Should You See a Doctor for Blood Under Your Toenail? - Surgery

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Nail hematoma


Hello Dr.
Hsu, two months ago I bought a new pair of shoes that caused bruising under the toenails of both big toes.
One toe is painful while the other is not.
Should I see a doctor for this? Thank you.

You & You, 30~39 year old female. Ask Date: 2013/02/20

Dr. Xu Kaixi reply Surgery


Dear Dr.
Hsu Kai-Hsi of the Surgical Department at Tainan Hospital, Ministry of Health and Welfare: It is recommended to change to better-fitting shoes due to the bruised toenails caused by ill-fitting footwear.
If there are any issues, please visit the surgical outpatient clinic for further examination.
Wishing you good health and safety from the Surgical Department at Tainan Hospital, Ministry of Health and Welfare!

Reply Date: 2013/02/20

More Info


When it comes to blood under the toenail, also known as subungual hematoma, it is important to assess the situation carefully. In your case, since you mentioned that you experienced bruising under your toenails after wearing a new pair of shoes, it is essential to consider a few factors before deciding whether to see a doctor.

Firstly, if the pain is severe or worsening, or if you are experiencing significant swelling, it is advisable to seek medical attention. Severe pain can indicate that there may be more than just a bruise, such as a fracture in the toe or damage to the nail bed. If the toenail is also lifting or if there are signs of infection (such as increased redness, warmth, or pus), you should definitely consult a healthcare professional.

Secondly, if the blood under the nail is causing you discomfort or if it is affecting your ability to walk or wear shoes comfortably, it is a good idea to see a doctor. They can evaluate the extent of the injury and determine if any treatment is necessary. Treatment options may include draining the blood if there is a significant amount of pressure under the nail, which can relieve pain and prevent further complications.

Additionally, if the toenail appears to be growing out abnormally or if you notice any changes in color or texture over time, this could indicate a problem that requires medical evaluation. Toenails can sometimes be slow to heal, and if the injury is significant, it may take time for the nail to grow out completely and for the underlying issue to resolve.

In summary, while minor cases of subungual hematoma may resolve on their own without the need for medical intervention, it is crucial to monitor your symptoms closely. If you experience severe pain, signs of infection, or any other concerning symptoms, do not hesitate to seek medical advice. A healthcare professional can provide a thorough examination and appropriate treatment to ensure that your toenail heals properly and to prevent any potential complications.

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