At some point in their life, everyone is pinching or smashing their fingertips under or between something. It's just a part of life (ouch) !! If it was not for the nail, the wounds would probably heal in a few days as a common bruise and have no lasting effect or pain. However, as the tips of the fingers are very vascular, minor trauma, such as a crush injury or a fingertip, will easily bleed them under the fingernail. Your skin and anatomy of the nail naturally seal this area under the nail and do not allow the blood to drain. The blood thus accumulates in the nail bed, causing an increase in pressure and intense throbbing pain. This is so that the nail darkens, and you can often feel the throbbing pain of your injury, with each heartbeat.
Treatment and Expectations: Immediate treatment includes ice and limb elevation to minimize swelling of the injury. Sounds easy? Well read! The next part is not for the faint of heart.
If the blood mass under the nail is painful and you feel a pulsating sensation (your pulse), relief can only be obtained by releasing the pressure. This can be done by creating a hole in the top of the nail itself, and letting the blood run off. Now, this may seem like the last thing you want to do to an already painful finger, but if you get in the car and drive to an emergency care center, that 's exactly what they do. would. The following section describes two simple ways to achieve this without difficulty, one by drilling a hole and the other by burning a hole. Neither is more painful than the other, and both are very easy to do.
One way: The hole can be done with a jeweler drill (a really small drill that you can twist by hand), or a 18 gauge syringe needle. Clean the top of the hole. Nail with alcohol and start drilling the hole directly on the widest and darkest part of the pool of blood. Use a quick twisting movement of the needle or pierce with very little pressure. You will not feel any extra pain because the nail has no nerve. When you cross the nail, blood gushes out of the hole, often with surprising force, and the relief will be instantaneous. You can also try gently pulling the remaining blood out of the hole.
The fastest and best way to do it: The other method is to melt a hole through the nail. Although it sounds horrible, in my experience, it's easier, faster, less traumatic, and more sterile because it cauterizes and kills bacteria with heat. To begin, first straighten a small paper clip. Then, holding it with a pair of gloves or pliers, heat the paper clip in a flame until it becomes hot red, then poke a hole in the nail. You really should not have to push the paperclip because it will blend in on its own. Just apply a little pressure, just above the darkest spot, and continue until you feel a little pop, or blood is released. You want to do this procedure fast enough to stop having to warm up the paper clip to finish the job. When you cross the nail, blood gushes out of the hole, often with surprising force, and the relief will be instantaneous. You can also try gently pulling the remaining blood out of the hole.
Whichever method you choose, you do not want to go deeper than about 2 mm (1/16 in) under the fingernail. (Do not worry about it, just estimate it with your good judgment and finish with!) After your work, soak in a solution of hydrogen peroxide, repeat the impregnation three times per day. This to prevent the formation of a clot and cause a new buildup of pressure. You may have to squeeze one or two more times, but usually the first time does.
When to See a Doctor:
– Signs and Symptoms of Infection. -You lose any movement or range of motion in the body part as a result of the trauma. -The injury seems to be worse than a simple bloody nail. -If in doubt.