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The response to the question below was authored by Marc Mitnick DPM

Black spot under toenail

by Liz
(Leeds, West Yorkshire, United Kingdom)

dark spot under nail

dark spot under nail

Some weeks ago I spotted a black spot under my toenail. First I though it might be a mole, as I am prone to getting new very often. Today I was taking my socks off and noticed that a second one appeared almost next to it. Both spots seem quite symmetric, and I do not have any type of discomfort. Could this be some type of nail infection?


Hi Liz,

Sitting on the other side of the internet, I cannot pretend to know exactly what those black spots under your toe nail actually are, but I will give you some insight and what you can do about them.

The majority of spots that occur underneath a nail are harmless. In most cases it is dry blood usually from some sort of trauma to the nail bed. The trauma does not have to be as severe as dropping something on your toe or someone stepping on it. In many instances it is from repetitive micro trauma such as wearing a shoe with a narrow toe box thus creating too much pressure on the nail and it starts to bleed underneath. If you happen to be athletic, that too can create this type of micro trauma.

In many instances it can be mild bleeding from an irregularity on the nail bed, again usually from nail irritation.

Another very common cause of discoloration underneath a toe nail can be from fungus. I enlarged your pictures as best I could and it appears that the nail surrounding the two dark spots is discolored, which certainly may be fungus.

The third cause of discoloration under a nail bed is from a growth growing on the nail bed. This can range
in most cases from a mole to a granuloma (which is scar tissue from irritation), all the way up to a skin cancer.

So now we know it could be any number of possible conditions, again most of them harmless, but keeping in the back of our mind that there is possibility of a more serious problem.

Here is my recommendation. Do nothing right away. Mark where the discoloration is today, relative to the skin on the side of the nail. Wait two months and see if the discoloration, both of them, grow forward, leaving no residual discoloration in the original spots.

The reason I recommend this is because the majority of harmless discolorations under a nail will grow forward as the nail grows. Eventually the discolorations will be at the end of the nail where it can then be cut away. That's the end of that.

Now, if the discoloration does not grow forward, there is a very good chance that there is a growth on the nail bed. Again, most of these are not serious problems, but at that point I would recommend seeing a doctor to have the nail removed to see what kind of growth may be on the nail bed. If the growth is suspicious it may have to be removed and biopsied. Although not common, skin cancers particularly melanoma can occur underneath a nail and this needs to be ruled out.

If during this two month period the discoloration appears to be getting larger, even if it may appear to be growing forward, that too would be a warning sign that there may be some sort of growth on the nail bed and it should be investigated.

Marc Mitnick DPM

Comments for Black spot under toenail

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Nov 30, 2019
similar issue
by: lucia

worn really tight dress shoes two days ago and noticed two dots really similar to the ones from the picture on the right corner of my big toe.. should i be worried?

Mar 17, 2019
by: Elizabeth

I also have noticed small brown spots under my toenail I am a runner and suspect it may just be a blood clott, but wpuld like advice

See a podiatrist or dermatologist as they are best suited to make a diagnosis

Marc Mitnick DPM

Jan 06, 2019
by: Valen

Actually I didn't see a doctor. But after 6 months I noticed that it's also moving upward and thank god I already cut them off since it grows fastly.

Jan 04, 2019
by: alice

i went to doctor and doctor inform that the discolouration might be caused by fungal infection. after 3 months i notice the dots move upward together. thus, it was blood clot caused by tight shoes or running activities. im relieved now. i had cut my nails and no more black dots.

Jan 03, 2019
Slightly concerned
by: Bailey

Ive read through all of these comments and somewhat relate to most of them but im not sure if my case is different or not so here i am. I have a small cluster of 5 black dots on my big toe, almost exactly like the picture but they're all the size of a pin head. Is this any different from the others? Im going to see my doctor next weekend just to check on these.

Thank you!

