Toenail Injuries: Do You Really Need to Remove It?

The nail is split halfway through the middle section?

Hello Doctor, I accidentally injured my toe while setting up a column, causing my toenail to split in half from the middle.
When I first saw a doctor, he said there was no need to remove the toenail, as it would grow back.
However, today when I visited another doctor, he told me that I need to have the toenail removed.
I would like to ask if it is normal for the remaining part of the toenail to feel a bit loose after this doctor used a cotton swab to clean it.
Also, does the front part of the toenail need to be removed? Will it become loose as my toenail gradually grows back? After I got home, I researched toenail removal, but it seems that most cases involve fungal infections or other symptoms, and I haven't found any information about needing to remove a toenail for symptoms like mine.
Thank you, Doctor.

Yu Quan, 20~29 year old female. Ask Date: 2017/07/27

Dr. Wu Yuxin reply Dermatology

Trauma may also necessitate toenail removal, depending on the extent of the injury to determine whether the nail can be preserved.
If the nail is not removed, it may lead to prolonged pain; sometimes, short-term pain from removal is preferable to long-term discomfort.

Reply Date: 2017/07/27

More Info

Toenail injuries can be quite distressing, and it’s understandable to have concerns about whether or not to remove a damaged toenail. The decision to remove a toenail often depends on the extent of the injury, the presence of infection, and the potential for proper healing.

In your case, it sounds like you experienced a traumatic injury to your toenail, which has resulted in a split. When a toenail is injured, it can sometimes become loose or even separate from the nail bed. This can happen due to the trauma itself or as a result of the body’s healing process. If the toenail is still partially attached and there is no sign of infection (such as increased redness, swelling, or pus), it may be possible for the nail to heal and grow back without removal.

The first doctor you consulted advised against removing the toenail, suggesting that it would grow back. This is often the case with minor injuries where the nail matrix (the tissue under the base of the nail) is not severely damaged. However, the second doctor’s recommendation to remove the toenail may be based on the condition of the nail and the risk of complications. If the nail is significantly loose or if there is a risk of infection, removal may be necessary to promote healing and prevent further issues.

It’s important to monitor the condition of your toenail. If you notice that the nail is becoming increasingly loose or if you experience pain, it may be a sign that removal is warranted. Additionally, if you see any signs of infection, such as increased redness, swelling, or discharge, you should seek medical attention promptly.

Regarding your concern about the front part of the toenail needing to be removed, it’s essential to follow your doctor’s advice. If the nail is still partially attached and there are no signs of infection, it may be best to leave it alone and allow it to heal. However, if the doctor believes that removal is necessary for proper healing, it’s crucial to trust their expertise.

As for the fear of the toenail becoming loose as it grows back, this can happen if the nail matrix is damaged. If the matrix is intact, the nail should grow back normally. However, if the matrix is compromised, it may lead to abnormal nail growth or even permanent changes in the nail structure.

In summary, the decision to remove a toenail after an injury should be based on the assessment of a qualified medical professional. If you have doubts or concerns about the recommendations you’ve received, it’s perfectly acceptable to seek a second opinion. Always prioritize your health and well-being, and don’t hesitate to ask your healthcare provider any questions you may have about your condition or treatment options. Remember, proper care and monitoring of the injury can help ensure the best possible outcome for your toenail.

Similar Q&A

Do I Need to Remove My Toenail After an Injury? Healing Time Explained

My toenail has been separated from the underlying tissue due to an injury. I would like to ask: (1) Is it necessary to remove the nail, or will it heal on its own? (2) How long does it typically take to heal?

Dr. Huang Ruiyun reply Dermatology
It can be left in place, but caution is needed as the lifted nail is prone to injury, so be careful to protect it. After several weeks, the new nail will gradually push the old nail off.

Do You Need to Remove Your Toenail for Ingrown Toenails?

Is it necessary to remove the nail for paronychia? How can I reduce the swelling near the nail on my thumb? Thank you.

Dr. Li Yufen reply Dermatology
Hello: In general, acute paronychia does not necessarily require nail extraction. You can start with oral antibiotics and anti-inflammatory pain relievers. For wound cleaning, it is recommended to purchase sterile saline solution from a pharmacy to clean the area before applying ...

How to Handle a Toenail Injury: Tips for Care and Recovery

Hello doctor, I would like to ask, I think I injured my toenail yesterday. I only noticed it after taking a shower, and now it seems to be almost falling off, with only the right edge still attached. What should I do to manage this? Thank you!

Dr. Peng Xianwen reply Surgery
Hello Mr. Cheng-Kun: It is better to remove it. You can either remove it yourself or have a physician do it. Director Peng Hsien-Wen from the General Surgery Department at Nantou Hospital.

Dealing with a Broken Nail: Should You Remove It or Let It Heal?

Yesterday, I accidentally kicked a tire while wearing flip-flops, and my toe started bleeding. Since I was far from home, I rinsed it with clean water and covered it with a bandage. When I got home, I did the same thing. The nail is broken about 2/3 of the way, leaving only 0.2 c...

Dr. Shi Guozheng reply Orthopedics
If the nail is still attached, there is no need to intentionally remove it for the wound to heal. It may fall off on its own, and then a new nail will grow back. For now, just take care of the wound and ensure it does not become infected.