A toenail may turn black after the toe is hit, crushed, or pressed repeatedly inside a tight shoe, common among runners. The dark color usually comes from blood trapped under the nail after the area beneath it has been injured. As this blood builds up, it can cause throbbing pain from strong pressure. A podiatrist will examine the black toenail, check how well the toe moves, and make sure blood flow to the area is normal. An X-ray may be taken to see if the bone at the tip of the toe is broken. If pressure under the nail is causing pain, a podiatrist can create a tiny opening in the nail to gently drain the trapped blood and relieve discomfort. In more serious cases, part of the nail may need to be removed so the damaged tissue underneath can heal properly. This can also reduce the risk of nail changes later. If you notice a toenail that has changed in color, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.
Toe pain can disrupt your daily activities. If you have any concerns, contact Jennifer M. Kern, DPM of South Carolina. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Causes Toe Pain?
Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.
Toe pain can be caused by one or more ailments. The most common include:
- Trauma
- Sports injury
- Wearing shoes that are too tight
- Arthritis
- Gout
- Corns and calluses
- Hammertoe
- Bunions
- Blisters
- Ingrown toenails
- Sprains
- Fractures (broken bones)
- Dislocations
When to See a Podiatrist
- Severe pain
- Persistent pain that lasts more than a week
- Signs of infection
- Continued swelling
- Pain that prevents walking
Diagnosis
In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.
If you have any questions please contact our office located in West Columbia, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
