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Why does the nail on the big toe turn blue?

18 Aug 18

What to do if your big toe nail turns blue

The nail on the big toe may turn blue for the following reasons:

  • bruised fingers as a result of injury with bleeding under the nail plate and hematoma formation;
  • diseases of the lower extremities and nails, circulatory disorders;
  • wearing uncomfortable and tight shoes with narrow toes;
  • fungal infection;
  • unsuccessful pedicure, cuticle damage.
  • Blue discoloration of the nail can also be caused by oncological processes. In this case, clear blue lines appear on the surface of the nail plate.

    If the nail on your big toe turns blue without injury or other obvious reasons, you should pay attention to the presence of health problems. For example, in combination with a cough, chest pain and impaired blood flow (expressed in the symptom of “cold hands”), this indicates the development of pathology in the lungs.

    In the presence of shortness of breath, cyanosis on the finger plate is a consequence of insufficient oxygen supply to the blood, and against this background, heart failure may develop.

    Symptoms vary depending on the cause of the blue nail.

    Injury. When injured as a result of a bruise, the finger not only becomes blue, patients often complain of pulsation and pain of varying intensity when touched.

    It is important! Without timely medical care, the situation gets worse: bacteria begin to multiply intensively under the plate. They are what causes the sensation of pulsation. In particularly advanced cases, only surgery with removal of the entire nail plate and long-term treatment with antibiotics can help.

    After receiving a mechanical injury, the big toe and little toe are most often affected. This is due to their anatomical marginal location. Often, a hematoma appears only on the third day after an accidental blow or even later. Treatment is usually conservative.

    Fungal infection. Fungal infection is the most difficult case of nail plate infection and is difficult to treat, so it is advisable to monitor the condition of the skin on the toes, fingers and between the toes. As a rule, primary fungal infection is manifested by itching and flaking of dead skin cells. But there are cases when infection begins directly in the nail. The plate acquires a grayish-yellow color, becomes brittle, and visually noticeable protruding stripes appear on it. If you do not start treatment at the beginning, the color of the plate will change to dark burgundy, and subsequently blue.

    Unsuccessful pedicure. The nail sometimes turns blue after painting with low-quality varnish. Paint pigments penetrate into the deep layers of the plate and thus change its color. In the absence of other symptoms (pain, swelling, pulsation, etc.), there is no need for treatment.

    What to do if your nail turns blue

    Immediately after receiving an injury, it is necessary to provide first aid to the victim by disinfecting the bruised area with iodine or hydrogen peroxide and applying a cold heating pad with water or ice to it. You can put your foot under running water. This will reduce the likelihood of hematoma formation and relieve pain.

    In the emergency room, the nail plate is usually punctured to release the blood that has accumulated underneath it and prevent the nail from peeling off. It is not recommended to carry out such manipulation on your own to avoid infection. But if there is heavy bleeding, you can pierce the skin near the nail or the plate with a thin needle soaked in an alcohol solution (there are no nerve endings in it, so the procedure is painless) and press lightly so that excess blood comes out.

    If it was not possible to avoid the appearance of a bruise, then, most likely, the plate will begin to peel off, and a new nail will begin to grow on the finger. Do not under any circumstances speed up the process of the dead plate falling off. The healing period is quite long. During this time, try to wear comfortable closed shoes with a round toe to protect the damaged area from external pressure and allow a beautiful, smooth new nail to form. For the first two or three days it is better not to wear shoes at all.

    To keep your nails always healthy, smooth and beautiful, follow these simple rules:

  • Buy and wear comfortable shoes made of high-quality breathable materials, choosing them strictly according to size.
  • During the summer, wear closed-toe shoes. This will avoid accidental injury.
  • When caring for your nails, be careful not to damage your cuticles by trimming them too much.
  • Perform a manicure using safety precautions and varnishes that do not contain harmful chemicals.
  • Do not leave the problem of blue nails unattended. As soon as you notice a hematoma under the nail plate or blue stripes appear on it (no matter whether clear or blurry), just in case, visit a therapist, cardiologist, gastroenterologist, dermatologist or pulmonologist to rule out internal diseases. Timely treatment of the underlying disease will help preserve the natural structure of the nail and restore its color.

    Getting rid of varicose veins and making blood vessels completely healthy has now become available to everyone. To do this, you need to take 1 spoon for 7 days in a row. Read more >>

    The nail is detached from the finger. what happened with me?

    Maybe I didn't explain it clearly.

