Not what you're looking for? CLICK HERE INSTEAD
fungus? dry blood?
On 1st October I noticed three black dots under my right toenail. No pain or other symptoms. The night before I wore tight new shoes and had a family dinner with lots of food, beer, red wine and licors. It lasted from lunch to dinner and I wore that shoes all the time.The dots haven't moved during this months. The right down one (the one closest to the toe skin) has grown towards the skin forming a line (as it can be seen in the pictures I attach). The other ones remained stable.At this time, three different family doctors has said me that it may probably be a hematoma or fungus. I can't have and appointment with a dermatologist until January (I wish I could go tomorrow, but my insurance won't allow it until January and the National Health System will take months to appoint me a dermatologist) so I would be very grateful for any information.Thank you very much.The first pic is from 11st December.The second one is from 22st December.I have no earlier pics.RESPONSEHi Ruben,Looking at the enclosed pictures, my best guess would be that of fungus as well as dry blood under the nail.As you point out, the discoloration does not appear to be growing forward.Because of the fact that the discoloration is not growing forward, you have to be concerned about the possibility of some type of growth on the nail bed which is the skin underneath the nail.The only way to actually know what is going on would be to have the nail removed and the nail bed (plus the underside of the nail) inspected.In our country this is something that is done in the office, under local anesthesia, with just the toe being put to "sleep".It is not an especially painful procedure and unless there are mitigating circumstances such as diabetes or bleeding tendencies, you can usually go about your business after you leave the doctor's office.Assuming it is nothing but dry blood and fungus, a new nail should grow out, usually healthy. Sometimes, however, the new nail may grow out a bit thicker then the original nail. This is usually due to some degree of trauma to the growth plate of the nail during the removal process.You might ask your family doctors if one of them feels comfortable enough to remove the nail, otherwise I guess you will have to wait until you can finally see the dermatologist.Marc Mitnick DPMDISCLAIMER
Click here to add your own comments
Click here to add your own comments
Return to Ask the doctor.
Johns Hopkins Medicine
University of Rochester Medical Center
American Academy of Pediatrics
Penn State Medical Center
National Institutes of Health
Columbia University Department of Rehabilitation
Stanford Health Care
Illinois Bone and Joint Institute
Mount Sinai Hospital
Institute for Chronic Pain
University of Florida Health
American Family Physician
University of Maryland Medical Center
Michael D. Ebeling
Tampa, Florida 33624
Thanks for a most interesting website, which has helped a lot.
I usually do my research on the Mayo clinic website. I think your website is the most informative site I have found when researching foot pain.
I thank you for putting together this incredible website.
....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!
You have an unusually clear, informative and well-written website for laypersons. Thank you for that.
Mansfield Ctr, CT
First, I'd like to thank you for all the information that you provide on your website and the opportunity to write to you.
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.)
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.
I greatly admire someone like you who would donate and dedicate so much time and effort to helping strangers with no compensation. Truly, it is uncommonly kind. And your site is so intelligently arranged.
Pacific Grove, CA
I used to work for a podiatrist (front desk) back during summers in
college years ago, so I know the benefits of good care. Again, I want
to thank you for an EXCELLENT website. It was so great to get to your
site (top of google search) and actually find all the answers I needed
EASILY and QUICKLY! Clearly you put a ton of work into it and I really
All the best,
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!
Thank you for your very interesting and informative site!
By Marc Mitnick DPM © 2006-2021, foot-pain-explained.com LLC
Solo Build It!