Aug 29, 2018
by: Valen

I have this black spot on my nails. And both of my toe nails have it in the same position. Please help me to find out what this is.

I cannot help you without actually looking at your nails, so your next best option is to see a local podiatrist and put your worries to rest.

Marc Mitnick DPM

Aug 10, 2018
black dot
by: alice

I have very tiny black dot under the toenail too. However, smaller than the picture above. is like a pen dot. but there are 4. I just realized after scrapping dead skin near by the spot. I am very worried and cant sleep after finding out one of the possible cause would be melanoma. Can running cause such small tiny spot? does it indicate serious problem and seek medical attention immediately?

Running can certainly cause damage to a nail including discoloration. Since you are concerned, seeing a doctor should relieve your fears.

Marc Mitnick DPM

Jun 15, 2018
by: Sarah Vanessa

Hi there. I am concerned because I have had a small (pin point) black dot under my thumbnail, as it grew out and reached the tip I noticed another small dot where the original one had been. Now that the second dot has reached the tip Ive noticed a third (this one larger) dot in the same spot. There had been no trauma to the nail. Please, what could this be?

Mar 02, 2018
by: Paula

I removed nail polish from my toes in Dec and noticed a Black spot the size of an eraser on the right toe near the cuticle corner. After a month I went to a podiatrist and he measured it and said come back in 3 mo. Does that make sense to wait that long? It doesn’t look like it’s moved or changed color. I’ve been reading about black spot and now starting to worry it’s cancer. Should I see a dermatologist for a second opinion, what should I do or wait my 3 mo.?

Hi Paula,

The reason you wait is to see if the discoloration grows forward. If it does then it is nothing more then a discoloration in the nail. If it stays in place then the nail needs to be removed and the discoloration needs to be inspected and tested.
In the vast majority of cases, nail discoloration is a benign situation. However, if you are sitting around worrying about the possibilities, you could always return to the podiatrist and ask him to remove the nail for peace of mind. In my opinion, I think podiatrists remove more nails then dermatologists so that is the reason I would suggest going back to the podiatrist.
Getting a second opinion in cases like this is not much help, simply because the only way you could know if this was a melanoma would be through a nail biopsy, meaning the nail would have to be removed.
Hope this helps.

Marc Mitnick DPM

Jan 10, 2018
Im scared!
by: Arlene

Hi...just now i noticed i have this dark small spot in my toe nail..very similar to that photo but mine is one spot only..
Im so nervous that it might be something serious. Especially im pregnant...Can you please help me understand this?
Thank you and more power!
Relax, the vast majority of nail discolorations are harmless, however, the prudent move would be to have a podiatrist or dermatologist take a look at it. If nothing else, it will give you peace of mind.
Marc Mitnick DPM

Oct 05, 2017
How can I submit a question and photo?
by: Sandy

Im so sorry to bother u but i cannot sleep i am so worried its 12 43 am and i just noticed small black gray spots through out my toes im so shook i have two small children and cant run to the er to check it out please help me. Im scared
Most nail discolorations are either from fungus or from bleeding underneath the nail and are harmless.
At your leisure go see a podiatrist or a dermatologist and have them checked out. Do not waste your time in the ER.

Marc Mitnick DPM

Sep 29, 2017
Black dot under toenail
by: Brian

I have a small black dot under my nail on big toe looks like picture on this site. I also have a tremendous amount of pain on the whole outside of that same foot. Any ideas what that could be?

Sep 20, 2017
My theory
by: Sally

I noticed a few years ago the same black spots under my big toe nail. I know it sounds crazy but I stick a pin into it, after a few seconds I took the pin out and the spot shot across my nail out of sight! Not sure if related but I do wonder as I get terrible pain in my joints. Just as one joint eases, another flares up. Could this be the little black horror passing around my body causing pain and discomfort? I've had blood tests done but nothing has ever shown up.. Just as the pain from my right knee subsided, I'm now in agony with my left shoulder (I struggle lifting my head up and down). Not sure what to do???

