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Nail Subungual Hematoma Treatment
Professional care for nail injuries to relieve pressure, reduce pain, and support healthy nail recovery.
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Causes of Nail Subungual Hematoma
Various factors, ranging from sudden accidents to chronic habits, can cause the trauma that leads to a subungual hematoma.
This is the most common cause of subungual hematoma. A single, direct blow to the nail, such as dropping a heavy object on your foot, stubbing your toe forcefully against a hard surface, or slamming a finger in a door, can instantly rupture blood vessels and cause bleeding beneath the nail.
Chronic, repeated impact can also lead to a subungual hematoma, particularly in the toenails. Activities like long-distance running or sports that involve frequent and sudden stopping (e.g., tennis, soccer) cause the toes to repeatedly hit the front of the shoe, leading to subtle but persistent trauma.
Shoes that are too tight or have inadequate toe room can compress the nails and nail bed. Over time, this pressure can cause trauma that results in a subungual hematoma, particularly during prolonged walking or exercise.
Frequent biting or picking at the fingernails or toenails can weaken the nail structure and injure the surrounding skin. These habits may cause minor trauma that leads to bleeding beneath the nail or increase the risk of secondary infections.
Certain medical conditions, such as blood clotting disorders, diabetes, or peripheral vascular disease, can make nails more prone to bleeding or bruising, even with minor trauma. Individuals with these conditions may experience subungual hematomas more easily and may require medical review to rule out complications.
Step 1: Thorough Assessment
We conduct a thorough examination to assess the extent of the nail injury and identify any underlying damage.
Step 2: Customised Management Plans
Based on the evaluation, we develop a tailored management plan to address your specific needs, focusing on pain relief, wound care, and prevention of complications.
Step 3: Nail Drainage or Nail Removal
Our trained and experienced podiatrists are skilled in performing nail evacuation and other minor surgical procedures to alleviate pain and promote healing.
Step 4: Preventative Education
We provide education and guidance on proper nail care, footwear choices, and injury prevention strategies to minimise the risk of future nail trauma.
Advanced Technology
As a leading podiatry clinic in Singapore, we stand out by offering advanced gait analysis and in-house 3D-printed insoles, all accompanied by a comprehensive report to provide unparalleled insights into your lower limb biomechanics.
Elite Care for Every Individual
Our podiatry services offer personalised, evidence-based care for a wide range of individuals, including athletes, adults and children. So if you’re experiencing lower limb pain, our expert team can provide comprehensive support to get you back to doing the things you love.
Team of Experts with Optimal Results
We offer more than just solutions for your injury or pain. Through UFIT's integrated Circle of Care, you gain access to our team of expert podiatrists and other healthcare professionals, bringing together a vast range of experience and knowledge to achieve optimal outcomes for your foot and lower limb health.
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.
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.
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.
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.
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.
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.
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.
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.
Our Approach to Nail Trauma & Subungual Hematoma Treatment
At UFIT Podiatry, we specialise in providing comprehensive care for nail trauma and subungual hematoma. Our approach includes:
Step 1: Thorough AssessmentWe conduct a thorough examination to assess the extent of the nail injury and identify any underlying damage.
Step 2: Customised Management PlansBased on the evaluation, we develop a tailored management plan to address your specific needs, focusing on pain relief, wound care, and prevention of complications.
Step 3: Nail Drainage or Nail Removal Our trained and experienced podiatrists are skilled in performing nail evacuation and other minor surgical procedures to alleviate pain and promote healing.
Step 4: Preventative EducationWe provide education and guidance on proper nail care, footwear choices, and injury prevention strategies to minimise the risk of future nail trauma.
Price List
Please note, our prices are inclusive of GST.
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