What to Do About Toenail Trauma and How to Easily Fix Their Appearance
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- Опубликовано: 1 авг 2024
- Free Resource: www.MyToenailBook.com
To Request an appointment with Dr. Schneider: referdrschneider.com
Have you ever stubbed your toe? Sometimes it could be so severe that you sprain or break your toe. Other times the bones are okay, but you damage your toenail. That could be just as painful as breaking your toe. If you hit your toenail on something, or if your toe gets stepped on, you may notice a darkness beneath your toenail. Sometimes the nails start to lift off the nail bed. This is because of bleeding beneath the toenail. The blood gets between the skin and the underside of the toenail and there's just nowhere for it to go. This can cause redness surrounding the nail and pain. If this happens, you should get it checked by a #HoustonPodiatrist.
Runners and other athletes sometimes have trauma to the toenails as well. This is from the repetitive pressure of the nail hitting the end or the top of the shoe. Sometimes this repetitive microtrauma will lead to the nail thickening. Other times, especially after a longer race, you can have blistering or bleeding beneath the nail. This is commonly referred to as runner's toenail.
Believe it or not, the same injury can happen from wearing a shoe that is too short. It doesn't take much to cause trauma to the toenails. It's a simple process to relieve the pressure caused by bleeding under the nail. In the office, I perform a painless procedure where I make small holes in the toenail. This allows the blood to drain from beneath the nail. When we're able to do this soon after the injury, the nail is often able to reattach to the nail bed and continue growing.
Sometimes the injury causes a blister to form beneath the nail. In these cases, I often don't even have to put holes in the nail. I'm able to access the blister through the end of the toenail and allow it to drain. Even after the blood or blister is drained from beneath the nail, the toenail will still likely be stained underneath.
At this point, one of two things will happen. If we were successful in saving the toenail, the nail will just grow out. The darkened portion of the nail will ultimately reach the end and you just clip it away. It takes about nine months for a great toenail to regrow, start to end. For the other toenails, about six months.
Sometimes, if the injury is more severe, or we don't get to it in time, the nail will separate from the nail bed and a new nail will start to grow beneath it. If this happens, it will look like the nail is thickening. When the new nail progresses far enough, the top nail will loosen and ultimately come off. When this happens, it usually comes off with no pain and no bleeding. You just feel the nail rattling around in your sock. There's no reason to come to the office unless there's pain, bleeding, or pus when that nail comes off. When that top nail comes off, the new nail beneath it may not look so healthy that's because it started to grow beneath another nail, so it was never able to fully develop. Not to worry. As the nail continues to grow, it should return to its regular appearance.
Well, what do you do while you're waiting for the nail to grow out? Most people are unhappy that their toenail is not appearing like the others, especially when they're wearing sandals and open-toed shoes. But there are solutions and some are better than others. What some people do is get an #AcrylicNail put on the toe. I do not recommend this. Acrylics are not meant for toenails. They're not flexible and when there's pressure from wearing shoes, they can dig into the toe, cause an ingrown toenail, and lead to an infection. The acrylic nail is also damaging the new nail growing beneath it. It's non-porous and essentially suffocates the nail beneath it.
A better choice is using a cosmetic solution that is safe to use on the toenails and doesn't damage the new nail growing in. This is a procedure called #Keryflex. Keryflex is a cosmetic nail system that gives you a nice looking nail while your natural nail is recovering. It's made from a keratin resin, the same material that your toenail is made from, and that makes it flexible and porous. The flexibility of the Keryflex will prevent it from digging into your toe, preventing it from forming into an ingrown toenail. Because it's porous, it won't suffocate or damage the new nail growing beneath it. Keryflex is used in our office for both women and men who wish to have a nice appearing toenail after their own nail has been damaged.
00:00 Introduction
01:13 What Happens When You Hit Your Toenail
02:17 How to Relieve Bleeding Beneath the Toenail
03:08 How the Toenail Recovers from Trauma
04:30 How to Improve the Appearance of the Toenail after Trauma
05:23 Using Keryflex to Improve the Appearance of the Toenail
07:00 How to Work with Houston Podiatrist Dr. Andrew Schneider
Thank you Dr.Schneider! I was really freaked out when I saw my toe nail pulling up and a new one underneath. Such a relief to know it is all apart of the natural healing process.