Aug 29, 2017
Black spot
by: Dolly

Almost 3 weeks ago I wore shoes that squished my toes together. As a teacher I worked in them the whole day. A day later I noticed a black spot in the left corner of the nail, around where my toes were squished together.

Now the spot seems to be growing. Should I be concerned?

My guess is it is just some bleeding under the nail and should grow forward. If it does not grow forward, or continues to get larger then I would recommend having a doctor look at it.

Marc Mitnick DPM

Feb 04, 2017
Black spot and black line
by: Heidi

I have had a black line going diagonally across a middle toe in my left foot. I have kept an eye on it for about a year. For almost that entire time it remained stationary. About a month ago it appeared to have moved towards the top of the nail. I thought it was growing out. Then last night I took off my nail polish and noticed there is now a new, much larger black spot (the older one is a line) on the bottom of the toenail. Should I be concerned? The nail Is healthy sans the black spot and line and there is no discomfort of any kind.

An enclosed picture would have been helpful, but the smart move here would be to have a podiatrist or a dermatologist take a look at it. In most cases it is nothing, BUT, you never know.
Go have it looked at by a doctor.
Marc Mitnick DPM

Feb 04, 2017
Such a helpful forum
by: Heidi

Great content.


Thanks for the kind words.

Marc Mitnick DPM

Apr 18, 2016
Dark spots and discolored toenail
by: Frank

Hello I had a question about this same thing. I have two spots in the center of my toe nail (bigger than the one in the picture on this page) and just recently I noted overnight it seems to now have discolored the majority of the right side of my toenail. I've had the spots for a couple months but recently I've experienced more pain in the nail especially because I've been paying more attention to it. If I upload a picture here could you possibly lend a hand and let me know if this is serious or not. Im really concerned.

The better move would be to see a local podiatrist or dermatologist as pictures can be deceiving.
Additionally, in my practice, I sometimes have to actually cut away a piece of the nail to see what is going on underneath.

Marc Mitnick DPM

Jan 15, 2015
Two big toenail have black dot exactly same
by: Nhung - Vietnam

My sister yesterday take out her sock and show me her two feet will black dot quite same without hurt or conflict. We quite nervous when think about heart desease or skin cancer. We will keep eyes on it for some weeks. Let's look. Now it is middle of winter, hope that it result from wearing shoses.

Jan 06, 2015
by: Liz

Hi! It did turn out the be a couple of small bruises under the toe nail, probably cause by some new running shoes I got. After a couple of months they grew out and I had no further issues.

Jan 05, 2015
by: Anonymous

Did you ever find out any more? I have 4 or 5 of these on the sole of my foot, but recently got into running so I wonder if that's the cause.

Oct 13, 2014
I also have black dot...
by: Courtney

What did you ever find out about your black dot? I have had one under my toenail for about 1-2 months. It it something to worry about????? I have had some tenderness and pain with it as well.

Oct 07, 2014
by: Anonymous

hi was this ever looked further into? I have almost the exact same

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Thanks again so much for the information in the article. Very interesting.


Great article. I have had plantar fasciitis since I was in high school……..

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Dear Dr. Mitnick, The orthotics arrived four days ago and I slipped them into my shoes immediately. I was skeptical as to the usefulness of the item, they really didn't look very exotic. I have to say though, after using them for just four days, I have experienced grand relief from my foot pain. Even the very first day, I was able to do a lot of work while on my feet with at least a 75% reduction of pain. It has only gotten better every day, and I go nowhere without my shoes with the orthotics. I had been experiencing extreme heel and sole pain for about six months and had to take extended breaks off my feet many times a day as well as regular doses of Ibuprofen. Since getting the orthotics, my life has returned to normal and I feel good again. Just wanted to say thanks for the recommendation for a very effective item, I had no idea what a change this item could affect.

