• Posted July 30, 2023

Ouch! You Injured a Nail: Tips on Best Treatment

If you've ever slammed a door on your finger, you know how badly an injured nail feels, but do you know how to treat one?

First, do what you can to prevent one.

"To prevent a nail injury, I tell my patients to keep their nails short, so they do not bend or catch on objects," said Dr. Shari Lipner, an associate professor of clinical dermatology at Weill Cornell Medicine in New York City.

"Not only do short nails stay cleaner and break less often, they're also good for your overall health because they are less likely to harbor dirt and bacteria, which can lead to an infection," she said in an American Academy of Dermatology news release.

"It's also important to make sure your shoes fit well and have a wide toe box to prevent rubbing. If you play sports, make sure to wear the proper gear to protect your nails," Lipner advised.

But if you do smash your nail, Lipner has some suggestions on how to treat it:

• Treat your wound. If any part of your nail is hanging off, gently trim away the part not connected to your skin. Clean the wound using soap and water. If the wound is bleeding, apply petroleum jelly to keep the wound moist, then cover with gauze or a bandage. Repeat these steps every day while your wound heals.
• Do not put sticky products on your nail. Only apply sticky products, such as an adhesive bandage or medical tape, to the skin around the nail. Wrapping the wound with an elastic bandage is also a good option.
• Get relief. Apply a cool, damp washcloth to the wound to reduce swelling. Prop the arm or leg with an injured nail on pillows so the nail is higher than your heart. This helps reduce swelling. Take ibuprofen or acetaminophen to relieve pain and reduce swelling when your nail injury is new.
• Protect your nail while it heals. A nail injury can take several weeks to heal completely. Keeping a light dressing on the nail provides padding and protection.

"While nail injuries can be treated at home, some injuries may require you to be seen by a medical professional," Lipner said. "If you can't bend your finger or toe, if blood covers more than half your nail, if your nail is black or purple, or if your injury is particularly painful, see a board-certified dermatologist or get emergency medical care."

More information

For more on nail injury, see Harvard Medical School.

SOURCE: American Academy of Dermatology, news release, July 25, 2023