9 months, thank you! Best video so far on this topic I have found. All my questions answered!
Thanks for the kind words. I'm glad you found it helpful!
I kicked my toe full force into a hardwood dresser a few days ago and after the rest of the toe regained its normal color, the blister was all the way past the toenail and the toenail felt like it was just kinda floating on top. I just put a pin at the edge and squeezed it out and it immediately feels so much better. I hope it fully reattaches.
Thank you! Very informative video.
Thank you for the information!
Thank you for this information explained so clearly and relieved me of my anxiety as well. Thank you . Thank you . 😊
Great video
Thank you, Dr. Schneider. I had my large toenail removed and I am waiting for it to grow out. I hope the true color comes back as you stated. right now, it's dark brown. I realized everyone recovery may not be the same. Thank you for your information. I am going to review your other video titled What to do about a black toenail. I have others that are turning black. My podiatrist said I do not have any fungus. I agree they are just turning black. No pain or pressure. Any suggestions? Thank you.
Great video! Turns out my mom has been abusing me all these years forcing me into tiny shoes. Now my nails are tiny, thick, and buried in skin. I hate her sm for so many things but glad to have my answers.
Thank you x
Nice information dr
Excellent explanation! Good pace and impeccable clarity.
Thank you so much and thanks for watching.
This just saved me🙏
hey doc, I lost my left toenail years ago when I was trying to clean the residue underneath the nail with a nail tool but accidentally poked the nail bed & started bleeding underneath & I used nail cutters to cut the nail to see what type of trauma I had. I ended up cutting it too short & ever since then I ended up with a thicker abnormal shape toenail compared to my right big toenail. Eventually my left big toenail came off when I took it off with the tool I used. How can I make my toenail a normal thinner shape like my right toenail?
I’ve had this problem for 7 yrs & tbh it always grows back thicker or grows to an odd shape. I miss my normal looking toenail 🥺😔
Hey Dr... what if I haven't caused any of the trauma you've mentioned to my toe, but bleeding "suddenly" appears under my toe nail? TIA
How do I purchase the Keri flex nail
Is there in Europe a similar product as the Keryflex?
Hit my big toe on heel of my other foot. Dang it was painful. Holding on by a thread. Very painful & hate the idea of removing it rest of the way. Broke toes before & set myself. Watching to see how to remove & treat
I damage my toenail 50 years ago and now it really hurts. Is something that can be done?
I actually damaged my nail due to tight shoes and its 5 days now and i tried cleaning under the nail but then suddenly it is somehow leaking a liquid substance and some blood
Thanks for this!
My pleasure! Thanks for watching!
Very informative thank you
Thanks for watching!
I have bad habits that always cut my nails until it's almost gone rven though the blood was coming out, I didn't feel any pain, maybe that's why I continued. I did it when i was young because idk about it now I'm regret.
Already go to doctor but the doctor just ask me to use the Laprox medicine and tons of pills but it doesn't work. After I listened to your explanation, I started to understand and the explanation was really the same as what I experienced "the nails will be thick" in fact my mistake was actually thinning the nails even though it was in the healing process.
Hi, My big toenail has been splitting vertically for years - The split is now all the way up to the cuticle. there's a little bump at the cuticle - How can I repair the split? My derm told me that nothing can be done. I don't recall ever injuring my nail....I have been hypothyroid for many years. Please help!!
can someone please advise me. i hurt my fingernail and weeks passed already and the nail is tightening and hurts and my fingertip is still swollen a bit so i tried loosening the nail and in my surprise the pain is gone lol. the nail is now hanging cuz i tried removing it entirely but it hurts on the roots and my only worry from this point is, should i remove the nail forcefully or just wait for it to fall off or is it gonna reattach if i just leave it alone? cuz it seems like the nailbed already hardened. thanks in advance for answers.. appreciate it
I tried on shoes that were tight and then the little toenail started turning black and blue and red. It pains a little when i wear shoes and sometimes it feels like the area around it get numb. This is more than a month now so I soak it in Epsom salt warm water. The redness seems to be getting better. What should I do
I "stubbed my big toe and the entire nail detached, except for the base! Hx of toenail getting "ripped off" from direct trauma to the corner of the nail bed causing the nail to 'Pop off", (except for a small piece in the distal corner, which died on its own and fell off eventually), happened about 20 years ago! New nail grew back in 2 pieces; split vertically. A nail tech filed it down and "glued" it together and it grew thicker on one side and curved to the right. I'm wondering if I should just keep it attached as long as possible? Just putting antibiotic on it and keeping it wrapped so it doesn't get hit or caught on anything. Any other suggestions are appreciated. Some bleeding in the nailbed under the nail, but not profusely. Pain is minimal. Nail moves like a hinge at the base, but I don't want to pull it off.
