OpenHealth Q&A

It sounds like you have been through quite a concerning experience with your toenail, and your attention to it is completely understandable. The hard and swollen bump beneath where your toenail was likely forms as a part of the healing process after trauma, which can sometimes create new nail growth or cause other changes in that area.

Explanation:

The bump you are observing could be a few things, most commonly a hematoma (a collection of blood) that is resolving or an area of new nail matrix growth. Traumatic injuries to the toenail often lead to changes in nail growth or even the development of a new nail—including the potential for an ingrown toenail or irregular nail formations.

Next Steps:

1. Leave It Alone: Avoid picking at or applying unnecessary products (like Vicks Vaporub) unless advised by a healthcare professional. Instead, keep the area clean and covered if it’s sensitive.

2. Monitor Healing: Observe the bump for any changes over the next few days. If it becomes more painful, spreads in size, or shows signs of infection (increased redness, warmth, pus), it will need further attention.

3. Pain Management: If the bump is painful, over-the-counter pain relievers like acetaminophen or ibuprofen can help manage discomfort while you heal.

4. Footwear Choices: Wear open-toed shoes or sandals if possible, to avoid further irritation to the area. This will allow healing without additional pressure.

5. Consultation if Necessary: If the condition does not improve in a week or if you see any concerning changes, consider a follow-up with a healthcare provider. They can provide an accurate diagnosis and may treat any complications that have arisen.

It's great that you're being proactive about your toe health, and giving it time to heal is crucial. Let me know if you want more information on how to care for it in the meantime!