    The nail on my thumb (where it should grow to the finger) is already 50 percent behind. That is, the nail rests on a small surface and every year this surface gets smaller. This has been happening for probably about 15 years now.

    The nails are always painted, so this defect is not noticeable.

    Maybe I have some kind of disorder in my body?

    I wrote it chaotically, but somehow it doesn’t work out better.

    Why don't you see a doctor?

    And which doctor should I go to with such an incomprehensible problem?

    I have the same thing on my big toes, on the side the nails lag behind the toe, but on my feet it’s also not very noticeable. This didn’t happen 2 years ago, but now it’s falling behind a little every year. I'll wait and listen, maybe someone knows what this is

    By the way, author, I asked dermatologists, they don’t know what it is and they don’t know who to contact either. They said, if it doesn’t bother you, doesn’t hurt, then fine(((((

    So I have no idea who deals with these issues.

    I think you have an infection under your nail, so the nail will have to be removed. If you don’t want to see a doctor, you can go to a beauty salon that provides medical services. Costs about 3 thousand rubles. The clinic will be free. Contact a surgeon.

    I had this on my leg. The answer is a fungus. After the pedicurist cleaned everything there and after that I applied antifungal cream - over time everything healed, now the nail is normal. Salt water is also good for it, the sea washes everything away well. You can go to a manicure/pedicure specialist, they have seen it all 100 times and know what to do.

    For 5-7 years, the toenails on my big toes were falling behind and I damaged the base of the nail. I didn’t dare take my nails off, and I heard that it wouldn’t help. After the sea water they actually grew, but now they have started to grow on the contrary.

    yes it's a fungus. I have Dak Batrafen. read the summary.

    go to a therapist and he will refer you

    Girls, take clathrimozole in drops (not ointment) and bury it in the spaces under your nails. should help

    I'm struggling too. The song has been going on for a year now - I got tired of it, so I removed the entire peeled off plate and started treating it with Nizaral, but the question is, will it help?

    The corners of the nails on my big toes also peeled off, I didn’t pay attention, over several years half a nail peeled off from each finger, I endured it, cut it, painted it with bright varnish, I got tired of it. I went to the skin-vein dispensary, they took a scraping for fungus, they didn’t find anything, I didn’t touch my nails for two weeks, I went for a second scraping, everything was clean, nothing was there, they prescribed Trental and Nailtivit, they said that maybe the cause of everything was injury or the wrong shoes, and I don’t even remember how it appeared. This is the second day I’ve been taking the pills and I got “nailitis”, it says that removing the nail is painless, I wore a patch with this ointment for two days, the nail didn’t come off, well, I tied it again, I hope it helps. All that remains is to wait.

    I have had tears on the nail on my middle finger for 2 weeks. I don’t know what to do, I applied ointment but it still doesn’t help, only 2 millimeters are left from what has already completely come off... I don’t even have a clue what’s going on... it’s scary to look at it, I had to cut off other long ones too. Now they are all short and on 1 finger there is no nail at all. Help!

    Hi all! I work in a beauty salon doing nail services. this problem started five years ago, this never happened before. No one knows if it is a fungus or not. Products that need to be dripped under the nail help, but it will take six months or a year until you cut off the diseased nail. Removing the nail surgically will not help! Very painful, problematic and not without danger! Such remedies as Exoderil, Batrofen, Lotseril help. I can say one thing: treat and sometimes give your nails a break from polish. In winter, no matter how much you, dear women, would like to shine with a chic pedicure, do not forget that the shoes are narrow and the nail that has grown over the summer cuts into tight shoes. The nail rests on the shoe and begins to crumble and hurt. Cut it off to the base and let it rest. If possible, avoid painting your nails at all! Well, if you really want, medicinal varnish twice a week, and then regular. and give up gel coating, permanently. It ruins your nails. You can cover it up for a trip to the islands. And relax a little before summer. Health and beauty to you!

    I cured myself, cheaply and cheerfully. I made a very strong solution of potassium permanganate (dark-dark) and poured it from a syringe with a needle into the void under the nail. It burned a little and a healthy nail grew back. More than 3 years have passed and everything is fine.

    You can also look for treatment for onychodystrophy; it is not a fungus and do not cut the nail under any circumstances. It needs to grow. Try laser microcirculation 10 procedures, - Beauty Tabs vitamins, - baths with alibor. They also recommend baths of hydrogen peroxide and sea salt.