My toenails started to fall off after runs recently, starting with the big toes first. So painful but I can’t seem to figure it out.
Thanks,too bad I'm in Connecticut
A 20 Lbs block of concrete fell from above my head onto my big toe right at the top of the cuticle. It’s been 5 days. The toenail is black at the top, and halfway towards the tip of the toe it goes back to normal. The skin around the toe is very bruised and the top of the toenail and cuticle area are very puffy. Should I go to the podiatrist to get it checked out? It still aches, but I’m able to walk with some pain.
If it's still tender and swollen, go see your podiatrist to drain the blood beneath the nail. It doesn't hurt to do it and will give you instant relief!
If I had known about you during my multiple visits to my daughter in Houston......😢😢😢
Hi doc - both my big toe nails have been white & lifting and have been growing up becoming white again as they grow, I went to a doctor and she said there’s nothing to do but wait but it’s been over a year now & it’s just a cycle that keeps repeating - any tips?
I was wearing too tight sneakers for a while and it’s not fungus or dark or anything - just whiteish & yellow
My nail is coming off after a couple off long runs it's detached itself from the skin but the pain comes and goes, will it just fail off by itself? And what can I do to make it ease the pain when it does? As for the running is it better to stop until the nail has came off completely? Thanks
In most cases the nail will fall off by itself as a new nail grows in beneath it. When the nail comes off, in most cases it should be without pain or bleeding. If there is pain you should visit a podiatrist to help. You don't have to stop running until the nail comes off, just make sure you're wearing shoes that are sized properly to minimized further trauma.
I injured my toe nails while hiking downhill two days ago. They got blue and i feel strong preasure that i can't properly walk. My skin around the nail looks swollen and i don't know what to do. I tried putting an ice but it doesn't really help. Can you please tell me what can I do on my own or should i see the doctor immediately? I'm kinda scared that i might get thrombosis because of not having the circulation under the nail
That just happy to me now but no answer here
What's the recommended procedure if your toe nail looks like the left big toe nail from 01:58. I went to a Dr. and he simply said he couldn't do anything but try out some anti fungal ointment. I'm not convinced he's a good doctor though...
Different treatments for different situations. If it’s a brand new injury, I’d drill some holes in the nail plate to allow the blood to drain through. If it’s an older injury, new nail growth should push out the discoloration. Just be patient and you should start to see a clear nail at the base. Finally, it the nail has been like that and isn’t growing out, a biopsy should be done to determine why. Hope this is helpful.
I love you
Thanks for the Video,
A dumbell plate fell on my right toe, nothing was broken and the doctor said the blood doesnt have to be drained because it was already bleeding out the sides. Its been 2 days now since and i have always walked while lifting up the toe to prevent the pain from the pressure. Is it dangerous to walk normally now, because I'm scared the pressure from the toe being pushed on the ground will somehow make the nail fall of or something?
No, there's no danger, but if it's that uncomfortable then you should have the toenail pierced so the blood can drain through it. Even if it's bleeding out the sides.
@@DrAndrewSchneider Alright, thanks alot for your fast answer Sir!
I injured my toenail and it's been 3weeks now ,there no pain it's just black . Does that mean I could continue with the activities that injured my toe ? Do I need to change my shoes ? Or what can I do to not get the same injury ?
The nail will stay black until it grows out. It'll take months for that to happen. It's fine to do any activity. Just make sure there's enough room at the end of your shoe so your toe doesn't hit the end.
