Toenail Injuries: How to Know If It’s Serious

Toenail Injuries: How to Know If It’s Serious

September 23, 20252 min read

Stubbed your toe? Dropped something heavy on your foot? Toenail injuries are more common than you might think. Sometimes they’re just annoying, but other times they can be a sign of a bigger problem that needs treatment.

So how do you know if your toenail injury is something you can manage at home—or if it’s time to call a podiatrist? Let’s go through it step by step.

Common Types of Toenail Injuries

Toenails can get hurt in lots of ways. Some of the most common injuries include:

  • Bruised toenail (subungual hematoma): This happens when blood collects under the nail, turning it purple or black.

  • Cracked or split nail: Often caused by direct trauma or hitting the nail against something.

  • Lifted or loose nail: The nail separates from the nail bed, usually after a strong impact.

  • Completely torn off nail: Very painful and leaves the nail bed exposed.

  • Ingrown nail after injury: The nail grows into the skin after being damaged.

When It’s Probably Minor

Not every toenail injury needs a trip to the doctor. If your nail is just a little tender, has a small crack, or a light bruise, you can usually:

  • Clean the area gently with soap and water

  • Keep it dry and protected with a bandage

  • Trim sharp edges to avoid snagging

  • Wear roomy shoes to reduce pressure

Most mild injuries will heal on their own as the nail grows out.

Signs Your Toenail Injury Could Be Serious

You should reach out to a podiatrist if you notice any of these warning signs:

  • Severe pain that doesn’t improve

  • A large, dark bruise covering more than half the nail

  • Nail lifting completely off the nail bed

  • Pus, redness, or signs of infection

  • The toe looks crooked or you suspect a fracture

  • You have diabetes or circulation issues (even small injuries can be risky)

How a Podiatrist Can Help

A podiatrist can:

  • Drain a painful bruise under the nail

  • Treat or remove a severely damaged toenail

  • Check for broken bones in the toe

  • Prescribe medication if there’s an infection

  • Help prevent long-term nail problems, like thickened or ingrown nails

Getting professional care early can make healing smoother and prevent lasting damage.

Final Thoughts

Toenail injuries happen to everyone, but they don’t always need urgent care. The key is knowing when it’s more than just a bruise.

If you’re unsure—or if you’re in a lot of pain—it’s always better to play it safe and have a podiatrist take a look. At Premier Podiatry Clinic, we help patients with nail injuries heal quickly and comfortably so they can get back on their feet without worry.

👉 Call today or book an appointment online if you’ve hurt your toenail and want expert care.

Premier Podiatry

Premier Podiatry provides expert foot and ankle care to keep you moving pain-free. Led by Dr. Scott O’Connor, we share tips, treatments, and trusted advice to help you stay active and healthy from the ground up.

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