
Cuts above the nail are a type of nail injury, which can occur due to various reasons. Nail injuries can be caused by accidents, such as smashing a finger in a door or cutting it with a sharp object. Biting nails or cuticles can also create tiny cracks or cuts in the skin, allowing bacteria to enter and cause infections. Additionally, certain medications, skin conditions, and exposure to irritants like detergents and chemicals can increase the risk of nail bed infections. Proper wound care, elevation of the injured area, and the use of pain relievers like acetaminophen or ibuprofen are recommended for treating minor nail injuries. More severe injuries may require medical attention, including stitches, antibiotics, and in some cases, fingertip amputation.
| Characteristics | Values |
|---|---|
| Cause of cuts above the nail | Smashing fingers in a door, hitting with a hammer or other heavy object, cutting with a knife or sharp object, nail biting, picking cuticles, fungal infections, certain medications, nail cleaning tools, chemicals, products like nail polish, nail gloss, nail hardener, nail polish remover, fake nails, walking barefoot in public pools or showers, sharing items like towels, nail clippers, and nail scissors |
| Symptoms | Bruising, lacerations, bone fractures, pus buildup, redness, heat, white spots and streaks, thick and yellow nails, fatigue, dizziness, headaches, sore tongue, fast heartbeat |
| Treatment | Clean the wound, apply antibiotic ointment and bandage, elevate the hand or foot above the level of the heart, use ice, take acetaminophen or ibuprofen for pain, change the bandage daily, trim nails short, use gentle soaps, wear gloves when washing dishes or working with chemicals, keep nails clean, use lotion on nail folds and cuticles if skin is dry |
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What You'll Learn

Nail injuries: causes and treatment
A nail injury can occur when any part of the nail is injured, including the nail, nail bed (skin underneath the nail), cuticle (base of the nail), and the skin around the sides of the nail. Common causes of nail injuries include smashing fingers in doors, hitting them with hammers or other heavy objects, or cutting with sharp objects.
Nail injuries can range from bruises under the nail to the nail separating from the nail bed. These injuries can be complex and may result in permanent deformity, even with proper repair. There are five categories of nail injuries: subungual hematoma (nail bruise), nail lacerations (cuts to the nail, nail bed, cuticle, or lateral nail folds), fingertip amputation, avulsions, and deformities.
Treatment for nail injuries depends on the type and seriousness of the injury. Minor cuts or scrapes can be washed with soap and water and covered with a bandage. For more serious injuries, such as those with severe bleeding or a broken bone, it is recommended to seek medical attention at an urgent care center or emergency room. Doctors may numb the area, stop the bleeding, and clean the wound. They may also prescribe antibiotics to prevent infection and pain relievers to manage pain and swelling. In some cases, cuts in the nail bed may require stitches or special glue to reattach the nail. If the nail cannot be reattached, a special type of material may be used to replace it.
To prevent nail injuries, it is important to maintain proper nail care. This includes keeping your fingernails trimmed, avoiding nail biting or cuticle picking, and wearing properly sized shoes to prevent toenail trauma. Additionally, those who work with chemicals or have wet hands for extended periods should wear gloves to protect the nails and skin.
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Subungual haematoma (nail bruising)
Subungual haematoma, or nail bruising, is a common injury that occurs when blood vessels break and bleed under the nail, often as a result of trauma. This can be caused by a heavy object crushing the finger or toe, such as a hammer or a falling brick, or by repeatedly jamming the toes into a too-tight shoe. Runners and hikers can also experience subungual haematomas, especially when running or hiking downhill.
Symptoms of a subungual haematoma include throbbing pain and nail discolouration, which can appear as reddish-purple, brown, or black. The pain typically subsides within a few days, but the nail itself takes longer to recover. In some cases, the discoloured nail may fall off or need to be removed and will be replaced by a new, healthy nail.
Treatment for a subungual haematoma depends on the severity of the injury. In most cases, the injury can be managed at home with ice and over-the-counter pain medications. However, if there is a cut or injury to the nail fold, severe pain, bleeding through or around the nail, or any other injuries to the finger or toe, medical care should be sought. A healthcare provider may perform a simple drainage procedure called nail trephination to relieve pressure and pain, but this should be done within 48 hours of the injury before the blood clots. Antibiotics may also be prescribed to prevent infection. In rare cases, a subungual haematoma may be confused with melanoma, a rare form of skin cancer, so it is important to seek medical care if you are unsure.
To prevent subungual haematomas, it is important to avoid trauma to the nail and to wear properly fitting shoes. For those who work with their hands, wearing protective gloves can help reduce the risk of injury.
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Nail lacerations and cuts
Nail injuries are common and can occur due to various reasons, such as smashing your finger in a door, hitting it with a hammer, or cutting it with a sharp object. Nail injuries can also be caused by nail biting, picking at the cuticles, or even certain medications.
