Should You See a Doctor for Bruised Toenails After Injury? - Surgery

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If you've recently injured your toe by dropping a brick on it, and you're experiencing bruising, swelling, and pain, it's important to assess the situation carefully. Bruised toenails can be a common result of trauma, but they can also indicate more serious underlying issues, such as fractures or damage to the nail bed.

Given that you have already applied ice and heat, which are common first-aid measures, the next step is to evaluate the severity of your symptoms. If the pain is persistent and you find it difficult to walk, it is advisable to see a doctor. Here are some reasons why you should consider seeking medical attention:
1. Assessment of Fracture: A healthcare professional can perform a physical examination and may order imaging tests, such as an X-ray, to determine if there is a fracture in the toe or any other bones in the foot. Fractures can sometimes be subtle and not immediately obvious, especially in the case of small bones like those in the toes.

2. Nail Bed Injury: If the toenail is severely bruised or if there is significant swelling, there may be damage to the nail bed. A doctor can assess whether the nail needs to be removed or if there is a need for drainage if there is a collection of blood (hematoma) under the nail.

3. Infection Risk: If there are any open wounds or if the toenail is partially detached, there is a risk of infection. A doctor can clean the area properly and may prescribe antibiotics if necessary.

4. Pain Management: If your pain is severe, a doctor can provide stronger pain relief options than over-the-counter medications. They may also recommend anti-inflammatory medications to help reduce swelling.

5. Follow-Up Care: Depending on the severity of the injury, your doctor may provide specific instructions for care at home, including how to manage swelling and pain, when to return for follow-up visits, and signs of complications to watch for.

In terms of treatment, if there is no fracture and the nail is intact, the doctor may recommend conservative management, which includes:
- Rest: Avoid putting weight on the injured toe as much as possible.

- Ice Therapy: Continue to apply ice to reduce swelling, especially in the first 48 hours post-injury.

- Elevation: Keep the foot elevated to help decrease swelling.

- Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help manage pain and inflammation.

- Monitoring: Keep an eye on the injury for any changes, such as increased redness, swelling, or discharge, which could indicate an infection.

If there is a fracture, treatment may involve immobilization with a splint or buddy taping the injured toe to an adjacent toe. In more severe cases, surgery may be necessary to realign the bones or repair the nail bed.

In conclusion, while some bruised toenails can heal on their own, persistent pain, swelling, and difficulty walking are indicators that you should seek medical attention. A healthcare provider can ensure that you receive the appropriate care and prevent any potential complications.