    This is onycholysis, a disease accompanying psoriasis or eczema;

    Why do people's toenails and fingernails turn black?

    Why do my toenails turn black? This question cannot be answered unambiguously, since the causes of the disease vary. A blackened toenail may be the result of poor personal hygiene or a fungal infection that has spread in the body.

    Any person at least once in his life has encountered such a phenomenon as a blackened toe. Common causes of the disease are explained not only by the body’s predisposition to this disease, but also by injuries to the legs. The nail plate on the big toe may darken due to fungus.

    If your toenail turns black, the following 4 reasons can lead to this:

  • Spread of fungal disease.
  • Predisposition to increased pigmentation.
  • Liver dysfunction.
  • Hematoma under the nail after a bruised toe.
  • If the darkening of the nail occurs after bruising the toe, then rupture of the blood vessels may occur, followed by hemorrhage. Blood that gets into the soft tissue coagulates. As a result, a dark spot forms.

    A severe bruise can cause the development of a tumor. She begins to burst the nail plate. A person experiences pain that is explained by a violation of soft tissues. The patient experiences rejection of the affected nail, which becomes rough and peels off over time.

    A damaged nail that causes pain can only be treated under the supervision of a doctor. If you do not contact the clinic in a timely manner, the situation will worsen, and this may cause suppuration of the soft tissues. The method of treating a black toenail is selected depending on the disease

    You can find out the cause of darkening of the toenails after a complete examination, which should reveal the problems present in the patient’s body. If signs of fungal infection are detected, treatment is carried out using antiseptic and antifungal agents.

    Symptoms of fungal disease

    Nutrients in the subungual space provide a suitable environment for fungal growth. It secretes enzymes, the action of which leads to the destruction of tissue and horny substance. As a result, space is formed that allows for the growth of mycelial filaments.

    The disease practically does not manifest itself in the first stages of fungal development. Sometimes there is a slight burning sensation on the toes, redness or itching. Gradually, the nail plate begins to change, becoming brittle and dull in color. The entire human body can be subject to an allergic reaction and digestive system disorder. Waste products that are released by the fungus into the lymphatic system of the human body cause intoxication. The situation is complicated by the fact that the darkened nail on the big toe grows into the soft tissue, because the diseased nail plate begins to curl under the influence of the fungus. This happens if the patient does not seek help from a dermatologist, ignoring the disease.

    Due to ingrown toenails, a person experiences discomfort and pain when walking. A complication of a fungal disease is the cause of the possible appearance of a secondary infection. The skin of the big toe turns red, which is accompanied by swelling. At stage 2 of the disease, pus begins to be released.

    In patients with fungal infection and diabetes mellitus, trophic ulcers may appear. As a result, infection of the body is accompanied by gangrene of the limbs. When infected with a fungus, not only the process of blackening of the big toe nail, but also other fingers of the extremities can be observed. For patients with ingrown toenails, it is very difficult to trim the nail, so it is performed only after steaming the feet.

    Signs of a fungal disease

    Many sick people suffer from impaired blood circulation, which may be the cause of the development of fungus in the body. Diabetes mellitus affects the condition of the nail plates of the hands and feet. Through the sweat glands of diabetics, glucose is released, which has a beneficial effect on the fungus itself.

    Most cases of fungal infection involve a change in the color of the nails. A characteristic sign of the disease is the process of thickening of the plates and the formation of tumors under them. You can observe the appearance of vertical stripes on the nail, which turns yellow or black.

    The patient should consult a dermatologist as soon as possible to stop the spread of germs. The fungus affects not only soft tissues with nail plates, but also the foot. Based on the test results, the specialist determines the degree of infection of the patient with the fungus in order to select the appropriate treatment.

    The fungus, which causes damage to the nail plates of the toes and fingers, is contagious because it is transmitted from a sick person to a healthy person not only as a result of contact, but also through household contact after using common hygiene items. The source of infection is public places - baths or swimming pools, since the fungus lives and multiplies in a humid and warm environment.

    Toes and feet are at risk of infection if a person walks without shoes. Experts explain the process of blackening of toenails as a complication of toenail fungus. The pathogen penetrates under the skin of the thumbs in the presence of microcracks, abrasions or calluses that form while wearing tight shoes.

    Increased skin pigmentation

    The body of people with increased skin pigmentation is sometimes at risk of developing black spots on the toenails. This is due to the consumption of low-quality food and water, exposure to direct ultraviolet rays, as well as regular work in conditions harmful to the body.

