Managing Nail Injuries from Basketball: Care Tips and Healing Process - Dermatology

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Nail injury from playing basketball?


Hello doctor, yesterday while playing basketball, my finger got poked by the basketball.
There was some bleeding at the moment, but the nail did not crack.
However, the front part seems slightly lifted internally (the red area in the image).
I only feel pain when I press on it.
Doctor, can I just continue applying iodine and an antibiotic ointment and let it rest for it to heal?

orange, 20~29 year old female. Ask Date: 2016/04/22

Dr. Li Yufen reply Dermatology


Hello: After trauma, bleeding under the nail (hematoma) generally resolves on its own over time or is expelled as the nail grows.
It is advisable to monitor the situation.
If the skin abnormalities persist or worsen, you may want to consult a dermatologist for diagnosis and treatment.
Thank you!

Reply Date: 2016/04/22

More Info


When managing nail injuries from basketball, it is essential to understand the nature of the injury and the appropriate care steps to ensure proper healing. Based on your description, it seems that you have experienced a minor injury to your fingernail, likely resulting from blunt trauma when your finger hit the basketball. The presence of blood and the sensation of pain upon pressing indicate that there may be some underlying damage, even if the nail itself is not visibly cracked.


Immediate Care Tips
1. Clean the Area: Start by gently cleaning the affected finger with mild soap and water to remove any dirt or debris. This is crucial to prevent infection.

2. Disinfect: After cleaning, apply an antiseptic solution, such as iodine or hydrogen peroxide, to the area. This will help to disinfect the wound and reduce the risk of infection.

3. Apply Antibiotic Ointment: After the antiseptic has dried, apply a thin layer of antibiotic ointment (like Neosporin) to the injured area. This will help to prevent infection and promote healing.

4. Cover the Injury: If the area is sensitive or if there is any risk of further injury, consider covering it with a sterile bandage. This will protect the nail and surrounding skin from additional trauma.

5. Rest and Elevation: Keep the injured finger elevated to reduce swelling. Avoid using the finger for heavy tasks until it has healed.


Healing Process
The healing process for a nail injury can vary depending on the severity of the trauma. Since you mentioned that the nail is not cracked but appears slightly lifted at the front, it is likely that the injury is minor. Here are some general timelines and expectations:
- Minor Injuries: If there is no significant damage to the nail bed and the pain is manageable, the nail should heal within a week or two. The discoloration may fade as the blood reabsorbs and the nail grows out.

- Monitor for Infection: Keep an eye on the injury for signs of infection, such as increased redness, swelling, warmth, or pus. If any of these symptoms occur, it is essential to seek medical attention.

- Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and reduce inflammation.


When to Seek Medical Attention
While many nail injuries can be managed at home, certain signs indicate that you should seek medical attention:
- Severe Pain: If the pain worsens or becomes unbearable, it may indicate a more serious injury.


- Nail Separation: If the nail begins to separate from the nail bed or if there is significant lifting, a healthcare professional should evaluate it.

- Signs of Infection: As mentioned earlier, if you notice any signs of infection, it is crucial to consult a doctor.

- Persistent Symptoms: If the injury does not improve within a week or if you have concerns about the healing process, it is advisable to see a healthcare provider.


Conclusion
In summary, for your nail injury sustained while playing basketball, continue with the cleaning, disinfecting, and applying antibiotic ointment as you have been doing. Monitor the injury for any signs of infection and avoid using the finger excessively. Most minor nail injuries heal well with proper care, but do not hesitate to seek medical advice if you have any concerns or if the condition worsens. Remember, taking care of your injuries promptly can help you return to the court sooner and prevent complications down the line.

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