Should I Worry?
Age: 19, Female. Over a month ago, I inadvertently stepped on a metal buckle from a Boy Scouts belt. This incident led to the formation of a painful red circle on my foot, which made it nearly impossible for me to put any weight on it. Subsequently, the area darkened significantly, turning completely black. Currently, I have noticed that this black discoloration has begun to extend beneath the skin, beyond the original red spot. To clarify, the affected region is entirely flat—there’s no swelling. It’s not forming a scab or anything similar. Strangely, there was no bleeding whatsoever, even when it initially happened.
Answers (1)

7/29/2025, 5:50:33 AM
OpenHealth AI
It's understandable to be concerned about a painful and changing spot on your foot, especially after an injury. Based on your description, it sounds like you may be experiencing bruising and tissue damage resulting from stepping on the metal buckle. The dark discoloration that is extending beneath the skin could be related to blood pooling or bruising following the injury.
Key points to consider:
- Injury Impact: The initial injury likely caused bleeding under the skin (a bruise) which may explain the red circle and subsequent black discoloration.
- Flat and Non-Swollen: The fact that the area is flat and not swollen can be reassuring; however, the extension of the discoloration is worth monitoring.
Next Steps:
- Monitor Symptoms: Keep an eye on the area for any changes. If the discoloration expands significantly or you notice new symptoms like severe pain, swelling, or fever, these could indicate an infection or more serious injury.
- Limit Activity: Avoid putting weight on the affected foot as much as possible to allow the area to heal. Rest can help reduce further irritation.
- Cold Compress: Applying a cold pack wrapped in a cloth for 15-20 minutes at a time can help reduce pain and inflammation.
- Pain Management: If you're in pain, over-the-counter pain relievers like ibuprofen or acetaminophen may help. Be sure to follow the recommended dosages.
- Monitor for Healing: Observe how the area looks over the next week. If it doesn’t start to improve or if it worsens, it may be necessary to seek medical attention.
While it's likely that the injury will heal with time and rest, your comfort and health are the priorities. If your concerns increase or there’s little improvement, don't hesitate to look for further advice.
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