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Doctor insights on: Toenail Soft Spots

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What causes white spots to form on toenails?

What causes white spots to form on toenails?

Think nail fungus: What you are describing sounds consistent with a nail fungus, or onychomycosis. See a podiatrist or dermatologist to talk about your treatment options. They may include medication, laser, or surgical options (if severe). ...Read more

Dr. Arnold Beresh
340 Doctors shared insights

Toenails (Definition)

Toenails are the hard coverings at the end of the toes. Nails are made out of a protein called keratin. They function to protect the end of the toe and to increase sensitivity of touch. Good nail care is important to prevent ...Read more


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I have 2 small black spots at the base under my middle toenail. I don't recall banging it but was stepped on once. I don't know if it has grown?

I have 2 small black spots at the base under my middle toenail. I don't recall banging it but was stepped on once. I don't know if it has grown?

Trauma: It is nit unusual for that discoloration to occur under a toenail that has been traumatized and it may last weeks. If you have more concern, consult a podiatrist for evaluation and advice. ...Read more

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Purple spots on both big toenails after wearing heels last night. No pain nor swelling (but both in the exact same place). Will they go away??

Purple spots on both big toenails after wearing heels last night. No pain nor swelling (but both in the exact same place). Will they go away??

Nail trauma: These will slowly progress and fade as your nails grow out. They are likely related to trauma, as you suggest, as the changes are symmetrical. ...Read more

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My toenails have some red spots. I wonder what is this and how to treat it? Would appreciate any advice, also have pics.

Get checked out: Nails reveal many things.diabetes, peripheral vascular disease, smoker vs nonsmoker. Gastrointestinal cancer and the list goes on. Go see a podiatrist and let her biopsy it. ...Read more

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I've got two tiny dark spots under my big toenail, around it the nail is red and there's pain when pressure is applied, what could it be?

Bruising: It could be tiny bruises, but you should be seen and evaluated for the redness. If the dark spots have been in place for a while see a dermatologist. If they suddenly appeared with the pain it may just be a bruise.
Have it looked at by your doctor. ...Read more

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I have 1 spot in each big toenail and is purple/red color the spots are gettin darker and it don't hurt at all Both are By the same place of the nail?

I have 1 spot in each big toenail and is purple/red color the spots are gettin darker and it don't hurt at all Both are By the same place of the nail?

Fungus: With no history of injury, it is most likely a fungal infection. There are other possible causes as well. I would not hesitate to be seen and treated for it. ...Read more

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I experienced black spots on my toenails a few weeks ago, and just now noticing my toe nail is coming off, and has gross stuff underneath it.?

I experienced black spots on my toenails a few weeks ago, and just now noticing my toe nail is coming off, and has gross stuff underneath it.?

Be seen: Multiple potential causes, probably among the more common is a fungal infection. I would not hesitate to be seen for an accurate diagnosis and treatment options. ...Read more

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Under skin red spots on end of big toe. Also have toenail fungus on same toe.

Under skin red spots on end of big toe. Also have toenail fungus on same toe.

Red dots: Near toes could be an extension of fungus onto the skin from your toenail. Get some help and see a podiatrist or skin doctor for more clarification and treatment. ...Read more

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I am losing large amounts of head hair, toenails falling off, many blood spots inside arms, fatigue and joint pain?

I am losing large amounts of head hair, toenails falling off, many blood spots inside arms, fatigue and joint pain?

You need to see a DR: For a comprehensive medical evaluation. Anything is possible - arthritis, thyroid disorder, blood disorder, autoimmune condition etc. Hope u feel better! ...Read more

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I have a black spot under my toenail. If it's growing out should I be concerned. I?

Bruise: Sounds like you have a subungual hematoma, also knows as a bruise under your nail. This occurred due to trauma. The nail usually takes between 12-18 months to grow out fully so eventually that spot will grow out and you will be able to cut off the nail. ...Read more

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I have a brown spot on my toenail... it has been there for two weeks I have no idea what it is should I get medical help?

Brown spot: This may be due to some toe nail trauma from shoes and may persist for a more prolonged period. Nevertheless if it shows no signs of fading, have it examined by a podiatrist or a dermatologist to be sure. ...Read more

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Hi. I noticed a black spot in my left toenail. It does not hurt or pain or irritate. But I'm afraid what that is. Please help me. Is this something ba?

Subungal hematoma: These are due to injury, bleeding under the nail. These will grow out as your nail grows. If it is a tumor which can happen, this spot will stay in the same area and not move as the nail grows. If this occurs, please see your physician. ...Read more

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At the nail shop, I notice a small greenish spot under my big toenail. (•) Weeks later it got a tad bigger (●) No pain. What could this be?

At the nail shop, I notice a small greenish spot under my big toenail. (•) Weeks later it got a tad bigger (●) No pain. What could this be?

A number of things: The toe nail is tightly adhered to the nail bed most of the time, but slight separations can allow bacteria and fungus to reside there. This is usually not a major issue, depending upon your symptoms. A bacteria known as Psuedomonas Aeruginosa has such a pigment and can show up in a number of places, even a bar of soap. If symptoms presents, simple treatment includes Antibioics and topicals. ...Read more

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My second toenail is dead and yellowish and nearly ready to fall off, a small dark spot can be seen at the base of my nailbed. What do you recommend?

My second toenail is dead and yellowish and nearly ready to fall off, a small dark spot can be seen at the base of my nailbed. What do you recommend?

