Podiatry

Subungual Hematoma (Toenails)

Understanding bruising and blood buildup under the toenail after injury or pressure.

What is a Subungual Hematoma?

Did you injure your toe and notice dark discoloration under the nail? Learn what a subungual hematoma is and how it’s treated.

A subungual hematoma occurs when blood collects under the toenail after trauma, such as stubbing the toe, dropping a heavy object, or wearing tight shoes. It causes pain, pressure, and discoloration. Most mild cases heal naturally, but larger hematomas may need medical drainage to relieve discomfort.

Common Symptoms

Dark red, purple, or black spot under the nail
Throbbing pain or pressure
Nail tenderness or swelling
Nail lifting or loosening
Sensitivity to touch or walking

When to see a podiatrist

Severe or persistent pain
The discoloration covers more than half the nail
Nail detachment or bleeding
Signs of infection (redness, warmth, pus)
Injury due to crush or heavy impact

Early detection is important for managing the condition and preventing further complications.

Schedule a consultation today.

Causes and Risk Factors

Toe trauma or crush injuries
Repetitive pressure from running or tight shoes
Sports-related impact
Poor-fitting footwear
Blood-thinning medications increasing bleeding risk

Diagnosis and Tests

Physical examination of the toe and nail
Review of injury history and symptoms
X-ray if bone fracture is suspected

Treatment Options

Ice, elevation, and rest for minor cases
Drainage of blood to relieve pressure
Nail protection or bandaging
Proper footwear to prevent recurrence

Podiatry

Doral Health & Wellness Foot & Ankle Department

Doral Health & Wellness Podiatry provides comprehensive foot and ankle care. Our experienced podiatrists offer a range of services, including diagnosis and treatment of foot and ankle conditions, sports injuries, diabetic foot care, and custom orthotics. We are dedicated to helping you achieve optimal foot health and mobility.