What is a Subungual Hematoma?

A subungual hematoma is a condition where the toenail is injured and blood accumulates between the nail plate and nail bed. Thus, the toenail appears to be red, purple, or black due to the injury. Usually this happens when an object is dropped on the toe or the toe is bumped. Additionally, it can happen during certain sports that involve kicking, running, or jumping. It is important to determine if the bone under the toenail(the distal phalanx) is injured, and an x-ray may be needed to see if there is a fracture or break. If the injury is new, the toenail may need to be removed or holes may need to be placed into the nail to drain the blood. If the toenail injury is old, the blood under the nail will be dry and will gradually grow out with the nail (9-12 months is the growth period for the nail). Of concern, also, is that the nail plate may loosen due to the blood underneath it. Therefore, it is important to watch the nail for total or partial lifting. If the nail rips off, it can create an open sore on the toe. Therefore, if you injure your toenail, it is important to see a podiatrist. Visit us at Advanced Physical Medicine, and Dr. Bender will make your feet feel better! 708-763-0580