Toenail injury frequently occurs in athletes, marathon runners and sportsmen especially tennis players. It includes both the blunt and the sharp trauma. Blunt trauma is the type of injury in which no blood comes out of the skin; however blood vessels are torn beneath the skin accumulating the blood in it. Blackened nail is the term usually given by the layman to this type of injury. The toenail of athletes is in a continuous state of stress and pressure, which causes damage to the underlying capillaries.
A toenail injury can cause acute pain, and is a most unpleasant experience. Coupled with that, it doesn't look that good either. Therefore it's good to take necessary precautions to reduce the probability of suffering from an injured toenail, and the solutions are all common sense, ones that we should not ignore. For the unlucky few though, they will need to know how to manage these unpleasant circumstances
Some common toenail injury
Here we will discuss few common and serious toenail injuries requiring immediate management. Laceration of the toenail is one of them which occurs due to cutting or slicing of the nail and the skin surrounding it. Initial management of all toenail injuries is the same. It includes stoppage of the bleeding by applying a pressure bandage, securing the torn or broken part of the nail or skin and giving intravenous analgesics like dicloran or nalbuphine to relieve the acute pain.
Another devastating injury of the toenail is avulsion of the toenail which occurs when the long nail is grabbed in an object and is torn from the underlying skin. The suspending nail and the pain present a very terrible picture. After initial management as discussed, the piece of nail which has lost its connection from the skin is removed with the help of sterilized clippers. After that proper antiseptic dressing is applied to the toenail and a course of antibiotics is started. The new nail takes almost three to four weeks to grow and cover the skin completely.