A member asked:

Hi, a bench fell on my daughters toe last night. it is blue on the toe nail since last night. but this morning on the toe knuckle of the toe as well. she is in more pain this morning. what can i give her for the pain? she is 5year old.

3 doctors weighed in across 2 answers
Dr. Cathleen O'farrell answered

Specializes in Family Medicine

Toe pain: Put her in the stiffest soled shoe you have. If toe is in the right position, it will heal even if it is broken if splinted by stiff soled shoe. Blood under her toenail causes pressure and is painful. It is hard to make a hole in the nail without a cautery tool that is in the office but this often relieves the pressure and pain.

Answered 1/5/2019

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Have her seen: The blue nail is caused by a blood buildup underneath. A simple office procedure can drill through the nail & release the pressure, reducing the pain & possibly saving the nail. Ibuprofen may help some as would a cool compress, but I see such relief from these kids once the nail pressure is released it is worth the effort. If you wait more than a day or so it won't help.

Answered 1/5/2019

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