A subungual hematoma, also known as a bruise under the nail or a blue nail, is a common condition in which bleeding occurs under the nail bed. A subungual hematoma is usually caused by a direct injury to the nail. For example, when you pinch your finger in a door, drop a heavy object on your toe, or engage in intense sports where your nails rub against your shoes.
Although the name might sound somewhat medical and intimidating, many people have dealt with this condition at some point in their lives. The sight of a dark purple or black stain under the nail can be quite worrying, but fortunately a bruise under the nail is usually not serious. The pain associated with it is caused by the pressure of blood accumulating under the nail.
In this blog post, we delve deeper into the phenomenon of a subungual hematoma, we discuss the causes of it, effective prevention strategies and various treatment options.
What is a subungual hematoma?
A subungual hematoma occurs when blood accumulates under the nail, leading to discoloration and pain. Recognizable symptoms include a dark red or purple discoloration of the affected nail, throbbing pain, and possible swelling in the surrounding area. This condition is caused by damage to the blood vessels under the nail, resulting in bleeding that becomes trapped between the nail bed and the nail plate.
Causes of a subungual hematoma
But how does such a painful, dark spot actually form under your nail? Although at first glance it might seem as if you have stubbed your nail hard (which is often the case), there are several causes that can lead to this condition. Below 3 causes of a subungual hematoma:
1. Trauma or nail injuries
When you bump your finger or hit your nail awkwardly, such as missing with a hammer or slamming a car door too quickly, this can lead to a direct injury to the nail. This type of trauma and/or nail injury can result in abrupt bleeding under the nail and ultimately in a subungual hematoma.
2. Finger entrapment or bruising
Not all nail injuries are the result of a direct blow or impact. The prolonged to constrict of your finger, for example by dropping a heavy object on it or getting the finger caught in something, can also cause damage. This slower form of trauma can lead to bleeding and ultimately to the formation of a subungual hematoma.
3. Repeated pressure or friction on the nail
Not all subungual hematomas are caused by sudden trauma. With some activities, such as playing certain musical instruments or certain professions where constant and repeated pressure if pressure is exerted on the fingertips, damage can gradually occur. Wearing shoes that are too tight, especially during activities such as running, can also lead to repeated friction and pressure on toenails.
Prevention of a subungual hematoma
At this moment, we can safely conclude that a subungual hematoma is both painful and disfiguring. While this bruise under the nail seems inevitable in some cases, there are still preventive measures you can take to reduce the risk of this annoying condition.
Protect your hands and fingers: Wear gloves during activities where there is a risk of injury and use appropriate protective equipment.
Good nail care: Trim your nails regularly and avoid biting or picking at them, as this can weaken the nail bed. For those who struggle with nail biting, offers Herome Bye Bite A special formula that helps prevent nail biting and break this habit.
Also take a look at the video below about the Herome Bye Bite:
Choose suitable shoes: Choose well-fitting shoes that provide enough room for your toes to prevent excessive pressure on the toenails.
Tip: visit a specialist to have your feet measured for running shoes, as you often wear these shoes more than a size larger.
Treatment of a subungual hematoma
If the damage has already been done, don't panic! Fortunately, there are various treatment options available, both for home and in medical settings. Here two various treatment options for a subungual hematoma, namely:
1. Home treatment and self-care
What can you do yourself to get rid of a blood clot under the nail? Start by applying cold compresses; elevating the hand or foot to reduce swelling and using over-the-counter painkillers can help relieve discomfort.
2. Medical procedures
In severe cases, we advise you to notify a healthcare provider. They can help drain the accumulated blood to relieve pressure and pain. You may consider to have the nail surgically removed or to choose a laser treatment if the pain persists or there is a nail abnormality.
Professional help for a subungual hematoma
If you experience severe or worsening pain or notice signs of infection, it is essential to consult a doctor or healthcare provider in a timely manner. They can perform a proper evaluation and recommend the most suitable treatment plan for your situation.
Prevent bleeding under the nail with Herome
By understanding the causes, taking preventive measures, and being aware of the available treatment options, you can effectively treat a subungual hematoma and promote the healing process. Add the nail care routine with nail hardeners or cuticle oil by Herome Cosmetics for stronger and healthier nails.
By taking good care of the nails and seeking medical help when necessary, the impact of subungual hematomas are minimized in daily life.
And, remember: Your nail health is important, So stay informed and take proactive steps regarding prevention and treatment.