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Toe stab

03 Oct 18

Treatment of the nail plate after a bruise and removal of blood

People often injure the nail plates on their toes, which causes severe unpleasant pain. After an injury, blood accumulates under the nail, which immediately turns purple-red or blue, subsequently acquiring a black tint. In this case, the injured finger swells. All this is accompanied by severe pain, especially when walking. If the blow to the nail is too strong, a painful pulsation will be felt even at rest.

Symptoms and first aid

A bruised nail, especially on the toe, is a fairly common occurrence that no one can avoid. There are many options for injury, so it is almost impossible to prevent injury to the toe. Most often this happens when a heavy object falls on the leg, or when walking, when some protrusion may accidentally be touched. The symptoms of the disease in question include the following:

  • After bruising a nail, a person complains of pain. It feels like a painful pulsation. Sometimes the pain is so unbearable that it is impossible to even touch the nail plate.
  • After receiving an injury, the bruised nail turns blue. A little time passes and the nail plate turns black. This is due to the accumulation of blood under the nail.
  • Swelling appears in the area of ​​the injured finger.
  • Detachment of the nail. This happens quite often.
  • Every person should know what to do when a toenail bruise occurs. Particularly severe pain occurs after injury to the thumb. Below are first aid options.

  • Cooling your finger with cold water. Cold water is poured into a large container and the foot with the bruised toe is lowered into it. This procedure is carried out intermittently and repeated after 15 minutes.
  • Ice cooling. Thanks to these actions, the hematoma under the nail is reduced and pain is reduced.
  • Treating the toenail with hydrogen peroxide or iodine. Antiseptics also prevent infection of the affected finger.
  • After treating the nail, a pressure bandage is applied to the injury and then secured with a bandage.
  • If a child or adult is suffering and experiencing severe pain, it is recommended to take a pain reliever.
  • The leg with the injured toe is kept elevated.
  • If a nail is bruised, you should consult a doctor as soon as possible. A fracture of the phalanx of the finger can add trouble to the bruise. In this regard, when providing assistance, the integrity or damage of the bone should be determined.

    Naturally, bruised nails are necessarily accompanied by incredibly powerful irritation of the nerve endings, and this causes severe pain. Actions of the victim after a bruise:

  • As already mentioned, something cold should be applied to the bruised area and held for five minutes. Ice is best, but cold water will also work. Then the finger with the injured nail needs to be disinfected. For this, hydrogen peroxide, iodine, brilliant green or diluted alcohol are best suited.
  • If it is difficult for the victim to endure pain, then you can offer him an anesthetic medicine. This could be pentalgin or paracetamol.
  • Peaceful holiday. The victim should lie down and raise the leg with the bruised toe up. In this position it can be secured with a rope. Raising your leg upward will prevent blood from accumulating in the damaged tissues of the toe.
  • With a severe bruise, when the color of the nail changes, there is a possibility of its detachment. To prevent such a situation, it is recommended to treat the darkened areas with a disinfectant, apply an adhesive plaster and go to the nearest clinic. Qualified medical care will be provided there. Usually the nail is opened mechanically, the path for blood to flow out of the hematoma is cleared. This helps to significantly reduce the area of ​​the tumor, which means there will be a decrease in pain.

    It is worth understanding that opening a nail yourself is extremely dangerous. Such manipulations should be carried out exclusively by a professional. Otherwise, an infection may occur in the open wound, followed by blood poisoning.

    Drug treatment

    Doctors have a wide range of treatment methods. The help of medical professionals should not be neglected, since refusal of treatment can lead to serious consequences.

    Failure to preserve the integrity of the nail and skin leads to the development of purulent tissue inflammation. The advanced form of this phenomenon is very scary, since it can lead to amputation of a finger. This situation rarely happens. Most often, normal suppuration and rejection of the nail plate occurs. However, treatment must begin immediately after injury. This will require bed rest, because the injured finger needs rest. Only in this case will the hematoma quickly resolve.

    As for pharmaceuticals, there are several of their most effective options.

