Subungual hematoma (blood under nail)
About Subungual hematoma (blood under nail)
A subungual hematoma is a visible collection of blood underneath the nail. It occurs after trauma to the nail and is sometimes associated with a fracture of the finger. The symptoms of pain worsen as the blood accumulates and causes increasing pressure on the finger.Symptoms
Pain in the finger, blue-purple discoloration underneath the nail, throbbing pain.Tests & Diagnostics
A history and physical exam will be performed. An X-ray may be done to identify an associated fracture.Common tests: X-ray.
Conventional treatment summary
Drainage of the hematoma by making a pin-hole in the nail is the standard treatment. Pain medications such as acetaminophen (Tylenol), and/or nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn) are prescribed. A finger guard may be applied to prevent further injury during the healing process.Medical specialties
Internal Medicine · Orthopedic Surgery · Hand Surgery · Pediatrics · Family Practice · Podiatry · Foot and Ankle Surgery
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Subungual hematoma (blood under nail).