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June 18, 2013
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Subungual Hematoma (Bleeding Under Nail) (cont.)

Medical Author:
Scott D Fell, DO, FAAEM
Medical Editor:
Jerry R. Balentine, DO, FACEP
Jerry R. Balentine, DO, FACEP
Jerry R. Balentine, DO, FACEP

Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.

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Subungual Hematoma Treatment

Self-Care at Home

  • Ice, elevation (keeping your arm or leg above the level of your heart), and pain medications are recommended for minor hematomas. Wrap ice in a towel and do not apply ice directly to skin. A bag of frozen vegetables (corn or peas) wrapped in a towel works well.
  • If the hematoma involves more than 50% of the area of the nail, then medical attention is needed.
  • If the nail was removed by the injury and the nail bed wasn't cut, the following home treatment is recommended until the nail bed begins to be less sensitive, usually in seven to 10 days.
    • Twice daily soaks with antibacterial soap and water for 10-15 minutes
    • After soaks, application of a topical antibiotic ointment (such as Neosporin) and a dry sterile bandage (Band-Aid)

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Subungual Hematoma (Bleeding Under Nail) - Causes

The eMedicineHealth physician editors ask:

What was the cause of your subungual hematoma?

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Read What Your Physician is Reading on Medscape

Hand, Subungual Hematoma Drainage »

Subungual hematomas are common nail bed injuries caused by blunt or sharp trauma to the fingers or toes.

Read More on Medscape Reference »


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