  • Homeopathic medicines. They increase blood flow, which is required in the affected areas, remove swelling, and also have an anti-inflammatory effect.
  • Painkillers. Any antispasmodic medications will help relieve pain. In addition, it is recommended to make compresses using demixide (an anesthetic and anti-inflammatory agent).
  • Heparin ointment. An indispensable drug used to treat inflammation. The ointment promotes accelerated resorption of bruises.
  • Every person should know how to prevent complications after a bruised nail. After all, the duration of subsequent treatment depends on correctly provided timely assistance.

    Failure to provide timely assistance leads to a person losing a nail. This is dangerous because it creates an open wound that can become infected.

    You don’t have to worry about the nail itself, as a new one will grow. Despite this, treatment should begin immediately after injury. This is especially true for children, because they cannot treat themselves.

    To help an injured nail recover faster, you can use folk remedies together with medications.

    A decoction of yarrow and plantain leaves helps a lot. The ingredients are mixed in equal proportions, poured with boiling water, infused and the resulting mixture is applied to the damaged area.

    No matter how effective folk remedies and medications are, it is better to do without them, avoiding injury.

    What to do at home if you stub your toe

    Injury to the toes in the form of a bruise occurs due to mechanical impact. Strong or moderate impacts from heavy objects lead to damage to soft tissues, bones and the ligamentous system of joints. Falling from a height or simply tripping over objects that impede free movement are also triggers for injuries to the fingers of the lower extremities.

    This injury requires immediate intervention, plus specialized examination and appropriate treatment. If you do not react in time, damaged fingers will lead to impaired motor function of the legs or to some complications such as gangrene of the fingers with subsequent amputation.

    A bruise of a finger (or fingers) of the lower extremities is clinically manifested in the form of the body's reactions to pain, impaired motor function of the affected fingers and changes in the anatomical parameters of the organs of the locomotor apparatus. All of the above depends on the degree of injury (degrees 1, 2, 3 and 4). The injury may affect several fingers at the same time or only one finger. And also bruises from a fall, impact, or compression appear on both limbs or only on one foot with a bruise of one or more phalanges.

    With a slight bruise, the symptoms are scanty: the pain is minor, there is no swelling, the fingers are fully mobile, but it hurts to walk. All symptoms disappear after an overnight rest. A deeper bruise of the phalanges is characterized by acute pain, swelling, significant hematoma, bruising under the nail plate, and complete or partial dysfunction of the organ. On palpation, the patient reacts painfully, the affected area is compacted, the skin is bluish due to the hematoma. With proper treatment, the pain from a bruised finger lasts a day, then gradually subsides. And with a fracture, the pain becomes unbearable, swelling increases, and motor function is paralyzed.

    How to distinguish a bruise from a fracture

    A bruise is a mechanical damage to muscles, ligaments + ligaments in the form of tears + microcracks, after which a violation of their anatomical structure occurs with interstitial bruising. This pathology is accompanied by inflammation and swelling. Swelling and hematomas are characteristic not only of bruises, but also of fractures of the phalanges of the lower extremities. The difference in the manifestation of these symptoms is obvious: swelling + hematomas after a bruise appear within a day, and after a bone fracture they are immediately visible. Biomotility is preserved, but after a bone injury it is completely impaired.

    Displacement of the phalangeal bones during a fracture changes their correct anatomical location, the locomotor organ uses a variety of positions in the form of unnatural poses. When a toe is fractured, it can be splayed, hanging + raised up, shortened, elongated. After trying to straighten broken bones, the pain threshold increases to an unbearably sharp pain. It has a bursting + pulsating character. A characteristic sign of a fracture is the crunching of bones.

    Important! Severe pain is typical for grade 3-4 bruised toes. With oncological formations such as osteosarcoma or chondrosarcoma, gangrene of the finger in diabetics, the pain is constant and acute, so differential diagnosis in an inpatient setting plus appropriate radical treatment is necessary.

    In case of doubtful signs of a fracture, bruise, dislocation, swelling and pain of damaged toes, there is an immediate need to consult a surgeon or traumatologist at your place of residence. Taking x-rays in three projections will help in correctly establishing a diagnosis and choosing treatment tactics.

