Nail Trauma: Recognizing and Treating Blood Clots in the Nail

The most common symptom of this condition is quite serious. It causes sharp stinging pain. This is due to the pressure of blood clotting inside the nail. Apart from this, the following symptoms may also appear:

• Change in the color of the affected part or the entire nail (red, maroon or purple-black)
• Swelling or pain on touching the front part of the affected hand or toe.

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Blood clotting can occur due to any kind of injury in the nail, these injuries can occur in the following situations:

• When the finger gets stuck in the door of a car or house
• When a heavy object like a hammer falls on the toe
• When the toe hits a hard object
• If there is no injury to the nail but the color inside the nail is turning black, then in such a situation, consult a doctor.

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If the condition is not too serious, then it can be cured at home. To reduce swelling, elevate the affected foot or hand and apply ice for about 20 minutes. For this, wrap ice in a cloth or towel and apply it. Applying ice directly to the skin can be harmful, so try to apply heat around the affected area. Over-the-counter pain relievers can help reduce discomfort as well as swelling.

If symptoms are severe or have persisted for several days, medical treatment may be needed. To relieve pressure and pain, your doctor may perform nail trephination (a surgical procedure). This procedure involves making a small hole in the area of ​​the blood clot to drain it without causing any pain. Your doctor may perform this procedure using a clean needle or paper clip (this should not be attempted at home). Your doctor may also use a laser if needed.

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If you have the following conditions, see a doctor immediately:

• Fever
• The nail feels warm to the touch
• Red streaks appear
• Pus oozing from the nail

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A subungual hematoma is usually caused by an injury, heavy object falling on it, or pressure on the nail. Symptoms include a dark red, black, or blue spot under the nail, pain, and swelling. In mild cases, applying ice and keeping the nail elevated provides relief. If the pain is severe, a procedure is adopted to remove the blood by making a hole in the nail with a hot needle or surgical instrument, which should only be done by a doctor. Keep the affected area clean and dry to avoid infection. If the pain persists or the nail begins to fall, contact a doctor immediately.