Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

167 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for finger bruise caused by an injury

Answered by
Dr.
Dr. Rovena Murati

General & Family Physician

Practicing since :2013

Answered : 1243 Questions

default
Posted on Tue, 20 Oct 2015 in Skin Hair and Nails
Question: I crushed my finger/fingernail in a door and it is bruised and black under the fingernail. its not broken but is painful. Is there any benefit to reliving the pressure of the blood buildup under the nail? will it help it heal better? the pain is subsiding. I know I am likely to lose the fingernail in time.
doctor
Answered by Dr. Rovena Murati 3 hours later
Brief Answer:
detailed below

Detailed Answer:
Hello.

Welcome to Healthcare Magic.

I read carefully your query and evaluated the picture you send.

Evacuation of the blood under the nail (subungual hematoma) is recommended when it covers more then 25% of nailbed and it is causing intense pain due to the pressure.
Your hematoma is relatively moderate and if you don't have significant pain at rest and it is getting better ,it doesn't require any treatment.It will heal on it's own and the blood will be absorbed by the surrounding tissue.

If you have significant pain at rest and the feeling of pressure ,you should have the hematoma drained.
The aim of draining the blood under the nail is to ease the pain due to the pressure and to avoid tissue damage due to high pressure (this in big hematomas when the pressure created due to blood accumulation is considerable ).
The procedure of draining the subungual hematoma carries some risks like infection,injury.

Hope it helps.
Let me know if you have any question.

Kind regards,
Dr.Rovena Murati
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions

Recent questions on  Subungual hematoma

doctor1 MD

My right big toe has a large bump on the top left side near the toenail and the rest of the toe is swolen. My left foot middle toe has a large bump on the top joint and the second toe is starting to swell around the bottom joint. These conditions all started appearing around the same time. No pain associated wit them, unless rub the with pressure. What could be causing this?

doctor1 MD

I peeled away a piece of my fingernail yesterday and I hit the nail bed, it is now pushing up through the hole in a raised red lump. I did this back 20 years ago in high school and at the time they removed the whole nail, saying the pressure had to be released for this to heal. I really don t want to go through that again, my question is, is it possible for the nail bed swelling to eventually go back down under the hole on its own, or is the only option once it swells up like that is to remove the nail?

doctor1 MD

My big toe has become very sore, my nail has become very brittle and is discolored a couple shades darker than usual almost a white/ light grey color. the tip or the end of the toe has become very red and painful and dry . it almost felt like the end of my toe was rubbing on my shoe at first , but when checking my toe was not even close to the toe of the shoe . It almost looks like there is a nail growing under the toe nail

doctor1 MD

I had a black discoloration under toenail now the nail is coming off what could cause this and now I have o no nail what should I be doing

doctor1 MD

I saw my primary last week. he said the mark in the lower left corner of my big toe was nothing to be concerned about. The lines extending upwards and downwards have me concerned about melanoma . The mark appeared out of no where going on 3 weeks...

doctor1 MD

I was skiing on December 19th and lost all feeling in my feet. Eventually the feeling returned, but I lost the toenail on my right big toe and the skin behind where the toenail should be has turned black. I also have black spots on two other...