water. This will prevent subungual hemorrhages.

If it was not possible to cool the bruise site, a hematoma will form. It requires a different treatment - the plate is pierced to release the caked blood.

The piercing procedure is simple. It is best done in a hospital, but in exceptional cases it can be done at home.

  1. Disinfect the damaged nail plate and a regular needle with an antiseptic (alcohol solution, potassium permanganate).
  2. Heat the needle over the fire.
  3. Pierce your nail with it. Count on the puncture to hit the central part of the hematoma. The plate melts easily, the procedure is unpleasant, the person feels painful sensations, but they are tolerable.
  4. After the puncture site, dried blood came out under the nail. Treat the affected area with antiseptics and apply a bandage or plaster.
  5. Change bandages daily and disinfect the wound. For three days after the piercing, you can only wear open shoes.

Treatment with medications

For swelling of the feet, it is necessary to use anti-inflammatory ointments that increase blood flow. Among the most used ointments: “Bodyaga”.

In difficult cases, when the hematoma occupies the surface of the entire nail plate, you will need the help of a doctor. Typically, surgeons make punctures and release the blood. But sometimes it may be necessary to remove the entire nail.

Relieving pain helps with treatment if the bruise is caused by injuries or bruises. But if the cause is serious pathologies (the bruise appeared without a contusion), then special complex therapy is necessary. For heart pathologies, the course is prescribed by a cardiologist, and for diabetes, an endocrinologist.

If the bruises are caused by fungi, then treatment is necessary. These are gels and varnishes for external use. You will probably also need oral tablets. All these methods will help to gradually cope with fungi.

Treatment with traditional methods

Advice from healers will help relieve pain. Before using recipes, you should consult your doctor and make sure there are no allergic reactions to the ingredients used.

  1. Crush the plantain leaves and apply the paste to the bruise under the big toe nail as a compress. The herb will relieve increased swelling and inflammation.
  2. Taking baths with added sea salt will help hemorrhages resolve quickly. Prepare 3 liters of hot water (average temperature about 40 degrees). Add a tablespoon of salt and a few drops of any essential oil. The duration of the procedure is 15 minutes.
  3. A bodyagi mask will help cure hemorrhage. To do this, dilute 15–20 grams of dry powder with warm water. Make a homogeneous paste and spread on the sore nail. After 20 minutes, rinse with chamomile decoction. Make the mask for three days.
  4. You can reduce pain with St. John's wort tincture. It is sold in any pharmacy. Take orally three times daily as directed.

Traditional methods are aimed at treatment without puncture; they are effective for small hematomas. If it occupies the entire surface of the bed, then you should consult a doctor to get a puncture.

Conclusion

Preventive measures will minimize the risks of bruised toes and hematomas. You must be careful when carrying heavy objects and wear comfortable shoes of your size.

Severe overloads should also be avoided. If a subungual hematoma does form on the big toe, then the patient needs to be given first aid. If you experience severe pain or a large injury, you should contact the clinic.

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, and 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 your 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 - nail removal.

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

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