Does nail trephination hurt?

Last Update: October 15, 2022

This is a question our experts keep getting from time to time. Now, we have got a complete detailed explanation and answer for everyone, who is interested!

Asked by: Selmer Mante
Score: 4.1/5 (21 votes)

Inadvertent contact of the trephination device with the nail bed is painful but does not cause enough damage to produce nail deformity.

Does draining a subungual hematoma hurt?

Drainage of a subungual hematoma is often accomplished with use of an electrocautery device or heated 18-gauge needle. However, this procedure can be very painful, requires local anesthetic and a heat source, and creates a small hole which can be easily clogged.

What happens if you leave blood under your nail?

In addition to discoloration, blood under the nail can result in pressure and pain, which can be relieved by a healthcare provider or podiatrist (i.e., "foot doctor"). Delayed treatment can result in nail deformity or infection.

How long does subungual hematoma pain last?

A minor subungual hematoma usually heals over time without treatment. The trapped blood will eventually be reabsorbed, and the dark mark will disappear. This can take 2–3 months for a fingernail, and up to 9 months for a toenail.

Are nail beds painful?

Nail bed avulsions are very painful and cause your finger to swell. Finger fractures are also common with this type of injury. If you have a nail bed avulsion, your nail will have to be removed if it hasn't come off during the injury.

Subungual Hematoma Emergency and Trephination Procedure

44 related questions found

How do you relieve pain under your nail?

To relieve pain from an injury to the nail, try the following:
  1. Apply ice and elevate the injured nail area as soon as possible after the injury.
  2. Trim a torn or detached nail, and tape the nail in place.
  3. Try to drain blood from under the nail if you have pain.

Should I cover an exposed nail bed?

It needs to be protected from injury for the first 7 to 10 days until it dries out and becomes hard. Keep it covered with a nonstick dressing or a bandage without adhesive. When a dressing is placed on an exposed nail bed, it may stick and be hard to remove if left in place more than 24 hours.

How do you treat a subungual hematoma at home?

How do you treat a subungual hematoma at home?
  1. Keep the affected hand or foot elevated (reduces the swelling).
  2. Apply ice wrapped in a cloth over the affected finger/toe.
  3. Compress the nail by wrapping a tight bandage around it (reduces the bleeding).
  4. Take over-the-counter analgesics to relieve the pain.

Should I drain subungual hematoma?

Subungual hematoma drainage is not necessary if the hematoma is not painful. If blood is spontaneously draining from the hematoma, drainage is also unlikely to be of additional benefit. In the presence of acrylic nails, electrocautery is contraindicated until the acrylic nail is removed.


Will a black nail grow out?

In mild cases, the black toenail will grow out naturally over time without treatment. In severe cases, such as when the nail begins to detach from the nail bed, a person should seek medical treatment.

What do you do if your nail is coming off the nail bed?

How is it treated?
  1. File any sharp edges smooth, or trim the nail. ...
  2. Trim off the detached part of a large tear, or leave the nail alone. ...
  3. Use scissors to remove the detached part of the nail if the nail is partly attached.
  4. Soak your finger or toe in cold water for 20 minutes after trimming the nail.

Does runners toe go away?

Runner's toenail often doesn't cause any symptoms other than discoloration. It often goes away by itself when you reduce your training load or switch shoes. In some cases, it may lead to the loss of your toenail.

How do you repair a damaged nail bed?

A person can often treat a minor nail bed injury at home by:
  1. removing all jewelry.
  2. washing the injured area gently with fragrance-free soap.
  3. bandaging the injury gently, if there is an open wound.
  4. applying an ice pack for about 20 minutes at a time.
  5. elevating the injured hand or foot.


How do I know if my hematoma needs to be drained?

Surgery. If you have a hematoma over your shinbone, your doctor may recommend surgery. If you have a large hematoma that doesn't go away for several days following your injury, your doctor might suggest that it be drained.

How do you drain subungual hematoma?

Most subungual hematomas can be relieved with simple trephination, a procedure which involves making a small hole in the nail. Unless the pressure is relieved, the patient may experience severe pain.

When should you drain a hematoma?

Sometimes, a hematoma may require surgical drainage. Surgery may be more likely if the blood is putting pressure on the spinal cord, brain, or other organs. In other cases, doctors may want to drain a hematoma that is at risk of infection.

How long does it take for a hematoma to reabsorb?

Gradually the blood in the hematoma is absorbed back into the body. The swelling and pain of the hematoma will go away. This takes from 1 to 4 weeks, depending on the size of the hematoma. The skin over the hematoma may turn bluish then brown and yellow as the blood is dissolved and absorbed.


How do I stop my nail from falling off?

Trim your toenails straight across (instead of rounding them off) and keep them even with the edges of your toes. Make sure your shoes are a thumb's width longer than your longest toe. Wear steel-toed boots or shoes if you work in an area that increases your risk of having something heavy fall on your feet.

Is a hangnail skin or nail?

A hangnail only refers to the skin along the sides of the nail, not the nail itself. Hangnails are common. Most people experience hangnails when their skin is dry, such as in the winter or after being exposed to water for a prolonged period. A hangnail can become infected if exposed to bacteria or fungus.

Do bruised nails always fall off?

Recovery. Unless the area of bleeding is very small, an affected nail will usually fall off on its own after several weeks because the pooled blood has separated it from its bed.

Why is there a hole in my fingernail?

Have you ever noticed little depressions in your fingernails or toenails? This is called nail pitting. It can happen for a number of reasons and is often related to nail psoriasis. You may also have discoloration of your nails or abnormal growth with this condition.


Can a lifted nail reattach?

After a nail separates from the nail bed for whatever reason, it will not reattach. A new nail will have to grow back in its place. Nails grow back slowly. It takes about 6 months for a fingernail and up to 18 months for a toenail to grow back.

What does Onycholysis look like?

If you have onycholysis, your nail will begin to peel upward off of the nail bed underneath. This is not usually painful while it happens. The affected nail may become yellow, greenish, purple, white, or gray, depending on the cause.

Can you suture through nail?

If the nail is completely transected, it is best to remove the entire nail to suture the nail bed. In this case, suture the proximal and lateral nail folds first for better approximation prior to repairing the actual nail bed. A sturdy needle (3-0 or 4-0) is needed to suture the nail back in place.