What is the treatment for subungual hematoma?

Ice, drainage. Usually it can be treated with ice to decrease the swelling along with nsaids but if swelling is more painful , a small hole can be placed in the nailplate to decrease the swelling and therefore help the pain.

Related Questions

What should I do about subungual hematoma?

Get it drained. This is one of the most satisfying treatments in a primary care office. Some doctors have a special drill to go through the nail. I have used a hemostat, a red hot paper clip and a lighter when in the field on a camping trip. The trick it to just go through the nail and not into the soft tissue below. The relief is instant. Read more...

Are the symptoms of subungual hematoma bad?

Rarely. This is a bleeding point underneath a nail, usually from trauma. Much of the pain is due to the trauma but the blood can also cause discomfort. If persistent, you can have the blood drained by having your doctor open a hole through the nail allowing the blood to exit. This is actually a painless procedure. Read more...
Sometimes. In most cases people will have these develop when they sustained minor trauma to the nail & may not feel it at all.However, moderate trauma like catching a finger in a door jam or other direct trauma can give rise to a pressurized/painful hematoma. I routinely open these in the office with a the heated pointed end of a paper clip.The hole releases the pressure & the pain leaves. Read more...

What is the definition or description of: subungual hematoma?

Blood beneath . . . The nailbed. Trauma to the nailbed (as from an inadvertent hammer strike) can split the soft tissues of the nailbed, causing bleeding, but the collection of blood is prevented from escaping by the adherent nail to the remainder of the nailbed. Drilling or burning a hole can let the blood out, relieving pain, but repair of larger naibed lacerations is needed to prevent nail growth abnormalities. Read more...
Subungual Hematoma . This term refers to blood collection beneath a nail. It can involve finger or toenails and typically requires some form of trauma or injurious force. Read more...

Any over-the-counter help for someone with subungual hematoma?

Pain meds, but... A dermatologist (or other trained doc) can drain the hematoma through the nail; safe and relatively easy. Don't try this at home. Read more...
Tylenol (acetaminophen) + paper clip. Best way to deal with a subungual hematoma is to get a paper clip, bend to a right angle, heat till end red hot + push the end through the nail in center of hematoma. Paper clip will burn a hole through the nail and immediatly cool off when it contacts the blood.. Blood will escape around clip + through the hole when clip is removed. Immediate relief. Won't even need tylenol (acetaminophen) or ibuprofen. Read more...

With a subungual hematoma.... How come sometimes the blood is black and sometimes it is brown? Is one better than the other?

No. Normal course of resolution of hematoma anywhere in the body is change in color from black/ blue to brown to greenish to pale yellow to disappear. That is just how blood cells in the clot ( or hematoma) disintegrate. No other clinucal relevance. Read more...

Is it best to do needle drainage for subungual hematoma or to let it heal on its own?

Drain it. These things hurt terribly. I don't use needle drainage: too slow and painful. I use a heated (to red hot) bent paper clip to puncture the nail. Takes less than a second and the relief is instantaneous. There is no pain from the heated paper clip. Looks barbaric but works well. Read more...
It depends. How much of the nail has the blood under it and if it is painful. Read more...

Are any special tests needed, or can a regular doctor see me for my subungual hematoma?

Regular MD. Most bleeding under the naill comes from trauma. Usually nothing is needed (cold packs during the acute phase is helpful). If the finger is painful, you might need drainage. This can be done painlessly by your regular doctor. Read more...