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Doctor insights on: Toenail Trauma In Children

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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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What can cause a spontaneous avulsion of a toenail without trauma?

What can cause a spontaneous avulsion of a toenail without trauma?

Varies: Poor shoe wear, nail disease such as an underlying fungal infection, running long distances and many other conditions can potentially cause a spontaneous loss of a nail. Don't hesitate to see a podiatrist for a good exam. ...Read more

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Why is my big toenail black and blue at the cuticle? It hasn't changed in weeks and I can't recall any serious trauma to that area.

Why is my big toenail black and blue at the cuticle? It hasn't changed in weeks and I can't recall any serious trauma to that area.

See a doctor: My concern here is whether this is a bruise or something else. If you can't recall any trauma or wearing tight shoes, perhaps this is not a bruise. Melanomas can arise under the nail. Please see a doctor for an examination. ...Read more

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Removal of the big toe toenail, I have trauma due to it. What will happen if I don't get toenail removed in the future?

Removal of the big toe toenail, I have trauma due to it. What will happen if I don't get toenail removed in the future?

Nail will fall off: Your question is a little confusing, but I think you're asking what happens to your damaged nail if you don't remove it. A new nail will start growing from the back (near the cuticle). It will most likely grow under the damaged nail, ultimately forcing it to fall off--or it will kind of fuse and be two nails until the dead nail eventually grows out and you trim it off. This takes 6-12 months. ...Read more

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My toenail has fallen off 3xs now from trauma 2 yrs ago, nailbed seems to have shrunk down. Will I Ever get a normal nail back or is it forever fugly?

My toenail has fallen off 3xs now from trauma 2 yrs ago, nailbed seems to have shrunk down. Will I Ever get a normal nail back or is it forever fugly?

Take it.: You can always have the nail permanently removed. Many paint the "pseudo" nail that forms. Could be better to deal with. Ask a specialist that does nail surgery. ...Read more

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Thyroid problem? I've noticed my toenails have literally fallen off from the bed without trauma. Also my fingernails are lifting from the bed as well

Thyroid problem? I've noticed my toenails have literally fallen off from the bed without trauma. Also my fingernails are lifting from the bed as well

You nailed it.: There are a multitude of conditions that can cause toenails to become brittle, thickened, break off and even lift off from the nail bed. Both hypo and hyper thyroidism are included in the list of conditions. Of course, there are a whole lot of other symptoms associated with both of these conditions. If you feel that you might have a thyroid condition you should follow up with your family doctor. ...Read more

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Hello. I've noticed a light brown mark underneath my big toenail. No trauma that I can think of it does not hurt. Had melanoma on nose 5 yrs ago?

Hello. I've noticed a light brown mark underneath my big toenail. No trauma that I can think of it does not hurt. Had melanoma on nose 5 yrs ago?

See doctor: Melanomas can occur under nails. Given your history, it is prudent that you see a doctor to ascertain if the lesion needs to be removed. ...Read more

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Entire pinky toenail fell off, no recent trauma, no apparent fungal infection/discoloration. Randomly noticed it was hanging by a thread w/no pain.

Trauma or fungus: Very often we have trauma when we don't realize it, for instance with shoes, with sports or at night. The same goes for fungus or toenail disease, such as onycholysis.

I maintain that it was one of these 2 problems that likely caused your problem ...Read more

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My 20 mth sons big toenail fell off & his other big toe is lifting from nailbed. No trauma, fungus ruled out, nails are flat/spoon. Ideas on causes?

See below: Onycholysis is the separation of the nail plate from the nail bed. It can be caused by local problems like periungual warts or fungus (onychomycosis), but the most common reason for separation is trauma. However, some systemic diseases can cause this like psoriasis and hyperthyroidism. Have your pediatrician look into these possibilities. ...Read more

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Why do I have pinky toenail fungus? Is it bc my toe has some trauma from being inside a shoe? Or is it bc our new home encourages fungus growth?

