Discovering black discoloration under a toenail can be cause for concern. Although there are several possible reasons for this to occur, it is crucial to determine the underlying cause to identify the appropriate treatment. In most cases, a blackened nail is the result of trauma or injury to the finger. However, it is essential to rule out other possible causes to ensure prompt and accurate treatment.
A common cause of black discoloration under the toenail is a condition known as subungual hematoma. A subungual hematoma occurs when blood accumulates under the nail, usually due to trauma or repetitive pressure. The buildup of blood can cause the nail to appear black or dark purple. People who frequently engage in activities that involve repeated trauma to the toes, such as long-distance running or wearing tight shoes, are at increased risk of developing subungual hematomas.
- Subungual hematoma is a common cause of black discoloration under the toenail.
- It is usually the result of trauma or repetitive pressure on the finger.
- Activities such as long-distance running or wearing tight shoes can increase the risk.
In rare cases, a blackened nail may indicate a more serious condition, such as melanoma. Melanoma is a type of skin cancer that can develop under the nail bed. It is essential to monitor any changes in the color or appearance of the toenail, as melanoma can present as a dark or black spot. If you notice any sudden or significant changes in the underlying color of your toenail, it is essential that you see a doctor quickly to rule out any serious underlying conditions.
Treatment for a black toenail will depend on the underlying cause. In the case of a subungual hematoma caused by trauma, it may be necessary to drain the blood collection to relieve pressure and facilitate healing. If melanoma or another serious disease is suspected, a biopsy may be necessary to confirm the diagnosis and determine the appropriate treatment plan. Consulting a healthcare professional is essential to ensure proper care and treatment of any discoloration or abnormality observed under the toenail.
Possible Causes of Blackness Under the Toenail
1. Trauma: One of the most common causes of blackening of the toenail is trauma. It can be caused by a blow to the toe, a heavy object falling on it, or wearing inappropriate footwear that exerts repeated pressure or friction. Trauma can cause blood vessels under the nail bed to rupture, leading to blood pooling and subsequent black discoloration.
Note: If the blackening under the toenail is the result of trauma, it is usually not a cause for concern and will resolve on its own as the nail grows. However, if there is severe pain, worsening inflammation, or signs of infection, it is advisable to seek medical attention.
2. Fungal infection: Another possible cause of missing b under the toenail is a fungal infection. Fungi thrive in warm, moist environments, such as sweaty shoes or public swimming pools. When fungi infiltrate the nail bed, they can cause discoloration, thickening, and brittleness of the nail. In some cases, the affected nail may turn black or dark brown.
- Ringworm of the nail (onychomycosis)
- Athlete’s foot (tinea pedis)
Note: Fungal infections can be difficult to treat and may require antifungal medications or topical creams. It is important to consult a healthcare professional to obtain an accurate diagnosis and an appropriate treatment plan.
3. Melanoma: Although less common, blackening under the toenail can also be a sign of melanoma, a type of skin cancer. Melanoma can develop in the nail matrix, which is the area where the nail grows. It may appear as a dark line or pigmentation under the nail and may gradually increase in size.
Note: If there is a suspicious blackhead that does not improve or resolve on its own, it is crucial to seek immediate medical attention for further evaluation and possible biopsy.
Although these are some of the possible causes of blackening under the toenail, it is essential to consult with a healthcare professional to obtain an accurate diagnosis and an appropriate treatment plan based on individual symptoms and medical history.
Signs and Symptoms of Black Toenail
The main symptom of black nail is the appearance of dark or black discoloration under the nail. This discoloration occurs due to the accumulation of blood between the nail plate and the nail bed. In some cases, black nail may be accompanied by other symptoms such as:
- Pain and sensitivity: The affected area may be sensitive to touch and cause discomfort or pain.
- Swelling: The skin and surrounding tissues may show signs of inflammation and swelling.
- Changes in the form or thickness of the nail: the black nail can cause the affected nail to acquire a distorted shape that is thicker than usual.
- Difficulty walking or wearing shoes: pain and swelling associated with the black nail of the foot can make it difficult to walk or wear shoes comfortably.
Note: It is important to distinguish between a black foot nail caused by trauma and a black foot nail caused by an underlying medical condition. If the discoloration is not related to an injury or trauma, it is advisable to seek medical attention to determine the underlying cause.
It is worth mentioning that subungual melanoma, a type of skin cancer, can also present similar symptoms. Therefore, if the discoloration of the foot nail persists, it increases in size or is accompanied by other worrying signs, it is important to consult a healthcare professional to obtain an adequate diagnosis and appropriate treatment.
When to Seek Medical Attention for a Black Toenail
If you have noticed a black discoloration under the felt nail, it is essential that you monitor symptoms and consider the possibility of seeking medical help in the following situations:
- Persistent pain: If the black foot nail is accompanied by persistent or sharp pain, it can be a sign of an infection or underlying injury that requires medical attention. This could include conditions such as subungual bruises or fungal infections. Concentrate an appointment with a healthcare professional to evaluate the scope of the lesion and recommend proper treatment.