    If the patient consults a dermatologist in time, who will explain to the patient why the toenail has darkened, then the course of treatment will lead to a positive result. It is possible that the cause of the disease is the accumulation of melanin, which causes melanonychia to develop, so the nail plate may turn out to be completely dark brown.

    The reason for the development of melanonychia is explained by the process of nail infection by certain types of fungus:

    Pigmentation may change due to the presence of parasitic mold in the body. Infection occurs due to a decrease in immunity in the presence of a certain disease in a person. In this case, darkening of the nails on the big toes is carried out with immunomodulators and antifungal drugs. If the color of the nails has changed, becoming black or brown, the doctor will prescribe the following types of medications:

    Nails may turn black if a person works with certain types of chemicals without gloves. The list of these substances includes:

    Melanin accumulates in the nail plate. The doctor does not prescribe treatment in such cases. If open contact with the listed types of substances is excluded, then the nails will acquire a natural color over time, which will be associated with the removal of melanin from the body.

    The cause of partial or complete staining of nails may be liver disease. The functions of this organ are to filter and remove harmful substances that enter the human body along with food, air and water. The liver ensures the transformation of all substances entering the body by breaking them down into hormones, proteins, fats and carbohydrates.

    If the nail on your big toe turns black, this phenomenon may indicate a liver disorder. It stops functioning normally, so the organ is no longer able to process toxins. As a result, the nail plates darken or turn black in some places.

    Dark spots that appear on the nails may be blurry and lack clear dimensions and boundaries. Periodically, they may disappear and appear several times. In this case, you need to seek help from a specialist who will prescribe an examination of the body.

    Under no circumstances should you delay consulting a doctor because delayed treatment will be ineffective. The development of the disease may be accompanied not only by the appearance of a black nail on the big toe, but also by pain in the liver area.

    The appearance of a hematoma under the nail

    Women and men can sometimes develop bruises under the big toenail after accidental kicks or as a result of wearing tight shoes. These injuries are accompanied by blackening of the nail as blood accumulates underneath it. The hematoma may not disappear for quite a long time. It is not necessary to treat it, but what should not be done is to allow inflammation in the area of ​​the injured thumb.

    Most often, the first pain from this injury is very strong and sometimes unbearable. Bursting pain can lead to shock. The pain occurs due to burst blood vessels in the soft tissues, resulting in capillary hemorrhage under the nail plate. This is the answer to the question of why the nail turned black - due to blood clotting.

    The black spot after hemorrhage may not disappear for 2 weeks. Putting on shoes and walking can cause pain in the area of ​​the hematoma.

    Treatment methods for darkening

    What should you do if your big toenail turns dark due to injury or fungus? If treatment is not started in time, then due to infection of the soft tissues under the nail plate, suppuration of the finger may begin. There will be a need to surgically remove the plate, phalanx, or entire infected finger. This syndrome is called diabetic foot.

    Careful personal hygiene will be required. To prevent injury, do not wear tight shoes. To speed up the healing of the affected area, you need to enrich your daily menu with foods rich in calcium. Patients should not engage in any sports during the treatment period.

    Before treating a sore toe, you should ensure complete rest for the leg in a supine position. This will normalize blood circulation. The area with a darkened spot on the finger must be covered with a soft bandage to protect the limb from re-injury. A bandage and adhesive plaster are suitable for this purpose.

    Immediately after injury, the nail should be treated with Ricinol emulsion, which will stop bleeding and slow down inflammatory processes. This will accelerate the regeneration of soft tissue under the nail plate.

    Why the toe turned blue: causes and diagnosis

    Your toe has turned blue for no apparent reason - this unpleasant symptom may indicate vascular pathology, blood stagnation, or even diabetes. However, most often blueness of the feet is associated with wearing uncomfortable shoes. If this is the reason, just change your shoes and sneakers to more comfortable ones, and the stain on your finger will go away pretty quickly.

    Cyanosis on toes

    A healthy person's skin should be light pink. If your toes begin to turn blue and hurt, it means that something is wrong with your body. In medicine, a bluish tint of the skin on the lower extremities is called cyanosis. The epidermis changes color due to the fact that blood does not circulate correctly. Pathologies of the circulatory system lead to blockage of blood vessels, tissues do not receive the required amount of oxygen and micronutrients.

