First Aid response: How to deal with Toenail trauma
A purple or black nail (without the use of nail polish, obviously) tend to appear after a strong trauma or hit to that area, but it also may occur frequently in certain moments of time because of the constant “micro trauma” cause bruises under the nails that are translated in the presence of purple with accumulated blood, this is fairly common on runners. This condition is both unsightly and uncomfortable, and if it is not dealt with on time could lead to the loss of the nail.
Stubbing your bare feet is a common house holds injury that can happen to any of us. Banging your tome against some furniture, a door that closes and hits our big toe, a book that fall directly at our feet, there are many possible scenarios that could happen at any given point that could leave us with a injured toenail. A heavy blow to a toenail or the finger can cause us great pain but in addition, and depending on the intensity, it can provoke a fracture. To determine the severity of the injury, you must first try to move your toe, before anything, that should be the very first step. If you feel a lot of pain and are unable to move the toe, it might be broken, and then the best possible scenario would be to go to the emergency room to have it looked at by a doctor.
After a fracture is ruled out, the next step to deal with the injury is to apply a cold pack on the impacted area to help soothe the pain and reduce the inflammation. If the affected toe also has some cut and it is bleeding, it will be important that before wrapping it with a gauze or a towel (if a gauze is not available) or put it in water stop the bleeding. Wrap the finger and apply some mild pressure on the wound, also if the bleeding is considerable, raise your foot above the level of the heart for the bleeding to cease.
After ice has been applied and any possible bleeding has been controlled, you may take some OTC pain medication. It is crucial that you keep the toenail clean constantly to prevent it from becoming infected. The toenail might afterwards get a purple or black color due to the blood accumulated in the area. It is advisable that you consult with a doctor to perform this safely. However those who are more inclined to deal with it at home you can do so with a syringe.
You will need alcohol or iodide to disinfect the area. Use the syringe to perforate the nail (it shouldn’t hurt) very carefully so you don’t touch the skin underneath the nail. Once it is done you will be able to drain the accumulated blood and the toenail will eventually return to its original color. After this procedure is done, keep the wound clean as often as possible, apply any form of antibiotic cream, or lotion to care for the affected area and wrap the toe with a gauze. If the pain persists and you notice that the toenail might fall off or if it doesn’t change color it is strongly advised for you to contact your doctor.