Someone in my family had a standard food can (weighs 400 grams) fallen on the biggest toe of her feet.

Under the nail is now blue and the nail is somehow popped up, there is some blood under it too, but it seems that it has dried.

What should be done in such cases?
Are there an over-the-counter stuff to ease the pain and get rid of the blue colour?

I told her to apply some ice on it, but it has been there for days and it does not look pleasant.

Any advice?
Thanks.

It happened to me once, i couldnt walk properly but couldnt do anything about it ! the blue color stays for about 2 or 3 months but the pain will ease in a few weeks :) that's if her case is the same as mine.

Under the nail is now blue and the nail is somehow popped up, there is some blood under it too, but it seems that it has dried.

What should be done in such cases?
Are there an over-the-counter stuff to ease the pain and get rid of the blue colour?




1- The collection of the blood is what causes the dark blue/purple appearance & is is called subungual haematoma

2- What should be done depends on the type & severity of the injury, if the nail is still attached & adherent to the nail bed then only symptomatic management with over the counter NSAID's such as Olfen or Brufen

If the nail is seperated then you should attend the A&E & the nail plate should be removed under a local block

The injury you mentioned in unlikely to cause a fracture of the distal part of the toe

http://www.refhelp.scot.nhs.uk/dermatology/images/nail_dystr_pic2_files/image002.jpg

Blood collection will be resolved by body enzymes.. it takes some time..

however if there is a damage to the nail, then it should be assessed since it can lead to nail bridging ( an ugly non-smooth nail surface).. consult plastic surgeon

Thanks everybody.

1- Attached is a photograph of the nail. Don't be terrified :p
Do you think she needs to see a doctor? And is nail bridging expected in her case?

2- Should she take Olfen for the pain or for the inflammation? Because the pain in imnor now.
She is hypertensive and is over 50 years, so is it safe for her to got for Olfen or Brufen?

Many thanks :)

if the pain is minor and she is not feeling a discomfort then i suggest not give the pain killer.
Ibuprofen can cause stomach problem. There are some reports showed that Ibuprofen aggravates hypertension specially in elderly people. If there is a need, then she can take few tablets.


one of the problem can be associated with that nail, is infection. Blood collection can attract bacteria and fungi and this can cause problem. Thus it is advised that the nail bed should be removed and cleansed.

Thanks everybody.

1- Attached is a photograph of the nail. Don't be terrified :p
Do you think she needs to see a doctor? And is nail bridging expected in her case?

2- Should she take Olfen for the pain or for the inflammation? Because the pain in imnor now.
She is hypertensive and is over 50 years, so is it safe for her to got for Olfen or Brufen?

Many thanks :)

1- She should have attended the A&E right after the injury for a better treatment & prognosis. There is a large haematoma that should have been managed early. As FaHad advised, consult a plastic surgeon

2- Many Dr's start their patients whom are hypertensives with good control &/or diabetics, on low doses of Aspirin, daily single dose of 75 mg or 81 mg, Brufen belongs to the same group as Aspirin (NSAID's), it should be safe when taken only when necessary & with meals. Should be avoided only if some clear contraindications such as history of GI bleeding,gastritis/ulcer or asthma...etc

And those drugs are working for both the inflammation & pain

However, she should consult her Dr before starting any drug

Many thanks brothers.
I'm trying to convinve her to see a doctor.

"nail bed should be removed"
You mean thw whole nail is removed?
How long does it take for the new nail to grow?


Thanks again.