Black Friday just got a little bit more interesting! This is a multiple choice blog! Please choose
an answer below:
a. If you would rather fight crowds, dive into a bin for the hottest toy, and have your big
toe stepped on resulting in a “black toenail” (details below), then read no further.
b. If you would rather sit by the fire, listen to Bing Crosby’s White Christmas, while eating a
left-over turkey sandwich, and read this blog, then continue below.
c. If you would rather decorate your Christmas tree and read this blog later tonight, then
come back to this page a little bit later.

A black toenail can present itself for a variety of reasons:

A subungal hematoma is a collection of blood that pools between the nail plate
and the nail bed. This is a result of trauma to the nail by either constant
jamming of a toe in a shoe or a direct injury such as someone stepping on your
toe during the Black Friday Rush! Most often this is painful. Occasionally the
podiatrist will bore a small hole in the nail to release some pressure. The
hematoma will eventually dry, and grow out naturally with the nail.

A cancerous/melanotic lesion may also develop on the nail bed, resembling a
black or discolored nail. This lesion often appears suddenly, without evidence of
trauma. As the nail is trimmed, the lesion does not go away. The most common
way that this presents is as a longitudinal discolored streak, starting at the base
of the nail (also discoloring the skin), and growing outward. This is a very serious
medical condition and if suspected, must treated by a physician immediately.

Fungal organisms also have the ability to discolor a nail. As the fungi begin to
thrive and infect the nail, the nail becomes discolored, brittle and crumbly.
Depending on the thickness of the nail, it can begin to put pressure on the nail
bed, which can cause discomfort. Fungal nails can be treated many different
ways. Dr. Julie finds that the most successful way to treat fungal nails is
attacking the fungus on multiple levels – with frequent nail debridement, topical
medication, lunula laser treatment, and ridding the ongoing source of the
fungus, which is often shoes. If you believe you have a fungal nail and would like
it treated, please make an appointment with Dr. Julie and she will gladly treat
you!