Why do I have pinky toenail fungus? Is it bc my toe has some trauma from being inside a shoe? Or is it bc our new home encourages fungus growth?

Hold on a minute.: The nail on the little toe, because of it's precarious location, can often times thicken and become discolored. This does not necessarily mean that the nail has a fungal infection. It could be due to damage of the nail growth plate that is commonly disturbed by stubbing the toe or even chronic shoe pressure. To differentiate between the possibilities, have your nail examined by a specialist. ...Read more

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Is toenail melanoma on the nail bed, or within the nail? I had a bruise like spot (no trauma) appear, but was able to cut about half of it off.

Is toenail melanoma on the nail bed, or within the nail? I had a bruise like spot (no trauma) appear, but was able to cut about half of it off.

A streak: It appears as a dark streak in the direction the nail goes. If you have a concerning lesion under your toenail you should see your friendly dermatologist. ...Read more

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When trimming my toenails about two weeks ago, I cut my big toe nail very short now I see a pink line. Could it be Bacterial Endocarditis or trauma?

When trimming my toenails about two weeks ago, I cut my big toe nail very short now I see a pink line. Could it be Bacterial Endocarditis or trauma?

Local infection?: I wouldn't think endocarditis based on that. But it could be a local infection. When we cut nails too short; or pull off too much, we can tug some skin out with the nail, leaving a cut that can allow for the introduction of bacteria. ...Read more

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Can a full body impact trauma, cause over active bladder? & collapsed foot? What effects can full body impact truma cause?

Can a full body impact trauma, cause over active bladder? & collapsed foot? What effects can full body impact truma cause?

Here are some...: OAB has been common and its underlying causes are unclear for most cases. As to if high-impact body truama induces OAB, it remains unknown, but high impact (that is high acceleration or deceleration) may shatter all tissues including muscles, joints, and nerve fibers, from which it may potential leave behind its lingering effect. Analyzing the sequence of event & physical exam will help elucidate. ...Read more

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What can cause extreme pain in my foot with no physical injury? Feels like a bowlingball was dropped on it with no visible trauma.

What can cause extreme pain in my foot with no physical injury? Feels like a bowlingball was dropped on it with no visible trauma.

Possibly gout.: You should be seen by your podiatrist or family doctor. You should have your Uric acid checked as well as blood work to rule out an infection. Ask your family doctor if he has any previous Uric acids on you. ...Read more

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Foot is puffy near the malleolus, no pain except if I push the area near the tendon which is quite brim but has a normal color. No trauma.

Foot is puffy near the malleolus, no pain except if I push the area near the tendon which is quite brim but has a normal color. No trauma.

Tendinitis perhaps: Always hard to tell without actually examining it, but a overuse type of tendinitis can occur due to repetitive motion or sudden increase in intensity of a motion in a body part not used to it. General trwatment is ice 15-20 min 3 times a day and NSAIDs. Decrease your amount or intensity of activity, and if not improving after a few days to a week, see your doctor. ...Read more

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Could fibromyalgia symptoms result from a trauma to the leg/foot?

Could fibromyalgia symptoms result from a trauma to the leg/foot?

Possibly: The relationship of trauma to the onset of fm is a hotly debated subject. Imo, it can seemingly occur after modest trauma. ...Read more

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Can fibromyalgia symptoms result from a trauma to the leg and/or foot?

Can fibromyalgia symptoms result from a trauma to the leg and/or foot?

RSD: After trauma to a lower extremity, a condition called rsd may develop. Rsd is known as reflex sympathetic dystrophy. It can lead to a painful, cold limb. Fibromyalgia is a condition affecting more than one region. Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. ...Read more

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Have had tibia fibula and calcaneum trauma. Reconstruction has left me with twisted foot. Is this normal.

Have had tibia fibula and calcaneum trauma. Reconstruction has left me with twisted foot. Is this normal.

