In buddy taping, the problematic toe is taped to the toe next to it, reducing friction. Try buddy taping, if your doctor recommends it.Foot care is extremely important if you work on your feet all day. If you work in construction or in a warehouse, protect your feet from crushing injuries as much as possible with heavy work boots or steel-toed shoes.They’re more forgiving surfaces that will help reduce the friction between the shoe and foot. If you’re playing soccer or tennis, try to play on natural surfaces such as grass or clay.There are many issues associated with wearing too-tight shoes. Others, especially those that involve the toes, are easier to avoid. Some subungual hematomas - such as the kind that occur when you smash your finger in a door - are just unfortunate accidents and thus hard to prevent. Your doctor will look for these and other signs when determining the cause of blood in your nail bed. In contrast to melanoma, nail discoloration from hematoma will gradually clear as the nail heals.Īs the nail heals from a subungual hematoma, a transverse groove may form across its surface. With a hematoma, pooling of blood in the nail bed usually occurs within a few days of a crushing injury. To determine whether your nail discoloration and bleeding are due to a subungual melanoma or hematoma, your doctor will primarily focus on whether you’ve had a recent injury to your nail or you engage in a sport such as running or tennis.
However, subungual melanomas tend to get diagnosed later and therefore are more likely to be life threatening. A 2018 study states that just 1.5 to 2.5 percent of all melanomas are subungual melanomas. According to the National Institutes of Health, more than 1.2 million people in the United States had melanoma in 2018.
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Melanoma is a serious form of skin cancer that can cause skin - including the skin under the nails - to become discolored and occasionally bleed. If you notice any of the following, seek immediate medical attention: Whether your nail is drained or not, it’s important to watch for signs of infection. The damaged nail will most likely fall off on its own if your doctor does not remove it. If the nail is badly damaged, your doctor will also remove the nail. Once the pressure is relieved, most people’s pain goes away immediately. Your doctor may do this with a sterile needle or even a sterilized paper clip, which requires skill and should not be attempted at home.
The doctor makes a small hole in the nail where the blood is pooled, allowing it to drain. To relieve pressure and pain, a doctor may perform a procedure called nail trephination. You may need medical treatment if your symptoms are intense or persist beyond a couple of days. Over-the-counter (OTC) pain medications can also relieve discomfort, and some will even help reduce inflammation. Applying ice to skin directly can cause damage.ĭo not ice an injury for more than 20 minutes at a time. To do this, wrap ice in a cloth or towel, or create your own cold compress. To reduce swelling, the AOCD recommends elevating the affected hand or foot and icing the area. Many subungual hematomas can be cared for at home.
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