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Crushed toe and hematoma

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I crushed my toe with a 40kg side board. The blood has welled up under the toe nail and throbs with every beat of my pulse. I painted my toe with iodine and lanced the toenail with a red hot cauterising paper clip and the blood and pressure is now released. I am keeping the small hole clean with iodine and am squeezing the blood out periodically to prevent a build-up of pressure. The base of my nail where it joins the toe or cuticle contains a blood blister and I think the side of my nail has cut the toe which is now becoming infected. I have taken photos and used a marker to draw around the red area so I can mark the growth of any infection which I now suspect may be present. I have in-date 500mg amoxicilin and have no allergies to antibiotics. I have taken one and seek your advice, please?

I have photos if you are interested?

yours Sincerely and happy new year!


Category: Family Physician-GP

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Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.


Thank you for choosing Doctor Spring. Pain, swelling and redness over the toe with collection of blood under the nail is common with toe injury. Swelling and redness do not develop immediately after injury, it takes time and most likely to resolve naturally.

I have gone through the photographs. There are not obvious signs of infection.

Here are my recommendations:

1. Rest the toe without walking or standing whenever possible. Raise the toe to reduce swelling and pain.
2. You should place cotton between your injured toe and the adjacent toe, by putting a tape and plastering it. This way your healthy toe will act as a splint.
3. Better avoid wearing shoes, unless it becomes necessary for some time to let the toe heal.
4. You can apply ice pack for 15-20 minutes every couple of hours for relief from pain and swelling.
5. You can use OTC pain relievers like ibuprofen 400mg thrice daily for 3 days. This has anti inflammatory action too.

Yes, you can take Amoxycillin and it should suffice. Continued pain for more than 48 hours, discharge, fever, progressing discolouration are some danger signs you should look out for. In that case get in touch with your Doctor.

Hope this helps.
Do write to us for follow ups.
Thank you.

Dr. Deepu Sebin Sebastian
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MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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