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Thanks for the Response, you hit it on the head.


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First, thanks for putting together this website. Its the most informative site I have found dealing with foot problems. Last June I started having pain and swelling at …….


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First of all, thank you for having all this useful information available in one place. I've been through most of your website and based on my research, pain and evaluations I think I've narrowed things down quite a bit.

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Madison, Alabama
Thanks for replying so quickly. I was a bit concerned. I think your website is great, and chock full of info.....


Denison, TX
Dr. Marc, Thank you so much for your reply which seemed to be right on. I have researched many sites but you put me on the right path to the possible answer. My foot pain may not rule the rest of my life after all! I believe I'll make a sign that reads, "THE END IS NEAR!" Thanks Very Much,


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Just a wee word of thanks for your wonderful website...It is a terrific service...Thank you for providing your knowledge and help...With highest regards, m ebeling

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Tampa, Florida 33624

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I thank you for putting together this incredible website.


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....I have been told that it is not hard enough to be cut off. Please help, I am not sure what to do now! THANKS FOR A WONDERFUL AND VERY HELPFUL SITE!


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First, I want to let you know that you have the best web site I've found related to foot issues. (The only thing I had difficulty finding was the "ask a question" page.)


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I received the orthotics Monday afternoon and began wearing them Tuesday. After two days I would say that I have noticed a huge improvement in the discomfort I have been experiencing. My foot feels better than it has in months.

Ric J.

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Pacific Grove, CA

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By the way, millions of websites could use yours as a guideline on how to organize information and make the site user-friendly. Kudos to you!


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New Zealand

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I searched the internet everywhere for a clear description and illustration of my symptoms/problem. was where I ended my search with answers. If I lived in Jersey (left 30 years ago) and didn't live in Florida I would definetly make an appointment with Dr. Mitnick.

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1st of all THANKS A LOT for your great site......


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Hello! I want to thank you for such an informative website! I found you based on my ankle pain search and am happy to realize that there may be a relatively simple cause and solution....


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...Thanks for your fantastic service.


Arlington, VA

Thank you so very much, that would be much appreciated. I love those insoles, by the way. (referring to Superstep orthotics)

Kelly W.

San Clemente, CA

Dr Marc is fantastic...He seems to know exactly what you are feeling with the problems you are having. I wish he was in my home town so I could go to him with my problems!!!!!!!!!!!!!


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Great insights! Thanks Doc, you're the best.


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I have been experiencing foot pain of various sorts and am working to figure out what it is. I found this site and can only say BRAVO!! What an excellent site! The time it must have taken to put all this together must've been a daunting task! I am sure it has helped so many people. Thank you so very much for doing this.


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Dr. Mitnick, Thank you so much for your reply. I did let my physician know and they took an x-ray - all is well! Also, thank you for providing this wonderful site, it is very helpful with lots of useful information! I appreciate your gift of time! God bless.


Dr. Mitnick, Thank you, you were 100% correct. The pain finally brought me to the ER. I spent 8 days in the hospital. The Doppler you spoke of was able to show that there was no pulse in that foot. This was an arterial clot that split and traveled throughout my leg. My leg was almost amputated. I am in rough shape but have all my parts intact!! You certainly know what you are talking about. Thank you for taking the time to answer. Yours Truly!


Staying at home after hallux surgery I spend quite a lot of time seaching info useful for avoiding problems which might come back. Today I found your site and I am .... delighted it happened. It's one of the best site I found last days.



Thanks for taking time to read and answer so many questions. It is truly a public service!


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I just wanted to say that I am very greatful for this website!!


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Also, and importantly, just want to praise this web site. Thorough and thoughtfully presented, it certainly must be of considerable assistance to anyone with a foot problem. Terrific -- and very interesting.I trust the address comes up easily for those seeking information.


New Jersey

Thanks so much for answering my question. You've been more help to me than my own Dr. has been lately. Thanks again....I hope to be able to walk without pain someday.