- Discoloration that extends: if the black discoloration of the foot nail extends or affects neighboring fingers, it can indicate a more serious condition, such as melanoma or other types of cancer. In these cases, it is essential to receive immediate medical attention to rule out any malignant tumor and guarantee early intervention.
- Changes in the appearance of the nails of the feet: if the nail of the black foot is accompanied by other worrying changes in the nail, such as thickening, collapse or a distorted shape, it can mean a disorder or underlying nail trauma. It is advisable to consult a healthcare professional who can evaluate the state of the nail and recommend the proper treatment.
Note: It is important to avoid sel f-diagnosis or try to treat a black foot nail without professional guidance. Delaying medical care when necessary can lead to complications or delay the diagnosis of serious conditions. A healthcare professional can provide adequate evaluation and recommend the most appropriate course of action for your specific situation.
Treatment options for toenail discoloration
If you notice that the foot nail has become black or has a dark coloration below, it could be a sign of an underlying medical condition. It is important to seek adequate medical attention to determine the cause and receive the appropriate treatment. Next, we will analyze some treatment options for black nails of the feet and what they consist of.
In most cases, black nails occur due to trauma or nail injury. If this is the case, the first step in the treatment is usually to let the nail cure on its own. However, if the black nail causes pain or discomfort, the doctor may recommend draining the blood under the nail. To do this, a small hole is practiced in the nail to release trapped blood. It is important that this procedure is carried out by a healthcare professional to avoid infections.
Black nail treatment options:
- Let the nail cure naturally
- Drain the blood under the nail
- Find professional medical attention for additional evaluation
In some cases, discoloration can be a consequence of fungal infection. If you suspect that it can be a fungal infection, your doctor may recommend antimicotic medications to treat it. These medications can be taken orally or applied topically, depending on the seriousness of the infection. It is important to follow the doctor’s instructions and complete all treatment to effectively eradicate infection.
| Possible causes of black nails | Treatment options |
|---|---|
| Trauma or injury | Let the nail cure naturally, with drainage if necessary |
| Fungal infection | Antifungal, oral or topical medicines |
| Other underlying conditions | Look for professional medical attention for a more thorough evaluation and adequate treatment |
If the discoloration persists or is accompanied by other symptoms such as pain, swelling or changes in the form of the nail, it is essential to consult a healthcare professional. This may diagnose the cause of the black nail and offer appropriate treatment options to its specific case.
Preventing Black Toenail: Tips for Maintaining Healthy Toenails
1. Proper footwear selection: To prevent black nails of the feet, it is essential to wear a footwear that adjusts well and leaves enough space for the fingers. Avoid shoes that are too narrow or tight, since they can cause repeated impacts and pressures on the fingers of the feet. Opt for shoes with a wider toe and good cushioning to minimize friction and reduce the risk of injuries.
- Cutting technique: Maintaining an adequate length of feet nails is vital to prevent black nails. Use adequate cutting techniques, such as cutting in a straight line and avoid cutting the corners too short. This helps avoid incarnate nails and reduces the possibilities of nail trauma.
- Prevention of fungal infections: fungal infections can discolor and weaken the nails of the feet, causing the appearance of black nails. Keep your feet clean and dry, especially in humid environments. Always carry socks that absorb moisture and change them regularly. Consider the use of aerosols or antimicotic powders to minimize the risk of infection.
- Protection equipment: performing hig h-impact activities or sports can increase the probability of suffering trauma to the feet. To protect the feet fingers, use adequate protective equipment, such as pointed toe or padded socks. These can provide an additional cushioning layer and reduce the risk of black nails caused by repetitive stress.
Remember that prevention is essential when it comes to black nails. Paying attention to footwear, properly caring for nails and taking precautions during physical activities can greatly contribute to keeping feet health. If you notice any changes in feet nails, such as discoloration or pain, it is essential that you quickly go to the doctor to obtain a precise diagnosis and proper treatment.
Complications associated with black toenail
1. INFECTION: A black foot nail can be susceptible to infection, especially if the discoloration is due to a penetrating lesion or a fungal infection. The darkened zone can provide a favorable environment for the growth of bacteria or fungi, which leads to an infection. It is essential to keep the affected and dry area and, in some cases, it may be necessary to administer oral or topical antimicotic medications to treat the infection.
Important: rapid treatment of an infection can help prevent surrounding tissues or that causes more serious complications.
2. Coágulos formation: In some cases, a black foot nail can be the result of a hemorrhage under the nail, which is medically known as subungual hematoma. If bleeding is important or if blood clots are formed, there is a risk of developing a condition called deep vein thrombosis (TVP). TVP occurs when a blood clot forms in a deep vein, normally on the legs. This condition can be serious and require immediate medical intervention to prevent other complications, such as a pulmonary embolism.
- TVP warning signs:
| Affected leg swelling | Pain or leg sensitivity |
| Heat or redness in the affected area | Veins that seem bigger or prominent |
Take note: If any of these symptoms occurs along with a black foot nail, it is advisable to look for medical attention quickly to rule out the possibility of a TVP.