"The same injury can happen by wearing tight shoes" - Yes, that's exactly my case. It was paining in the start but now its not but the colour of the nail is changing like a very light purplish and a small inversely curved spot is forming oh the mid of my nail. The spot is dark pinkish but has little dots in black. I think the spot will turn black gradually. Will it be okay. There is no pain now though and i can walk properly. But if I put a lil bit of pressure on top of the nail it pains a little bit, very very little. Will it be back to normal and if so in how many months. Are there anything that i can do at home to make the healing process faster. Like putting coconut oil and washing my toes with hot saltwater ?
Hey man it's been 3 months already how are you rn and how did you treat it
I'm suffering from something very similar will be glad if you could help
Mine has been like this for years, went to check if it was fungal, doctors said it wasn't, so I'm assuming it's this cuz I play a lot of football (soccer) and used to wear tite shows ALOT when I was young. I remember seeing some hot nail trick to get rid of the blood or something but never bothered or dared trying. But I'm 18 and now I'm feeling kinda insecure about it, so here I am
@@Blaze-hq4oxyo man, hows the colour of youre toe nail now? After 3 months???
@@MilYonzzz still the same, I just chose to ignore it, i havent tried that hot nail trick cuz i dont wanna mess up, i might try to search a way to properly clean my nails but idk.
Thanks for the info. 🦶🏼😊
FYI… That web link for the book doesn’t go anywhere… nada, nyet, empty.
The book link should work now. If not, the direct link is www.tanglewoodfootspecialists.com/reports/houston-ingrown-and-fungal-toenail-specialist-free-e-book.cfm
While your nail is gone & waiting for the new nail bed to grow fully what can I use to moisturize the toe or can you moisturize the toe with anything like lotion or something specific???
That's a great question. Any good moisturizing cream will help. I recommend Eucerin or Cetaphil creams.
Ty
Any Cetaphil moisturize cream or there is any specific cream for toenail bed without nail on it
I recently did the dumbest thing I think I’ve ever done in my life. I got acrylic put on my two big toes for my graduation in May. I let the nail grow out because it’s summertime so I’m mostly wearing sandals. We are now in June, and for whatever reason I forgot to cut my acrylic toenails off. Two days ago I was invited to go play pickle ball,and I went and stubbed my toenail in my shoe so many times I had to stop playing. It hurt so badly. Currently my toenail is blue and my toe around the perimeter of my toenail is red and swollen. The pain is extremely bad and occasionally I feel a burning sensation. The pain is solely on my right big toe. I went to the doctor and she prescribed me antibiotics, but for some reason, I’m in denial that I have an infection.I’ve been taking antibiotics for two days and I’m not seeing any changes. I’m supposed to be done taking these after five days. If anything, my toe is getting worse. What should I do? Please help!
For context on why I got the acrylic on my big toe: This was my first time getting acrylic on my toes ever and my reasoning is because I played college tennis and I stubbed my natural nail a few months ago and broke a piece of it off while playing so I decided to get the acrylic to close that gap.
My husband as black toe nail in two fingers. But there is no pain. Still have to take a doctor consultation. Pls reply
If there's no pain, there's nothing you need to do. The dark color will grow out with the toenail. If you don't see it starting to clear at the base of the nail in 3-4 months, go see a doctor.
my toenail has dark blood clot underneath it. i injured it 2 weeks ago. should i still go to a doctor to have it removed? thank youu
Chances are the blood has dried up by now. No reason to get it checked unless it is painful.
@@DrAndrewSchneider Thanks doc!
Hi I’ve been experiencing long term issues with my big toenail, it has been black for a while now.. I have filed it down but everytime I get to near the bottom it bleeds excessively. When I leave it to grow back it still has the black fungus there along with trapped blood now. It’s stressful and I’ve just come across this page. I’ve been using tea tree oil daily and filing weekly but still nothing. Hoping you can help
Same problem, my toenail underneath the nail bleeds, and makes it more black. My shoes are a bit loose and I got it bruised from running a lot.
what is the best way to grow the toenail?
A supplement called Biotin is helpful to grow and strengthen the nails. It's easily available over the counter.
how about continue exercising, for exmaple, skiing, while the toenail is growing out when the fluid was drained soon enough?
It’s fine to continue activity and exercise while the nail is growing out after the fluid is drained. No problem at all.
