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 usually results from a direct injury to the nail. Such as when you catch your finger in a door, drop a heavy object on your toe or do intensive sports where your nails rub against your shoes.

Although the name may sound a bit medical and intimidating, many people have dealt with this condition at some point during their lives. The appearance of a dark purple or black spot under the t4> nail can be quite disturbing, but fortunately a bruise under the nail is usually not serious. The pain associated with it is caused by the pressure of the blood that accumulates under the nail.

In this blog post we take a closer look at 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 possibly swelling in the surrounding area. This condition is caused by damage to the blood vessels under the nail, causing 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 develop under your nail? Although at first glance it may seem as if you have hit your nail quite hard (which is often the case). is the case), there are several causes that can lead to this condition. Below 3 causes of a subungual hematoma:

1. Trauma or nail injuries

If you bump your finger or accidentally hit your nail, such as misfiring with a hammer or closing a car door too quickly, this can lead to direct injury to the nail. These types of trauma and/or nail injuries can result in abrupt bleeding under the nail and ultimately a subungual hematoma.

2. Finger pinch or bruise

Not all nail injuries are the result of a direct blow or bump. Pinching your finger for a prolonged period of time, 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 hemorrhage and ultimately to the formation of a subungual hematoma.

3. Repeated pressure or friction on the nail

Not all subungual hematomas arise from sudden trauma. Some activities, such as playing certain musical instruments or certain occupations that place constant and repetitive pressure on the fingertips, can cause damage to occur slowly. Wearing shoes that are too tight, especially during activities such as running, can also lead to repetitive friction and pressure on toenails.

Prevention of a subungual hematoma

At this point we can safely conclude that subungual hematomas are both painful and disfiguring. While this bruise under the nail may seem unavoidable in some cases, there are preventative measures you can take to reduce your 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: Cut your nails regularly and avoid biting or picking at the nails as this can weaken the nail bed. For those who struggle with nail biting, Herome Bye Bite offers a special formula that helps prevent nail biting and break the habit.

Also check out the video below about the Herome Bye Bite:

Choose suitable shoes: Choose well-fitting shoes that provide enough room for your toes to avoid excessive pressure on the toenails.

Tip: for running shoes, visit the specialist to measure your feet, as you often wear these shoes one 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 at home and in medical settings. Here aretwodifferenttreatment optionsfor a subungual hematoma , namely:

1. Home treatment and self-care

What can you do to get rid of a blood clot under the nail? Start by applying cold compresses, holding the hand or foot up to reduce swelling and Using over-the-counter painkillers can help relieve discomfort.

2. Medical interventions

In serious cases, we recommend that you inform a healthcare provider. This can help drain the accumulated blood to relieve pressure and pain. You can consider surgical removal of the nail or opt for a laser treatment if the pain persists or there is 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 promptly. They can perform a proper evaluation and recommend the most appropriate treatment plan for your situation.

Prevent bleeding under the nail with Herome

By understanding the causes, taking preventative measures, and being aware of the treatment options available, you can effectively treat a subungual hematoma and promote the healing process. Add to the nail care routine with nail hardeners or cuticle oil from Herome Cosmetics for stronger and healthier nails.

By taking good care of the nails and seeking medical attention when necessary, the impact of subungual hematomas on daily life can be minimized.

And, remember: Your nail health is important, so stay informed and take proactive steps in prevention and treatment.