    If cholesterol plaques accumulate in small vessels, their patency is significantly reduced. The blood does not have time to be sufficiently saturated with oxygen and becomes thick. There are two main types of cyanosis:

  • Peripheral. Fingers and toes turn blue. As a rule, this pathology affects precisely those areas of the body that have weak, not pronounced pigmentation. Peripheral cyanosis is manifested by blue spots and swelling. The affected area hurts on palpation. The toe often turns blue as a result of injury or compression of the limb.
  • Central cyanosis. A very serious illness. The patient's entire skin on the body, as well as the mucous membranes, may turn blue. The causes of this pathology are lung diseases of various etiologies.
  • You notice that your toe or hand has turned blue after hypothermia - this is not surprising, because at low temperatures blood circulation is greatly impaired. Such a stain does not need to be rubbed or treated with warming ointments. First of all, consult your doctor. He will conduct an examination and prescribe the most effective treatment.

    So, the main reasons for the change in the pigmentation of the toes from pink to bluish can be considered:

  • Mechanical tissue damage;
  • Hypothermia;
  • Thrombophlebitis;
  • Diabetes;
  • Chronic hypertension;
  • Abuse of alcohol and fatty foods;
  • Frequent stress and nervous tension.
  • If your finger turns very blue, you should immediately consult a doctor. To begin effective treatment, the first thing you need to do is find out the reason for the insufficient enrichment of blood with oxygen in the affected area of ​​the skin.

    Wearing tight, uncomfortable shoes causes cyanosis

    Timely, qualified treatment of such a problem as “blue legs” will allow you to restore your health as quickly as possible. The sooner you see a doctor, the better. If cyanosis progresses and spreads throughout the body, the patient urgently needs to undergo oxygen therapy.

    Taking special medications will improve blood microcirculation and vascular patency. In order for the toe to return to its normal pink color, you need to approach the problem in a comprehensive manner. Be prepared for the fact that you will have to completely change your usual lifestyle - give up bad habits, adjust your diet.

    You can protect yourself from blockage of blood vessels with cholesterol, and therefore from cyanosis, if you regularly eat foods from the list below:

  • Bran bread;
  • Buckwheat or oatmeal;
  • Unrefined vegetable oil;
  • Fresh vegetables;
  • Fruits and berries;
  • Sea lean fish;
  • Oven baked potatoes;
  • Low fat cottage cheese.
  • Follow a balanced, low-calorie diet for a while and you will notice that the blueness of your fingers gradually disappears. Proper nutrition can be supplemented with a set of simple exercises. Minor physical activity will significantly improve the condition of blood vessels - making them more elastic and increasing conductivity.

    The following exercises will help speed up blood circulation in the legs:

    • Take a tennis ball or small toy and place it on the floor. Sit on a chair and try to lift the object with your toes. Repeat the exercise 5-10 times.
    • Rotate your foot first in one direction and then in the other.
    • Walk alternately on your heels and on your toes.
    • Train yourself to sit on a chair in a “Turkish” position.
    • Take care of your health, eat right and exercise. To avoid cyanosis in your toes, be sure to wear comfortable shoes that are your size. If skin pigmentation changes even slightly, consult a doctor. The thing is that such a symptom can signal the progression of diabetes. If treatment is not started promptly, amputation may be necessary.

      Author: surgeon, endocrinologist Artyom Shimansky

      Pain in the little finger is not that common.

      Serious musculoskeletal diseases affecting the foot are more likely to affect the big toe, but cannot be ruled out.

      Rarely do patients pay attention to pain in the little finger until its intensity becomes high, so most pathologies are diagnosed in the later stages.

      It is easier to treat diseases of the musculoskeletal system in the initial stages, the more important it is for patients to listen carefully to their own feelings.

      How not to miss dangerous diseases and be fully prepared?

      The little toe hurts: what are the reasons?

      For the most part, the reasons are very “prosaic”, but we can also talk about serious pathological processes. In the vast majority of cases, the problem lies in disorders of the musculoskeletal system of the foot. What problems can we talk about if the little toe hurts:

      • Inflammation of the nail fold due to an ingrown nail. This problem most often affects the thumb, but due to anatomical features it can also affect the little fingers. An ingrown toenail can cause an infection or fungal infection.

      • Callus. It is a traumatic keratinization of the skin in places of constant friction or pressure. The little finger is the most common location for calluses. An uncomfortable sock or tight shoes can all cause blisters.

      • Fungal infection of the little finger. Fungal infections are manifested not only by pain, but also by itching, burning, inflammation and redness of the skin of the finger. In some cases, deformation of the nail occurs.

