Nail Subungual Hematoma Treatment

Apply Ice Immediately

If trauma occurs, apply a cold compress or ice pack to the affected area for 10–15 minutes. This can help reduce initial swelling, limit blood vessel leakage under the nail, and ease pain.

Drain the Hematoma

If the pain is severe and the discoloration covers a significant portion of the nail, medical drainage may be necessary. A medically trained podiatrist can safely relieve the pressure using sterile techniques, reducing discomfort and preventing further nail damage.

Use Pain Relief

Over-the-counter pain relievers such as paracetamol or ibuprofen can help manage discomfort. Avoid anti-inflammatory medication if you have conditions affecting blood clotting unless advised by a healthcare provider.

Monitor for Infection

Watch for signs of infection such as increased redness, warmth, pus, or persistent swelling. These may indicate the need for antibiotics or additional medical intervention.

Wear Protective Gear

When engaging in sports, heavy lifting, or using machinery, wear appropriate footwear or gloves. Protection can shield your nails from high-impact injuries and reduce the risk of subungual hematoma formation.

Cautious with Tools & Equipment

Use caution when handling doors, tools, or weights. Accidents involving fingers and toes commonly occur in domestic or workplace settings and can be avoided with greater awareness and care.

Maintain Proper Foot & Nail Care

Keep nails trimmed and clean to prevent snagging or accidental tearing. Avoid cutting nails too short or damaging the cuticle area, as this can make the nail more vulnerable to trauma and infection.

Use Proper Footwear

Choose footwear with a spacious toe box, proper arch support, and cushioning. Shoes that are too tight or rigid can increase pressure on the toes, especially during walking or exercise, raising the risk of nail injury.

Lewis Nurney

Lewis is a highly experienced podiatrist with over 5 years of practice in Singapore, bringing his expertise to UFIT's comprehensive Circle of Care. As Head of Podiatry at UFIT Club Street, he specialises in sports podiatry, innovative orthotics for adults and children (including 3D-printed custom insoles, Paediatric AFOs and SMOs for pediatric flat feet), and minimally invasive procedures.

A first-class honours graduate from the University of Huddersfield (UK), Lewis holds dual certifications in Extracorporeal Shockwave Therapy (ESWT), Diagnostic Ultrasound and Running Gait analysis. Previously with East Coast Podiatry, he now provides patient-centred care at UFIT, specialising in non-surgical management of conditions like Foot Pain, Plantar Fasciitis and Achilles Tendinopathy in both children and adults, ultimately focused on alleviating discomfort and restoring optimal foot function.

Elliot Yeldham

Elliott is a dedicated podiatrist with over 7 years of healthcare experience, gained in both the UK's National Health Service (NHS) and private practice. He holds an Honours degree in Podiatry from Cardiff Metropolitan University (Wales), and brings a wealth of expertise to Singapore.

Specialising in Musculoskeletal (MSK) podiatry, Elliott's interests include sport podiatry and the management of gait abnormalities in both adults and children. He is also recognised for his skill and patient-focused approach in minimally invasive procedures for ingrown toenails and wart removal. Committed to a patient-centred and multidisciplinary model, Elliott actively stays informed of the latest healthcare advancements through clinical research and international conferences.