My toe nail got damaged due to tight uggs. There is a crack right in the middle (horizontally) the upper part was white and dead. The below is normal but with blood inside causing black stain. I left it like that and now after 4-5months, the upper part slowly came out and their is another nail below it but it's weird in color and look. However, it just happened on the above half part, the below one is still intact and as it it and the crack is still there with black line. Please help!
It sounds like it's growing out like it should. The damaged nail becomes cracked and brittle but it will grow out. It takes 9-12 months for a great toenail to grow out from start to end, so it sounds like your time frame is right on track. It sounds like you just need to be patient and let your body do its work.
@@DrAndrewSchneider Thank you doctor for replying. I'll wait and hope for the best!
I had runners toe from a marathon recently. The nail is light blue. I made an appointment with a podiatrist but it will be a few weeks until I could see him. Is that enough time?
Is the toe painful? If so, you should try to be seen sooner so the blood beneath the nail can be drained. That should give you instant relief. If it's not painful, you certainly can wait for the appointment, or cancel it altogether. At that point there will be nothing to drain and you just have to wait for the nail to grow out anyway.
@@DrAndrewSchneider Thanks. Went ahead and got to a Quick Care place this morning to get the toenail drained. Feels alot better.
@@msmaria5039 I’m so happy you went and are feeling better!!
One week ago i dropped a heavy weight right on my big toe nail.. Its been a week.. Im. Still hurting and cant wear shoes😭 im really squeamish about these things i can hardly look at it but now im worried sick it wont ever feel better... Thank god for birkenstocks.
If it’s still bothering you, go to the Podiatrist. It is painless to drain the blood from under the toenail and you’ll get instant relief.
I hit my toe against a rock under the nail feels to swollen, should I expect my toenail to come off , there's no blood as it came out the sides , what should I expect ?
The nail may come off, but not right away. A new nail will grow beneath and, when it’s grown out enough, the top nail will come off. If the nail doesn’t come off, the bloodstained nail will grow out as then nail grows.
How much is the kery flex nails cost?
The inital application of Keryflex is $150. Future applications using the same kit is $100. When we have to open a new kit, the investment returns to $150 for that application. If you want to schedule, just give us a call.
I've been getting acrylic tips on my big toes for years, now my right toenail is black. When the acrylic tip lifted I noticed the nail bed is black. I did have to "break in" some Van's and I remember taking off my sneakers after work and my toes hurt so bad.
Could this be a fungal or bruised toe Doctor? Thank you.
Oh my god the literal same thing happened to me !!! Or is happening I should say. I have acrylics and now my right toe is black
It sounds like fungus ladies! Get to the Dr. Asap so you can get the toe treated!
I wore tight shoes and my toenails wasn’t cut and it hurts so bad but I was partying and had no other shoes, now the right nail looks yellow and juicing a little and the left nail have blood stain from other tight shoes I wore. What should I do
If the nail is yellow with discharge you should get it checked to make sure it’s not infected.
@@DrAndrewSchneider Ye it’s yellow ngl, think it’s def infected, I clip da nails short but I feel like eventually they’ll come out or sum but Unfortunately I don’t have da resources to get it checked rn
I injured my toenail maybe a month or so ago its still black and starting to crack underneath and the front is lifting off the nail bed the nail is still growing out though and theres a bright white spot near the cuticle so maybe thats a good sign? Im not sure
The nail will stay black until it grows out. Having clear nail at the base where there is new growth is a very good sign.
What if it’s at the base of the toenail 😢
I dropped a metal beam on my big toe a year and 2 months ago. My toenail came off and started growing back a new one. But once it reached the end of my toe, it quit growing and is very thick. Why did it quit growing and what can I do to make it grow?
Trauma like that really affects the nail. It’s possible the end of the nail is curving down and not letting it progress. Try this…trim the end of the nail to ensure it’s not facing into the toe. Then condition the end of the nail with moisturizing cream. This will soften the skin to let the nail pass over. If you find the nail really isn’t growing, visit a podiatrist
Hi can you soak the feet?
What do you recommend
I recommend a soak in warm water with two tablespoons of epsom salt. It may help lighten the nail and it feels good too.
i have same issues,after i wearing shoe my nail become pain and now its become black,what i will do for become healthy nail..