      The three indicated problems account for up to 50% (according to medical statistics) of all causes of discomfort in the little toes. Other diseases are less common:

      • Arthritis. Arthritis is an inflammatory disease of the joints. It is endogenous in nature: if arthritis is detected, the reasons for this should be sought in the excretory or endocrine systems. In some cases, the source of the disease is an immune reaction, then they talk about rheumatoid arthritis. It occurs with sluggish symptoms at the initial stage. When the intensity of symptoms increases, diagnostics reveals a mature process, the treatment of which is much more difficult.

      • Arthrosis. Unlike arthritis, osteoarthritis is caused by external circumstances. In older people, arthrosis becomes a kind of age-related norm: the disease does not always proceed aggressively. In young people, such pathology is rare. These are mainly young women (due to wearing narrow, uncomfortable shoes) and people of both sexes engaged in heavy physical labor: athletes, builders, loaders, etc.

      • Gout. It occurs mainly in men. This is a systemic disease caused by the deposition of urate salts in the joint cavities. The joints of the thumbs are mainly affected, but the little fingers also do not remain outside the pathological process.

      • Inflammatory lesions of the anatomical structures of the finger. These include tendonitis (inflammation of the tendons) and bursitis (inflammation of the joint capsule). They develop as a result of prolonged monotonous strain on the foot, or with a single intense strain, also as a result of hypothermia. Pain during inflammatory processes is much more intense, without clear localization. Unpleasant sensations spread throughout the entire foot and intensify when walking.

      • Osteomyelitis. Necrotic lesion of bone tissue. It is rare, but it is extremely difficult: symptoms of intoxication of the body are observed, the process is expansive, quickly covering not only the bone, but also the surrounding tissues. With a weak immune system, the cause of this dangerous disease can be a banal cut or the presence of a chronic source of infection in the body (cavities, etc.).

      • Neuroma. Overgrowth of nerve tissue located in the foot. Pain with neuroma is diffuse, spreading to the entire foot. Favorite places to localize unpleasant sensations are the thumb and little finger. It does not pose a danger to life, however, it is difficult to tolerate.

      • Injuries. Obviously, any injury can cause pain in the little toe: from a bruise to a fracture.

      • Deformations. If the foot is in an uncomfortable position for a long time as a result of wearing poor-quality shoes or incorrectly positioning the foot, deformations of the little toe are possible.

      • Problems with the vessels of the lower extremities. Stenosis of the vessels of the lower extremities leads to a lack of nutrition of the underlying structures, including nervous tissue, which reacts acutely to any changes in blood supply. Atherosclerosis occurs in long-term smokers, obese individuals, patients with hepatitis, cirrhosis, etc.

      • Diabetes . As a result of diabetes, systemic damage to the structures of the foot develops - the so-called. diabetic foot.

      Little toe hurts: diagnosis

      It is almost impossible to recognize the disease based on the symptom complex: many manifestations overlap, others develop in later stages. Therefore, you should not try to diagnose yourself; it is a futile exercise and a waste of precious time. At the first signs of discomfort, you should consult a doctor.

      The first person it is recommended to visit is your local therapist. Instead of a therapist, you can visit a surgeon. These doctors will conduct an initial examination and help develop a further “plan” of action. In the future, diagnosis and treatment should be carried out by a specialized specialist:

      • Orthopedist - if the source of the problem lies in pathologies of the musculoskeletal system.

      • Traumatologist - when the little finger is injured.

      • Rheumatologist - works with an orthopedist to help treat the underlying cause of rheumatoid arthritis.

      • Nephrologist - if the reason is a lack of functioning of the excretory system (in particular the kidneys).

      • Endocrinologist - if diabetes is suspected.

      • Phlebologist - specializes in problems with blood vessels.

      What tests are used to diagnose the cause of pain in the little finger?

      • Oral interview with the patient. Otherwise called history taking. The doctor asks questions regarding the patient’s condition, his complaints, etc. In this way, the specialist can draw up an initial picture. The specialist “pushes off” from the information received, as if from a springboard, to take further actions. Therefore, the patient’s main task is to tell everything in detail. The more information the doctor receives, the easier and more effective his work will be.

      • Inspection. Visual assessment plays almost one of the main roles when it comes to pathologies of the musculoskeletal system. In some cases, it makes it possible to suspect a particular disease at this stage.

