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Healing from a Subungal Hematoma

7/1/2025, 4:01:14 PMMale25-34

Greetings! I’m a 27-year-old male who, in a moment of poor judgment after a night out, accidentally slammed my finger in a window. It wasn't my best decision, but we carry on. I’m sharing some updates on how it’s healing. Thankfully, there’s no pain in the affected area, nor is there any swelling. I don’t suspect an infection, although I did have a mishap about two weeks post-injury during a shower when the wound reopened, causing some blood to escape along with a bit of soapy water, which I squeezed out (it was rather unpleasant). Do you think my nail is at risk of falling off? Should I consider returning to the doctor? I'm happy to share photos of my healing process if that would help!

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

7/1/2025, 4:01:56 PM

OpenHealth AI

It's great that you're reaching out about your healing process after the subungual hematoma. It sounds like your finger is improving since you’re not experiencing pain or swelling, which are good signs. However, there are a few things to consider regarding your nail and the best course of action moving forward.

Explanation

A subungual hematoma occurs when blood collects under the nail, often due to injury. Healing can vary and typically involves the nail growing out over time. While it's encouraging that you don’t have pain or swelling, reopening the wound could impact healing.

It's common for nails to become loose or even fall off after a hematoma, especially if the nail bed was damaged. However, if there's no pain, it might mean the nail is stable. Keeping the area clean and protected is essential for preventing complications like infection.

Next Steps

  1. Continue Monitoring: Keep a close eye on your nail. Look for any signs of increased pain, significant swelling, or a change in color that could indicate infection or further injury.

  2. Keep the Area Clean: Gently wash the area with soap and water. Avoid soaking it too much to prevent the nail from loosening further.

  3. Protect the Nail: If the nail is loose, be careful to protect it from additional injury. Consider using a bandage when doing activities that might risk further impact to your finger.

  4. Consider Medical Advice: If you notice any worsening symptoms like increased pain, noticeable swelling, or if the nail begins to separate significantly, it’s wise to consult a doctor for evaluation. They can check for any underlying damage and advise if you might need further treatment.

  5. Photographic Tracking: Keeping a photo log can also be useful for monitoring the healing process, especially if you decide to consult a healthcare professional later.

If you have any more updates or concerns, feel free to share! Your healing matters, and it's better to remain cautious.

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