No: Seek further evaluation to explain why and where it is twisted. It may be post-traumtic deformity due to malunion of the fractures or arthritis. ...Read more

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I have vibration in my left foot, no trauma to foot. Could it be from sitting too much where I get back pain occasionally? I sit 12h a day at work

I have vibration in my left foot, no trauma to foot. Could it be from sitting too much where I get back pain occasionally? I sit 12h a day at work

Pinched nerve: Sounds like you may have a pinched nerve in the back Often patients will develop numbness, tingling, and pain that radiates from the back down the leg. Depending on the nerve that is pinched, it will affect different parts of the leg. Over time, weakness may develop as well. I would recommend getting it checked out. You may need an EMG and/or MRI ...Read more

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I have a hard bone like knot on top my foot below the ancle. It doesn't hurt and don't move no trauma. I've had it there maybe 2 years. What is it?

I have a hard bone like knot on top my foot below the ancle. It doesn't hurt and don't move no trauma. I've had it there maybe 2 years. What is it?

EXOSTOSES: (bony "bump"s) are very common on the foot (the most common place is the heel (Heel "spur"

Unless it causes a problem. (shoe fitting etc)
IGNORE it!
Hope this is helpful
Dr Z ...Read more

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Is it possible to have compartment syndrome in medial compartment of foot w/o trauma? Tested w/ stryker needle. +cs pressure of 41 (starting at 125)

Is it possible to have compartment syndrome in medial compartment of foot w/o trauma? Tested w/ stryker needle. +cs pressure of 41 (starting at 125)

Yes: Trauma is not the only reason a foot could swell, though likely the most common to cause the compartment syndrome.
With the reading obtained if accurate this would signify elevated reassure consistent with compartment syndrome. Clinical exam should help guide therapy. The two docs should come to a consensus or ask for a weird opinion. ...Read more

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Middle toe on 1 foot is swollen and hurts when I curl it (feels like a rock is under it). When unbent feels fine, all other toes are fine. No trauma?

Middle toe on 1 foot is swollen and hurts when I curl it (feels like a rock is under it). When unbent feels fine, all other toes are fine. No trauma?

Possible tendonitis: You may have a flexor tendonitis. If there are no color or temperature changes to the toe: ice it for about 10 minutes 3 times a day. Try taping it to the 4th toe to help reduce movement and wear shoes with a rigid sole. The less you move the toe the better it should feel and faster it should feel better. Icing will reduce inflammation and help with pain. ...Read more

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Hi. My pinky toe nail is darker than all the other toes. I noticed this about 10 months ago. The nail itself looks like a blackand blue with no trauma?

Hi. My pinky toe nail is darker than all the other toes. I noticed this about 10 months ago. The nail itself looks like a blackand blue with no trauma?

In the line of fire.: Trauma comes in all flavors. The fact that the little toe is where it's at offers it more low grade, unassuming trauma than the other toes. It takes only a minimal amount of pressure, applied over a longer period to traumatize the nail, nail nail or nail root. Give it it some time and see what develops before suspecting something worse. To remove all doubt, send a picture and use concierge. ...Read more

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My right foot is swollen for no reason? No trauma. Could it be infected?

My right foot is swollen for no reason? No trauma. Could it be infected?

Possibly: While infection may create inflamation with associated swelling, unilateral leg or lower extremity swelling is also associated with other conditions including a DVT and should be evaluated promptly. ...Read more

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I am normally healthy but after recent trauma to my foot (10 stitches to top of my foot) I have swollen foot after short time. What can I do?

I am normally healthy but after recent trauma to my foot (10 stitches to top of my foot) I have swollen foot after short time. What can I do?

See your Dr: Swelling is normal after any injury. Try elevating the foot & taking Motrin if medically allowed. If there is increased pain, redness, warmth, or purulent drainage from the wound, you might have an infection in which case you should see your dr as soon as possible. ...Read more