As long as there’s no more pressure on the toenail, it should grow out. You’ll start seeing some clearing at the base of the nail and will see the dark nail grow out.
I have bloack toenail but they are not painful at all.. Should i go to a doctor or wait
Watch it as it grows out. If the black grows out and a clear nail is coming in, nothing to worry about. If it stays black as it grows, get it checked.
@@DrAndrewSchneider my toe nail is bruised will it fall off eventually?
i have alot of toenail problems. i dont know where to start. have bad fungal infection rhats spread to all of them, 1 has had it for 15 years the rest less than 1 year. the shaping of a couple of them looks deformed too
The oral antifungal medication, terbinafine, is very effective in eliminating fungal toenails. That would be a good place to start. Then you can see how they grow out and if there's anything else that needs to be done for them.
@@DrAndrewSchneider can i buy that without doctor prescription? thanks
My toe got step on and it's been 5 days it's kinda blue in one spot it's still kinda hurts it's not bleeding or cut or messed up just feels weird what should I do ?
Same my toe got step on too by playing basketball and i dont know what to do
It may not be bleeding outside the nail, but the blue spot shows that it's bleeding under the nail. If it's still bothering you, visit a podiatrist who can drain the blood from under the toenail.
Thanks they did it because my toe nail was about to come out
Hello Dr My big toenal is tearing,right in the middle of the toe😥😥😭😭
That could be very painful and if you’re not careful it could get infected. To stop the tear from progressing, use clear nail polish. That should stop it and let it grow out. If there’s pain, redness, or bleeding be sure to see a doctor.
I'm 17 year old guy I'm blue toe nail but I'm not feeling any pain or something
Doc I forcefully removed my small toes nail.
There was trauma from years ago. But I would often pick on it.
But last night I just janked it off by force.
It was extremely painful, but also relieaving.
I don’t know it will grow back normally
Ouch! I can imagine how painful it was! Chances are the nail will grow back. It still may be thicker when it does. Once it heals from the trauma. Treat the nail bed with Lamisil cream to prevent any fungal infection.
@@DrAndrewSchneider thanks doc,
Do you recommend any brands I can buy at Amazon ?
I jammed my toe last night and cannot see a doctor until tomorrow. The nail lifted. I have it wrapped with neosporin and gauze for now. (that's all I have) What else can I do to take care of it for today?
You’ve done all you can. The doctor will either salvage the toenail or remove it. But it sounds like you did everything right.
I have a question is there anyway i can fix it at home i dropped a 10 pound weight on my right foot pinky to like 5 days ago
By walking
Can I pour water on it?
Yes, you can pour water on an injured toenail, but it likely would not make any difference.
i lost my whole toenail when i stubbed my toe last night
2:40 Thank you!
Can yon get pain when you do it 🥺🙏🏻pls reply 🥺
Thanks for watching!
It's not always painful, but it often is.
Just dropped wood on mine oh my god it hurts like hell
Hello any exercise recommendations? With injured toe nail
You shouldn’t need to change or stop exercise. Just make sure your shoes fit well and have enough room in front to prevent further injury.
@@DrAndrewSchneider even the 3/4 or my nail is gone? The 3/4 is now healing and in the scab form. Exercising wont hinder the toenail recovery/wound?
@@mu.si.ka_6929 it shouldn’t as long as there’s enough room in the shoe so it doesn’t have more trauma. You should have the width of your index finger between your toes and the end of the shoe when you’re standing.
@@DrAndrewSchneider yes it has, thank you
I can’t even walk on it the pressure hurts so much
It can be very painful. Relieving the pressure beneath the nail is very helpful to reduce the pain.
my nailbed its like crack skin.
It may be helpful to moisturize the nail bed with a good moisturizing cream.
You said Keryflex allows the nail to breathe like natural toenail but their website literally says the opposite - it's non porous.
I should have clarified. Large molecules won't go through keryflex. So there's no concern about water or nail polish traveling through. Air does travel through the keryflex, so the nail beneath is not damaged. This is in contrast to an acrylic which suffocates the nail beneath.
I wonder what his feet look like?
Thanks for watching.
Soak in tumeric water immediately
For 15 minutes and leave it tumeric prevents further infection and can stop bleeding