    Severity of injury

    Closed injuries of the fingers of the lower extremities with soft tissue contusion + bruising and damage to the nail hole with nail detachment are conditionally divided into several degrees, that is, into 4 types. This fact is confirmed by the depth of the lesion involving the anatomical components of the foot (bones, skin, fatty tissue, muscles, ligaments).

    Bruised toe - severity:

    Symptoms of a bruised toe

    Legs are a strong and at the same time very vulnerable place for a person. The legs take on a person’s weight, allowing them to run and walk without putting much strain on other organs. And that is why it is quite easy to injure them.

    A common injury is a stubbed toe. Such an injury often occurs in the hot summer, when people exchange comfortable and closed shoes that protect the foot for open sandals. In addition, damage of this kind is usually not given much importance - relying on “it hurts and it goes away.”

    The toes are not a sufficiently active human organ, unlike the hand. However, they play a huge role in maintaining a person's balance. The structure is similar to the structure of the fingers - movable joints between the phalanges. There are three phalanges in total: main, middle and terminal. The thumb does not have a middle phalanx and is an exception.

    Factors causing injury

    It is common to receive minor injuries at home as a result of absurd and unexpected accidents. A bruised finger often occurs under various circumstances.

    A bruise involves injury to a person’s soft tissues - skin, tendons, muscles. A combined injury occurs quite rarely, when in addition to a bruise there is also a dislocation.

    Dr. Bubnovsky: “Penny product No. 1 for restoring normal blood supply to the joints. Helps in the treatment of bruises and injuries. Your back and joints will be the same as when you were 18 years old, just apply it once a day. »

    A common cause of injury is sudden impact with a hard surface. For example, almost all people are familiar with such damage as hitting the little finger on the legs of furniture or door frames. Having been hit in this way, a person usually calms down after the pain goes away and does not pay attention to secondary symptoms.

    The toes play an important role in maintaining balance when moving. Such an injury manifests itself as unpleasant discomfort, to the point that a person may stop moving.

    Symptoms of a bruised finger

    A severe bruise of the toe is accompanied by pronounced symptoms immediately after injury:

  • severe and sharp pain at the site of the injury. The pain is short-term and is especially noticeable when a hard object falls on the leg. Soft tissues remain sore after a while;
  • a strong burning sensation and pronounced pulsation are felt;
  • the injured finger swells greatly;
  • the skin changes color from light to dark purple. This appears due to a subcutaneous hematoma: blood vessels rupture as a result of the blow, and blood splashes into the surrounding tissues;
  • Quite rarely, the nail plate can be damaged - cracks, peeling, darkening, and so on may appear;
  • with a severe injury, loss of sensitivity is characteristic;
  • the finger cannot move due to severe swelling.
  • It is very important to be able to distinguish a bruised finger from a broken one. The main sign will be that the fracture is characterized by severe, pronounced and unbearable pain for a long time. When pressure is applied to the finger, a crunching sound will be heard, and its mobility will be completely lost.

    Important! A timely visit to a doctor will not only identify the type of injury, but also avoid serious complications.

    The injury is classified according to the severity of the injury:

    1. Grade 1 - there is no external damage to the skin or a slight bruise appears. It requires virtually no treatment and goes away on its own after a while.
    2. Grade 2 - severe swelling occurs and muscle tissue injury is present. The pain is strong, unbearable, but short-lived - it subsides over time, becoming aching. You can treat and relieve symptoms at home; the injury will gradually go away on its own.
    3. Grade 3 is characterized by damage to nerve endings and tendons. Mobility is partially lost. The pain is prolonged, the bruising is pronounced, and there is severe swelling. Requires medical attention.
    4. Degree 4 - a subcutaneous hematoma forms: the finger acquires a dark blue tint, and the nail plate darkens. The damage is accompanied by pain, swelling and loss of mobility.

    The first and second degrees are considered non-dangerous injuries that can easily go away on their own with proper first aid. The third and fourth degrees, in turn, certainly require a medical examination.

