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

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If you have bruised toenails after an injury, especially if you experienced significant trauma like being hit by a brick, it is advisable to see a doctor. The symptoms you describe—pain, swelling, and bruising—indicate that there may be more than just a superficial injury. Here are some reasons why you should consider seeking medical attention:
1. Assessment of Injury Severity: A healthcare professional can evaluate the extent of the injury. They may perform a physical examination and possibly order imaging studies, such as X-rays, to rule out fractures or other underlying issues that may not be immediately apparent.

2. Potential for Nail Bed Injury: Injuries to the toenail can sometimes involve damage to the nail bed, which could lead to complications such as infection or improper nail growth. A doctor can assess whether the nail bed is intact or if there is a need for further intervention.

3. Pain Management: If you are experiencing significant pain, a doctor can provide appropriate pain relief options. This may include prescribing medications or recommending over-the-counter pain relievers.

4. Treatment Options: Depending on the findings, treatment may vary. If there is a hematoma (a collection of blood) under the nail causing pressure and pain, the doctor may perform a procedure to relieve that pressure. This is often done by creating a small hole in the nail to allow the blood to drain. If the nail is severely damaged, it may need to be removed or treated to prevent infection.

5. Monitoring for Complications: After an injury, it’s important to monitor for signs of complications, such as increased swelling, redness, warmth, or pus, which could indicate an infection. A healthcare provider can give you guidance on what to watch for and when to seek further care.

6. Advice on Care: A doctor can provide specific instructions on how to care for the injured toe at home. This may include recommendations for rest, elevation, and continued use of ice or heat, as well as guidance on when to return to normal activities.

In summary, while minor bruising may not require immediate medical attention, the symptoms you are experiencing—pain, swelling, and bruising—suggest that it would be prudent to consult a healthcare professional. They can provide a thorough evaluation and appropriate treatment to ensure proper healing and prevent any long-term complications.