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Wow, that is exactly the information needed!!! thank you thank you thank you!!! I appreciate this help so very much from Marc Mitnick DPM. Excellent information and help to improve One's life.


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Thanks so much for this website Dr. Marc! It is so nice that you have this ask the doctor feature..I'm sure I'ts been helpful for alot of people. I will try what you suggested and see if it helps...thanks again!


Evansville, IA

Dear Marc

I just want to say thank you for the quick response and the good info. I find it amazing and a super nice thing that you do here by answering medical questions at no charge.

Russ W.

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Your website is full of a lot of helpful information, and I am very impressed with the time in which you responded to my post. Thank you again for your time and consideration in your response.


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Thank you very much for the information, I will consider it. Excellent web site.


San Diego, CA

Dr. Mitnick, Just want to say thank you so very much for your quick response and very informative reply! After reading what you had to say, I called the doctor's office and was able to get in and see him the same day as my injury. Toe was x-rayed and luckily, it is not broken or fractured. Very badly bruised and will probably lose the toe nail. And although my toe and toe nail are still very black and blue and very sore, they ARE both starting to feel a little better. So again, thank you! I am so very happy that I came across your website. The service you provide is outstanding and immeasurable!


Albany, NY

Thank you so much for all of your advice. In searching the web for people dealing with this same issue i can tell you that you are a Knight In shining Armor! If I lived in Jersey I would gladly be your Spokesperson. Hopefully next time you hear from me it will be good news. God Bless,

Jill S.

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Whichita, KS

thanks again, this site is very helpful.


Boston, MA

Like others have stated...This site is amazing and I am so thankful that it was created.

....Keep up what your doing. Your a life saver.



Thanks again for the information provided on your site. It's easy for non-medical folk to understand your writing, and helps provide better communication between patient and doctor.



Wonderful advice

by: Anonymous

This is the best site for foot problem info.

Thank you for this information. This description fits my pain and inflammation behind my 2nd toe perfectly.

by: Max

location unknown
Again, I really appreciate that you responded to my inquiry, and that your mention of Parkinson's helped me to find my way to a diagnosis of this difficult to diagnose disease. Most patients see on average 16 doctors before they are diagnosed. I hope that you can help other people that ask for your expertise in the future.

Barb D.

I just wanted to say that I am very greatful for this website!! I have had a fusion in my rt foot and am finally getting a little bit better......


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Again, Thank you from the bottom of my heart for taking the time to answer my question....your an angel!


Thank you for your response. You have provided some great insight (to my question)....


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Thank-you so very much for responding so quickly and in such detail to my question!! I will give my surgeon a call today!! This website is terrific!!!! Thank-you again!


North Carolina
Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...


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Thanks again doc for having this website and we STILL need qualified Podiatrists in beautiful sunny Tampa Bay (Bradenton) Florida.

Bessie Mae

Dear Dr. Mitnick, Thank you so very much for taking your time to answer my question. You have greatly relieved my anxiety related to the continual tingly I feel in my feet. I will share your response with my podiatrist next week. God bless you for having this question and answer page on your website! Most gratefully,

Lynne T.

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Your webpage is excellent, I commend you on sharing your knowledge to the public.


New Jersey

Thank you. you were more detailed than what others have told me they finally called from the last xrays and my son is now in a cast for 2 weeks he did have a fracture that was not noticeable.

a mom

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I have read your website and I have to admit that I am amazed at all the information that is on here. I have learned more than the three years I have been going to several doctors that I have seen!!


Lenoir, NC

Thank you so much Doc for a quick and thorough response!


Bellevue, WA

I cannot thank you enough for your response, opinion, and suggestions! I want you to know how much it means to me, and I'm sure everyone else who has ever asked you a question! I feel like you're a lifesaver and have empowered me to take a stronger role and stand up for myself and my feet!


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