Nail injury: Seeing a photo would be best to help diagnose and give proper treatment. You may possibly need the nail removed and preventative treatments for the discoloration and likely fungus. ...Read more

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In each big toenail I got one purple red stop...in total I got two. The one spot in each toenail is in the exact same place as the other toenail help?

Not a problem: If there is a purple spot in the large toe nail it probably means trauma. The timing must be identical to occur in the same location under the nail. The purple spot is most likely old blood under the nail and will go away as the nail grows out.
Best wishes. ...Read more

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I have one. Purple red spot in the middle of my toenails it just appear out of the no where and they don't hurt at all in both of my toenails one spot?

I have one. Purple red spot in the middle of my toenails it just appear out of the no where and they don't hurt at all in both of my toenails one spot?

Bruise: It sounds like a contusion. Did u drop something on your toe? A contusion is a small pinpoint bruise. It doesn't always hurt and will eventually fade away. In the meantime you should see a podiatrist to confirm. ...Read more

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Do I see a podiatrist or dermotologist for a spot under my toenail?

Do I see a podiatrist or dermotologist for a spot under my toenail?

Do I see a podiatris: Either one can perform a culture or a biopsy to find out the course of the problem, however a podiatrist sees more feet and might be more specific and quick to diagnose your problem. ...Read more

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I have a small black spot under my left big toenail, it doesn't hurt. What is it and how do I get rid of it?

Depends on diagnosis: It could be a fungal or bacterial infection. It could be bruising due to tight shoes or trauma. It could be a pigmentation of the underlying skin. It could be a skin disorder or melanoma, or it could be one of a number of many other possibilities. Have your feet checked out by a professional. Treatment depends on the diagnosis. ...Read more

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I have a black dot under both my big toenail, it is on the same spot on both toes. I only discovered it a few months ago and its worrying me.

I have a black dot under both my big toenail, it is on the same spot on both toes. I only discovered it a few months ago and its worrying me.

Probably a hematoma: Most likely a subungal hematoma do to micro trauma from an ill fit shoe. If it is the spot will move out as the nail grows out. It is highly unlikey that it is a melanoma since it appearing on the same toe on different feet.

See a podiatrist or ortho foot specialist. A dermatologist also can be consulted ...Read more

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Black tiny spot on my small toenail. I cut the nail portion off and dark spot came off with the nail. But left a pinkish wound on the skin. Wat is it?

Black tiny spot on my small toenail. I cut the nail portion off and dark spot came off with the nail. But left a pinkish wound on the skin. Wat is it?

Open vs closed sore: Somehow the skin was injured. It bled and that is why the nail had a dark spot. It was just blood. If the pink spot is still draining, you have a small ulcer that needs topical antibiotic and band aid. If there is no drainage, it is new skin and healing. ...Read more

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I removed my toenail polish after a month n both toenails had a black spot. I haven't dropped anything on my toe&its not painful. Wat could the mark be?

I removed my toenail polish after a month n both toenails had a black spot. I haven't dropped anything on my toe&its not painful. Wat could the mark be?

Have it checked..: By leaving polish on the nails for prolonged periods, fungi or even bacteria can become entrapped along the nail and begin to infect the nail itself. There is also the remote possibility of pigmented lesion beginning to show itself. To remove all doubt, have your nail evaluated by a specialist. ...Read more

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I have a black spot on my second toenail, I've had the same thing before on my opposite foot, but it went away, I was just wondering what it could be?

I have a black spot on my second toenail, I've had the same thing before on my opposite foot, but it went away, I was just wondering what it could be?

Get examined...: Without being able to see the toenail, its hard to say exactly what you have. It can be as simple as a bruise or toenail fungus or it can be something serious like melanoma type skin cancer. You should see your primary care doctor for an examination and evaluation. He might say, "don't worry" or he might refer you to a podiatrist or dermatologist. Take care! ...Read more

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I have a small black spot under my big toenail on my right foot. It's only been there for about 2/3 weeks. I haven't banged it.

I have a small black spot under my big toenail on my right foot. It's only been there for about 2/3 weeks. I haven't banged it.

This could be a melanoma.: Although this is relatively unlikely, it is the only potentially serious diagnosis that would concern me. I would circle it with a sharpie, but not mark directly over it. Although the nail grows slowly, this may aid your physician in making an accurate diagnosis. A melanoma will not move with the nail. In any case, you should not ignore it. ...Read more

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There is a blue/black spot under my big toenail and I don't know what it is. I removed my nail polish today and saw it, and am now very concerned.?

There is a blue/black spot under my big toenail and I don't know what it is. I removed my nail polish today and saw it, and am now very concerned.?

Photo documentation.: A black/ blue spot under the nail in a 16 year old is probably nothing more than a bit of dried blood trapped under the nail. This could be the consequence of a minor bump of the toe of a pressure injury. Without actually seeing it, I guess it could be something else, but I doubt it. To remove all concern, you might have a physician take a look at it. ...Read more

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A small blue-green circular spot underneath my toenail, in the middle. I discovered it when I removed my polish. I also have vaginal candida. Fungus?

A small blue-green circular spot underneath my toenail, in the middle. I discovered it when I removed my polish. I also have vaginal candida. Fungus?

Maybe: The two aren't related, however. Which is to say, that the candida in your vagina is albicans (most typically) and the candida (if that's what it is) on your toenail would be a different species of candida. Unless you have diabetes or some other medical condition that puts you at risk for getting candida in multiple areas of the body at the same time, the 2 aren't related. There is cream for toe! ...Read more