For minor nail lacerations and cuts, first aid treatment includes removing any jewellery, cleaning the area with soap and water, trimming the nail if necessary, stopping any bleeding, and applying ice to reduce pain and swelling. Keep the injured area elevated above the level of your heart to reduce throbbing. You can take over-the-counter pain relievers such as ibuprofen or naproxen, or acetaminophen, which helps with pain but not swelling. It is important to keep the wound clean and apply a bandage if needed.
For more serious nail lacerations and cuts, it is recommended to seek medical attention at an urgent care center or emergency room. Doctors may treat these injuries by removing part or all of the nail, stitching the nail bed, draining any blood clots, and reattaching the nail with special glue or stitches. Antibiotics may be prescribed to prevent infection, and a splint or special shoe may be used to protect the nail and finger or toe during healing. In some cases, a synthetic nail may be attached if the natural nail is too damaged to be reused.
To prevent nail lacerations and cuts, it is important to maintain good nail hygiene. Avoid biting or chewing on nails, and do not pick at cuticles. Be careful when cutting nails and cuticles, and always use appropriate protective gear when working with sharp objects or chemicals.
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Fingernail and toenail bed injuries
There are several types of nail bed injuries, including cuts or lacerations that pierce the nail and the nail bed underneath. A nail bed avulsion occurs when the nail and part of the nail bed are pulled away from the rest of the finger, either partially or entirely. This usually results from the nail being crushed or sustaining a high-impact injury. Avulsions can be extremely painful and cause the finger to swell. Another type of nail bed injury is a subungual hematoma, which looks like a bruise and occurs when small blood vessels under the nail bed leak, causing blood to pool between the nail and the nail bed.
The treatment for a nail bed injury depends on the type and seriousness of the injury. Minor nail bed injuries can often be treated at home, while others may require medical attention. For minor cuts or scrapes, wash the area with soap and water and apply a bandage. If there is a large bruise, your doctor may create a small hole in the nail to drain the blood and fluid and relieve the pressure and pain. If the bone is broken or the injury is severe, the nail may need to be removed, and the nail bed may need to be repaired with stitches. Antibiotics may also be prescribed to prevent infection.
It is important to keep the injured area elevated above the level of the heart to help reduce throbbing and pain. Over-the-counter pain medications such as acetaminophen or ibuprofen can also be taken to manage pain and reduce swelling. It typically takes about 7 to 10 days for the nail bed to heal, and a new fingernail will take about 4 to 6 months to grow back, while toenails can take up to 12 months.
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Preventing nail injuries
Nail injuries can occur when any part of the nail, including the nail bed, cuticle, or the skin around the sides of the nail, becomes injured. This can be caused by smashing your finger in a door, hitting it with a hammer or another heavy object, or cutting it with a knife or another sharp object. To prevent nail injuries, there are several measures you can take:
Keep Nails Trimmed and Well-Maintained
Avoid biting your nails or cuticles, and refrain from picking at your cuticles. When trimming your nails, be careful not to cut them too short, and avoid cutting your cuticles too close to the nail fold. Maintaining proper nail hygiene and keeping your nails clean is also important. Use gentle soaps that are not irritating to the skin, and apply lotion to your nail folds and cuticles if your skin is dry. Excessive dryness can cause the skin to crack, creating entry points for bacteria.
Wear Protective Gear
If you work with chemicals, always wear protective gloves to shield your nails and skin from exposure to irritants. Additionally, if your job requires your hands to be wet for extended periods, such as bartending or dishwashing, wear waterproof gloves to minimize the risk of nail bed infections. When engaging in sports or activities where your nails may be at risk of impact or injury, wear appropriate protective gear, such as properly fitted shoes with a wide toe box to prevent rubbing and nail damage.
Address Underlying Conditions
Certain underlying skin conditions can make individuals more susceptible to nail infections. If you have diabetes, circulation issues, or a compromised immune system, pay close attention to your nail health. Consult a healthcare provider promptly if you notice any signs of infection, such as redness, swelling, or pain. They can provide guidance and treatments to help manage and prevent nail-related complications.
Be Mindful of Manicures and Pedicures
Frequent manicures and pedicures can sometimes lead to trauma to the nail bed or cuticle area. Choose reputable nail salons that maintain proper sanitation practices to minimize the risk of infection. Additionally, be cautious when using sharp manicure tools, such as nail clippers and cuticle cutters, to avoid accidental cuts or injuries to the nail and surrounding skin.
By following these preventive measures, you can significantly reduce the likelihood of nail injuries and maintain healthy and well-protected nails.
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Frequently asked questions
Cuts above the nail are usually caused by sharp objects, heavy impact, or crushing.
If you have cuts above your nail, you should first try to stop the bleeding. Clean the wound with soap and water, and apply a bandage. If there is swelling, ice the area and keep it elevated above your heart. You can take acetaminophen or ibuprofen for pain. If there are any lacerations or avulsions, or if the injury is more serious, go to a hospital or urgent care center.
Minor cuts around the nail should heal within a week. However, it can take several months for a nail that has separated from the nail bed to grow back.











































