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Understanding Toenail Injuries and How Your Podiatrist Can Help

Feb 10, 2025
toenail injury
Toenail injuries may seem minor, but they can significantly impact your comfort, mobility, and overall foot health.

Toenail injuries are common, yet often overlooked health issues that can lead to significant discomfort, pain, and even complications if left untreated. Whether you’ve stubbed your toe, dropped a heavy object on your foot, or experienced a sports-related injury, the impact on your toenails can range from minor bruising to severe damage. In this blog, we’ll explore the various types of toenail injuries, their symptoms, and how a podiatrist can assist you in proper diagnosis and treatment.

Common Types of Toenail Injuries

1. Bruised Toenail (Subungual Hematoma): This occurs when there is bleeding under the toenail, typically following trauma. It often appears as a dark purple or black discoloration.

2. Nail Avulsion: This is the complete or partial detachment of the toenail from the nail bed. It can occur due to severe trauma or injury.

3. Cracked or Split Toenail: A hairline fracture in the toenail, which may not cause immediate pain but can develop into a more serious issue if not treated.

4. Infected Toenail: Injuries can sometimes lead to fungal or bacterial infections, leading to redness, swelling, and pus around the nail.

5. Ingrown Toenails: Though not always caused by injury, toenails that have been traumatized can grow into the surrounding skin, causing pain and inflammation.

Symptoms of Toenail Injuries

The symptoms of toenail injuries can vary depending on the type and severity of the damage. Common symptoms include:

- Pain and tenderness around the affected toenail
- Discoloration (redness, bruising, or blackening)
- Swelling in the toe
- Inability to wear shoes comfortably
- Visible damage to the nail (cracks, splits, or detachment)
- Signs of infection (increased redness, swelling, or discharge)

How Your Podiatrist Can Help

If you suspect you have a toenail injury, visiting a podiatrist is crucial for proper care and treatment. Here’s how a podiatrist can help:

1. Accurate Diagnosis

Podiatrists are specially trained to assess foot and ankle injuries. They will examine your toenail and foot, often utilizing imaging techniques like X-rays to determine the extent of the injury. Accurate diagnosis is essential for developing an appropriate treatment plan.

2. Treatment Options

Depending on the type of injury, your podiatrist may recommend various treatment options, including:

- Drainage of Blood: If you have a bruised toenail with significant blood accumulation, your podiatrist can safely drain it to relieve pain and pressure.

- Nail Avulsion Procedures: In cases where the nail is severely damaged, your podiatrist may perform a procedure to remove the nail to prevent infection and allow proper healing.

- Infection Management: If there are signs of infection, your podiatrist can prescribe antibiotics or antifungal medications as needed.

- Protective Dressings: To promote healing and prevent further injury, protective bandages or splints may be applied.

- Surgical Intervention: In chronic cases or when ingrown toenails are recurrent, surgical options may be necessary to prevent future occurrences.

3. Preventive Care and Advice

One of the best ways to manage toenail health is prevention. Your podiatrist can educate you on proper foot care, nail trimming techniques, and footwear choices that can reduce the risk of injury. They can also advise on exercises and orthotics that support overall foot health.

4. Rehabilitation and Follow-Up Care

Healing from a toenail injury can take time. Your podiatrist will provide guidance on rehabilitation exercises, recommend when to gradually return to activities, and schedule follow-up appointments to monitor healing progress.

Conclusion

Toenail injuries may seem minor, but they can significantly impact your comfort, mobility, and overall foot health. If you’ve experienced a toenail injury, schedule an appointment with Dr. Gireesh Reddy or Dr. Sirisha Pokala at Restore Foot & Ankle Specialists by calling (469) 573-3427 or by booking an appointment online. 

Restore Foot & Ankle Specialists PLLC