Bruised Big Toenail

  • A bruised big toenail will appear as a black or red spot under the toenail. 

  • Don’t worry there is usually no danger or and usually no pain a couple hours later!
  • If there is pain then there may be pressure building up under the nail.
  • If it lasts more than a few hours or a day or two then you might want to go check it out.
  • Otherwise, just leave it alone and it will be fine!



Bruised Big Toenail Causes:

  • Injury to the toenail.
  • Light non-painful rubbing on the big toenail.
  • Jogger’s toe- overuse during running.
  • Shoes are too small.
  • Fungal infection.
  • Subungual melanoma (this is the only dangerous thing!).


Bruised Toenail from Running:

This can occur because you are running massive distances very quickly and your feet are just not used to the trauma. Many marathon runs have told me that they have lost a few nails over the years and it is nothing to worry about, they always grow back ,except it looks like a second nail is growing underneath their detached nail!



Bruised Toenail Healing Time:

  • The black toenail can eventually fall off and a new one will start growing underneath it.
  • If the nail doesn’t fall off the black spot will just grow out.
  • Toenails grow 1mm per month.
  • The average toenail is 9-16mm long.
  • So depending on the blackspot it can take 9-16 months to grow out, but usually less unless its right at the base.
  • Fingernails can grow 50% faster.
  • In the summer and with better health nails can grow faster.

Skip Straight to the Bruised Toenail Treatment Guide



Bruised Toenail Bed:

If it looks like you may have a bruised toenail bed, then you should suspect a subungual melanoma to be taking place. This is actually a dangerous skin cancer that should be aggressively treated by your podiatrist or foot doctor! If you think your nail looks very unusual like there may be significant blackness or bleeding occuring, following this guide:

Guide to Black Toenail Streaks.





Bruised Big Toenail Treatment:

Treatment usually consists of just letting the nail grow out longer and making sure that nothing looks unusual. But there are some things that you can take a look at:

  • Get better shoes!
  • Get a stiffer sole and heel.
  • Use a Brannock device to measure your feet properly.
  • Stretch your calves.
  • Get your biomechanics assessed by a podiatrist.
  • Ice the toe.
  • Take anti-inflammatory medication.
  • Over the counter Powerstep orthotics for about 25$.


For more on this:

About the author

The Modern Podiatrist (Foot and Ankle Specialist Doctor):Today's podiatrist is required to undergo rigorous medical training that licenses them as physicians with equivalent legal standing to the MD and DO degree (These are physician recognized licenses most common only in the USA). Although admittedly the training does differ between the three degrees. The differences are listed below.In Michigan Podiatrists are trained and authorized to perform surgery in the foot and ankle up to the tibial tubercle below the knee.All our podiatrists and foot doctors have undergone rigorous training including a 4 undergraduate college degree, writing the medical school entrance exam (MCAT), followed by a 4 year medical school degree (DPM - Doctor of Podiatric Medicine),Once podiatrists in the USA complete the rigorous 4 year medical school courses, they are required to complete a minimum of 3 years of a surgical and non-surgical residency program. Some podiatrists and foot doctors then choose to go on to further fellowship training specializing in various forms of specialty such as diabetic surgery or reconstructive foot and ankle surgery.The training is not over yet! Each podiatrist must be judged by a governing body where they submit their surgical cases and are reviewed regularly to ensure excellent results. This is a career long evaluation with board qualifications and certifications every few years.So have faith that today's podiatrist is your best choice for your foot and ankle problems! We are able to approach you foot and ankle problems from a non-surgery perspective, but that when necessary we can provide you with the treatment that you need!All articles written by this account are considered to be for educational purposes only. It is impossible for us to truly assess your condition and the advice we give here is meant to give you a basis to then follow up with your podiatrist and foot doctor later.If you have any questions at all, or there is anything that we can help you with, please feel free to contact our office or email us. Podiatrists provide medically necessary treatment which should be covered by valid insurance plans, we are not a cosmetic or elective medical specialty.