      • Functional tests. When your little toe hurts, you can’t do without a series of tests. These tests are aimed at assessing joint mobility, nerve conduction and sensitivity, the degree of blood supply, etc. They do not cause discomfort, but are an important source of information. The patient needs to follow the doctor’s commands and talk about his feelings.

      • Radiography. Prescribed as the first means of assessing the condition of bones and joints. In many cases, X-rays alone are enough to make a diagnosis.

      • Ultrasound of joints. Prescribed less frequently, if pathologies such as arthritis, osteoarthritis are suspected.

      • MRI/CT. May be recommended when all other diagnostic methods have been exhausted. To date, more informative studies of the anatomical structures of the foot have not yet been invented. Tomography shows bones, tendons, soft tissues, and joints in detail.

      • Joint puncture. It plays an important role in the diagnosis of probable osteomyelitis, since it makes it possible to examine the contents of the articular cavity in the laboratory. The causative agent is almost always Staphylococcus aureus.

      • Laboratory research. Urinalysis (with gout, the concentration of urates increases), blood test (shows any inflammation), biochemical blood test (to detect high concentrations of calcium or urate salts). If diabetes is suspected, a blood test for sugar and a glucose tolerance test (the so-called STTG or sugar curve) are performed.

      It is unlikely that any of the patients can be prescribed the entire list of studies. As a rule, the problem is not so deep and lies on the surface; it is important to look carefully.

      The little toe hurts: how and what to treat?

      Treating, as well as examining, is the prerogative of the doctor. On your own, you can relieve pain (taking an analgesic is allowed), get rid of a callus (to do this, you should steam your feet, but under no circumstances cut off the callus, and then avoid exposure to the damaged area) or from an ingrown toenail (at the very beginning, you just need to cut it off ). Everything else is in the hands of a specialist.

      What does modern medicine offer to those who have pain in their little toe? For treatment, medications are used, physical and/or orthopedic treatment is prescribed, and in extreme cases, surgery.

      Drug treatment is carried out by several groups of drugs:

      • Analgesics. For pain relief: Analgin, Baralgin, etc.

      • Anti-inflammatory drugs. As a rule, non-steroidal ones, such as Ketorolac, Nise, Ibuprofen, Nurofen. Helps relieve inflammation.

      • Antifungals, antibiotics. Prescribed in the form of ointments for topical use. For osteomyelitis, antibiotics are taken in the form of tablets or injections.

      • Lidocaine, novocaine - for analgesic blockades.

      • Uricosuric drugs - for the treatment of gout.

      Orthopedic treatment is prescribed for injuries. Despite the intricate name, the essence is simple: an elastic or plaster bandage is applied to immobilize the little finger. Physiotherapy is practiced both as a therapeutic method and during the rehabilitation period after an injury. Specific procedures are prescribed by a physiotherapist.

      Surgical intervention cannot be avoided if the joint is destroyed (in this case, prosthetics are performed) or a serious injury has been sustained. Advanced osteomyelitis requires amputation of the little finger and surrounding tissues, if they were affected.

      Pain in the little finger rarely indicates a serious illness, but you cannot ignore it. It is never possible to know in advance what problem is being discussed. It is wiser to see a specialist; excessive vigilance is normal practice.

      Abnormal changes in the color of the nail, as a rule, “signal” damage to the tissue underneath.

      Sometimes the problem that arises turns out to be relatively minor (for example, a change in the color of the nail may occur due to a slight bruise).

      However, it also happens that a change in nail color warns of serious problems that require immediate assistance from a qualified specialist.

    • The most common reason why a toenail turns blue is injury. A change in the color of the nail is a consequence of a subungual hematoma or, simply, an accumulation of blood under the nail. This may cause severe pain, in which case you should consult a doctor.
    • While the risk of accidental injury is true for everyone, the risk is higher for athletes and people who like to go barefoot.
    • In athletes, black and blue nails are often the result of wearing athletic shoes that do not have enough room for the toes.
    • Nails may also turn blue during physical activity. This repeated stress to the feet causes bloody blisters to form under the toenails. The condition is most common in runners and football players because their fingers are exposed to rough handling and is more severe in athletes who forget to trim their nails.
    • A blue or black toenail can be caused by a fungal infection, which is a consequence of the patient's weakened immune system.
    • Or the explanation for why the toenail turned blue is melanoma (a malignant tumor consisting of darkly pigmented melanocyte cells).
    • Symptoms of a black or blue nail may include:

    • A change in color that can range from reddish to purple, brownish to blue or black.
    • Pain, unpleasant odor, discharge from under the nails.
    • Although these symptoms are not always present, there is a wide range of signs that indicate something is wrong with the nail. If there is an underlying infection, there may be pain associated with redness and swelling of the finger.
    • It also happens that the nail separates from the nail bed due to injury and accumulation of blood under it.