    Important! Seek help immediately if your finger becomes very swollen and blue.

    Usually, with such an injury, hospitalization is not required, but with the fourth degree, hospitalization is necessary. This occurs due to the development of the hematoma itself - blood clots remain in the soft tissues, forming cavities. As a result, inflammation may begin, causing suppuration and leading to gangrene of the limb.

    Correctly provided first aid is the basis for the effectiveness of further treatment. It is extremely necessary for many people to know the basics of emergency care, because then in the event of an injury they have the opportunity to help themselves and their loved ones. But, unfortunately, people's knowledge lies only in the fact that you need to apply cold to the injury. This is true, but in addition it is recommended to carry out many other procedures:

  • You need to examine the damaged finger and check its mobility - try to bend and straighten it. If the actions are performed calmly, then other injuries are excluded - the finger is bruised.
  • Cold compress. Cold helps relieve pain and constrict blood vessels - this has a positive effect on the size of a possible hematoma, reducing it. And here you need to follow certain rules: the ice pack must be wrapped in cloth to prevent hypothermia of the tissues and slight frostbite of the skin. The procedure must be repeated every 20 minutes for 10 minutes.

Important! The sooner the cold is applied, the less likely it is to develop complications.

  • Treatment. The bruise may be accompanied by external damage to the skin - abrasions, scratches. They need to be washed and processed.
  • Important! Do not use iodine in treatment - it has a warming effect on the injury, thereby aggravating it.

  • The bandage should be tight, immobilizing the finger in case of joint injury.
  • The injured limb must be elevated. For example, place a cushion under it and lay the victim on his back. This will help prevent circulatory problems.
  • The victim should be given an anesthetic and anti-inflammatory drug. If you are sure that medical help is not required, you can use specialized ointments for bruises - they usually have cooling, analgesic and anti-inflammatory effects in combination.
  • If there is obvious damage to the nail, it is necessary to put a pressure bandage on it or cover it with an adhesive plaster.
  • It is very important to provide the injured limb with complete rest; unnecessary movements can cause complications and contribute, for example, to further rupture of blood vessels.

    A bruised big toe is very common - this is due to the fact that the area for damaging action is larger than on other toes. So, if your toe is injured, what should you do? First of all, provide emergency assistance.

    The next step is to seek specialized help. The doctor conducts an initial diagnosis to eliminate the greatest risk - the formation of a fracture as a result of an impact. An x-ray is usually taken and is sufficient to determine whether the bone is damaged. If there is a pronounced and extensive hematoma, an MRI is additionally prescribed to identify changes in the soft tissues. Further treatment depends on the diagnosis.

    Minor external damage such as abrasions and scratches can fester. The injured finger is thoroughly washed with running water, after which disinfection is carried out. It is worth noting that home treatment excludes recommendations for self-opening of hematomas. This can lead to dangerous consequences.

    Important! You cannot open hematomas at home.

    Only a doctor can properly treat a bruised toe. The following treatments are prescribed:

  • medications: anti-inflammatory ointments. They relieve swelling and inflammation. Painkillers are prescribed;
  • physiotherapy ensures resorption of hematomas and restores damaged tissue;
  • surgical intervention is used only in case of extensive hematomas.
  • Sometimes, when a person hits a little - lightly touches a door frame, for example - he begins to rub the sore finger, trying to reduce the pain. You shouldn't do this! It is not recommended to massage an injured finger yourself; this can cause significant complications such as thrombophlebitis (vein blockage).

    In addition, complications may arise later, since the tendons are also injured. After a serious injury, pain will appear during physical activity or pressure from shoes. Insufficient treatment can trigger the development of arthritis in the future.

    Under no circumstances should you apply heat to the injury or try to perform forced actions (flexion and extension). Moreover, you should not adjust the dislocation yourself. You should not take any medications without the consent of your doctors.

    At first glance, such a bruise seems like a minor injury, but it is not. Any damage requires careful handling and timely treatment. Only the correct course of treatment and strict adherence to doctors’ recommendations will help avoid consequences in the future.

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