$Unique_ID{BRK00683} $Pretitle{} $Title{Black Spot on a Banged Fingernail} $Subject{blood clot hematomas first aid Skin finger toe nail nails subungual hematoma clots} $Volume{L-7} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Black Spot on a Banged Fingernail ------------------------------------------------------------------------------ QUESTION: Recently, while trying to accomplish some home repairs, I banged the nail on my finger instead of the nail in the board. Now there is an ugly black spot on my nail. Can this be related to the dangerous type of cancer which causes black spots? ------------------------------------------------------------------------------ ANSWER: Your problem is a very common one and most amateur carpenters have experienced it at one time or another. The medical name for the black spot is "subungual hematoma." Those fancy words mean that you have a blood clot underneath your nail which, since the nail is transparent, appears as if it is in the nail. Initially, the pain must have been quite intense created by the pressure of the clot on the sensitive nail bed. A physician can help to relieve such pain by drilling a small hole in the nail and letting the accumulated blood seep out. That's a little late for you now and you'll just have to put up with the black spot until the nail grows out. The average fingernail grows from 0.5 to 1.2 mm per week and full regrowth of the nail may require from four to six months. When this injury occurs to the great toe, it's frequently called "tennis toe" and in that case you would have had to wait from twelve to eighteen months for full regrowth. Fortunately, this black spot has nothing to do with the skin cancer called melanoma, a very serious tumor which must be totally removed surgically. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.