    Here are some tips to help you prevent black or blue nails:

    1. Trim your nails regularly, but not too short.
    2. Wear well-fitting shoes. Shoes should offer a wide enough toe box to prevent your toes from pressing together.
    3. Be careful when moving heavy objects. Try to avoid walking barefoot, as this may increase the risk of injury.
    4. Keep your feet and nails clean and dry.
    5. Always wear clean socks and shoes.
    6. Let shoes air out between uses.
    7. Treat any nail problems early.
    8. Blackened toenail: when to see a doctor

      If there is no pain or signs of infection (such as pus, inflammation, foul odor, fever, chills), you do not need to seek medical attention immediately.

    9. However, keep in mind that if the blackening of your toenail affects 25 percent or more of your nails, you should visit a doctor as soon as possible. In such cases, it is more likely that the nail bed is severely damaged or that the bone under the nail is affected.
    10. If left untreated, a bone tissue infection (osteomyelitis) may develop, and then you will have to take antibiotics or even require surgery.
    11. In most cases, your visit to the podiatrist will be an act of self-soothing.

      The specialist will check to see if you have an open or closed fracture of the injured leg, if there is an infection, and if further medical intervention is necessary.

      Depending on the type and severity of the injury with laceration and exposed bone and the degree of discoloration of the nail, the doctor may decide to remove the nail to examine the nail bed. If there is no wound, but there is blackening of the toenail, the doctor may order special tests, including a biopsy. He or she will ask you about your occupation, the situation that caused the nail color to change, and your medical and family history.

      Here are some questions you can ask your doctor if your toenail turns black:

    12. What is the chance that my nail will fall off and grow back without treatment?
    13. What symptoms may indicate that the treatment is not working?
    14. How long will it take before the nail returns to its normal shape and color?
    15. What are the chances of this problem happening again?
    16. Can I try to remove blood from under my nail at home?
    17. Could this be malignant melanoma?
    18. Is there an oral or topical medication I can use to prevent further nail discoloration?

    Why does a toenail turn blue and how to treat it?

    Typically, why a toenail turns blue can be explained by repeated trauma over time, such as the constant “collision” of your toes and the toe of your shoe. And sometimes this can be the result of a one-time, sudden, traumatic injury to the foot (for example, a heavy object fell on the foot).

  • Damaged blood vessels cause the nail to change color to black, blue and purple.
  • This condition is not very attractive, but is not always painful. However, if there is a lot of blood, it will create unpleasant pressure.
  • Sometimes there is an unpleasant odor.
  • Less commonly, you may have serious damage to the nail bed, a laceration, or even a broken bone. Damage like this makes you an easy target for infections and other complications.
  • In some cases, drug treatment is not necessary, especially if the injury was minor.

    The bruise under the nail will go away without outside help. However, if you have any concerns about your health, make an appointment with a podiatrist. Only he will be able to determine the cause and severity of the problem, which will determine the treatment.

  • If your doctor doesn't see the need for medication or drainage, leave the nail alone and it will heal on its own.
  • On the other hand, if the injury is a cause for concern, a local anesthetic will be administered and the nail will be removed to examine the nail bed.
  • If there is tissue damage, it will need to be washed and possibly sutured.
  • If the doctor has found out why the toenail turns blue and wants to relieve the pain and pressure of the hematoma, then there are three ways to do this:

  • Removal. the nail will be removed and the area underneath will be cleaned, thereby removing the hematoma.
  • Needle. Using a sterile needle, a small hole is poked in the nail so that the liquid can flow out from under it.
  • Cauterization. the device “burns” a hole in the nail so that the blood can drain out.
  • Your doctor may recommend a follow-up visit within a week after treatment. You may be asked to soak the nail in Epsom salts and warm water twice a day for ten to fifteen minutes, followed by antibiotic ointment and a dry, sterile bandage.

    Recovery time will depend on the severity of the injury, the type of treatment, and how well you respond to treatment. On average, nails will take up to three months or more to completely heal and return to their normal appearance. Nails typically grow at a rate of approximately 3 mm per month.

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