Portsmouth Foot & Ankle - Blog
Let me guess ... you dropped something on your toe? ... or stubbed it on a piece of furniture? Fortunately, after the inital pain, these clumsy little mishaps generally cause no further discomfort. However, sometimes the trauma will cause painful bruising (subungual hematoma) under a nail.
Subungual hematomas usually occur as a result of trauma or jamming. Jamming is seen a lot in athletes and can be called “runner’s toe”. The injury causes blood to pool underneath the nail between the nail plate (your actual nail) and the nail bed (the soft tissue the nail plate attaches to). Just a small portion of the nail can be involved or the entire nail can become bruised.
The underlying bruising can cause infection or pain. Subungual hematomas that are painful or affect greater than 50% of the nail should be removed so that a new nail can grow in without issue. When the nail is not removed a new nail will grow in causing the old, bruised nail to become loose and fall off on its own. If a high force trauma occurred there may even be an underlying fracture of the bone and should be ruled out through an x-ray.
A new nail will take up to 6-12 months to come in. So unfortunately, it is going to be a while before your toe looks normal again.
Remember that no foot pain is normal!
If you’ve developed bruising under your nail and are concerned please give us a call (or Appointment Request) for an evaluation today.
What can I expect with bunion surgery?
Things to take note of:
WHAT IS THIS GROWTH ON MY TOE?
... a mucoid cyst!
Dr. Clark is on the blog today answering... "How Do I Trim My Toenails?"
Toenail trimming may seem like a simple concept, but there are certain things you should do to prevent a disaster in your toes.
Improper trimming of toenails can lead to ingrown toenails, pain, and infection.
First and foremost, you should never “rip” the end of the toenail off. Imagine picking at the small peeling edge of a strip of wallpaper only to find it becoming a much larger portion than you expected. Tearing away an edge of toenail may track into the sides of the toe and expose the underlying flesh to infection and pain. This can also lead to ingrown toenails.
Often I hear the question “How far should I clip into the sides?” My answer: "do not clip into the sides of the toenails”. The end of the nail should either parallel the end of the toe or be straighter. If there are sharp points on the edges left, a nail file should be used to round them over. Clipping back into the corners or sides of the toenails may create a spike that digs into the toe as the nail grows forward (see picture).
Ingrown toenails typically require a procedure to remove the offending spike of toenail. If you have highly curved toenails that dig into the sides of the toe, go see your podiatrist for evaluation.
Always trim toenails with clean, sharp equipment. Dull nail nippers can cause splitting.
In conclusion, proper nail trimming can save your toes from problems down the line. If you are already experiencing pain from a toenail, visit your podiatrist.
HOW DO I WASH MY SNEAKERS?
We were never taught how to tell our patients to wash their shoes in podiatry school but it’s a question I get asked ALL the time- and for good reason. Sneakers can get nasty. Let’s all face it our sneakers take a beating! Internally from all the sweat and externally they tromp through mud, dirt and grass. Two of my least favorite things are when I take my new sneakers out for a few runs and they look 6 months old and when my kids come home from school with their new sneakers completely filthy.
I’ve tried a few methods at cleaning my families’ sneakers and here are my personal tips for keeping your sneakers clean and looking new!
SPOT WASH - if there are just small areas to clean I use water mixed with laundry detergent and take a toothbrush or bristle brush and scrub it out. This is a good technique for marks on the soles but tougher on the deep dirt.
WASHING MACHINE - (this is my favorite) - unlace the shoes because junk builds up in the eyelets and put them in a pillowcase or laundry bag to prevent them from twisting around things. Get as much of the dirt and debris out of the soles as you can. Take the inserts out and throw your sneakers, inserts and bagged laces in with a couple old towels to prevent banging. Set the wash on delicate. Use liquid detergent and cold water.
DRYER? - To dry or not to dry… I personally like to air dry. I’ve put sneakers in the drying before (either with a special rack or with the towels) and I think it affects the material. Don’t get me wrong when my kids need there sneakers back quickly or I’m washing an old pair they go right into the dryer but I find the material shrinks down a bit and becomes weaker. I like to put the sneaker and inserts separately in the sun or on the counter and let them air dry.
Lace them up and it’s like you’ve got a brand new pair of sneakers!
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