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2011-09-26 4:49 PM

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Subject: blood blister under toenail during marathon training

OK so I started having pain under one of my toenails after both my runs this weekend.  By last night it was purple under the nail and very painful to touch.  It was also a little red below the cuticle so I went ahead and made an appt with a podiatrist for this afternoon.  He confirmed the blood blister under the nail and grabbed some tools.  I asked if it would hurt and could I run tomorrow.  "Sure you will be fine.  This will just relieve the pressure".  He cut nail back and lanced it...So now it is killing me!  He has it wrapped with gauze and it hurts to walk.  I can not imagine being able to run tomorrow without a good deal of pain.  He also said the nail is loose (which I figured) and I may lose it (which I also figured).   

My question is has anyone had a blood blister under their toenail lanced by a Dr and were you able to run the next day?  I am beginning to regret going to the dr at all.  My main concern was that it was getting infected and that is why I let him treat it Frown



2011-09-26 4:50 PM
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Subject: RE: blood blister under toenail during marathon training
You should be fine by tomorrow, following day at the latest.
2011-09-26 4:54 PM
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Subject: RE: blood blister under toenail during marathon training

Scout7 - 2011-09-26 4:50 PM You should be fine by tomorrow, following day at the latest.
 

 

Thanks.  That is what he said, but its hard to imagine it will be fine considering how sore it is right now.  I am scheduled for a 5 mile run tomorrow but if I really need to i can swap my rest day I am supposed to have on Friday and just push the schedule back one day.  

 

2011-09-26 5:58 PM
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Subject: RE: blood blister under toenail during marathon training
I never go to the doctor for them. They are sore for a couple of days but then the pain goes away and the nail eventually falls off.
2011-09-26 6:09 PM
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Subject: RE: blood blister under toenail during marathon training

Yup:

In the 1999 Marathon des Sables I lost all toenails but three when French medics pulled them off or gently drilled through them. Blood blisters underneath from feet swelling in the heat. The Discovery Channel filmed the procedure and included it in their documentary on the race. The day after they pulled them I had to run a 52 mile stage of the race. In sand. Across the largest dune on earth, Erg Chebbi in the Sahara.

I could run but it hurt pretty darn bad at first. I had some Aleve that helped but there was no getting around the fact that the first steps were... truly sacred in terms of the pain.

Be careful about the fit of the toe box of your shoe. It may hit the top of your toenail and irritate it. Keep an eye on the toe for infection.

Ultimately it will prbably be uncomfortable on and off for a while but it will heal and it is a non-harmful (albeit painful) way to explore the frontiers of pain tolerance.

2011-09-26 6:42 PM
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Subject: RE: blood blister under toenail during marathon training
WOW Tom.


2011-09-26 7:26 PM
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Subject: RE: blood blister under toenail during marathon training
EKH - 2011-09-26 5:58 PMI never go to the doctor for them. They are sore for a couple of days but then the pain goes away and the nail eventually falls off.
Lesson learned the hard way I guess. I should have left it alone. Now I've gone and set myself back in training. I am on Enbrel for arthritis and that weakens my immune system, so I am very prone to infections. I was worried that it was getting infected. I should have told him leave it alone if he didn't see signs of infection. Tom- that does not sound pleasant at all!
2011-09-26 8:23 PM
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Subject: RE: blood blister under toenail during marathon training

No offense, but I lol'd at the you going to the podiatrist for a bum toenail.    I guess somebody needs to keep the specialists in business since I sure don't. 

 

Anyways....pretty normal.   This was my toe about a week after finishing Coeur D' Alene this year.  It was just sort of red at the end of the race, but hurt like hell.  Pain went away the next day, but a week later I realized it was weeping clear fluid out from under it.  About 5 minutes later it looked like this:

 

 

slight warning for the weak...

 

 

 

 

 

 

2011-09-27 11:30 AM
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Subject: RE: blood blister under toenail during marathon training
jackson61802 - 2011-09-26 8:23 PM

No offense, but I lol'd at the you going to the podiatrist for a bum toenail.    I guess somebody needs to keep the specialists in business since I sure don't. 

 

Anyways....pretty normal.   This was my toe about a week after finishing Coeur D' Alene this year.  It was just sort of red at the end of the race, but hurt like hell.  Pain went away the next day, but a week later I realized it was weeping clear fluid out from under it.  About 5 minutes later it looked like this:

 

 

slight warning for the weak...

 

 

 

 

 

 

 

 

That is pretty nasty, and no offense taken by your post but if you read my later post I went to see someone about it because it looked like it was on the verge of infection, and I am on a medication that significantly weakens my immune system... so the last thing I need is to end up out of commission because of a terrible infection that could have been avoided.  

2011-09-27 12:08 PM
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Subject: RE: blood blister under toenail during marathon training
(Note to self -- next time don't eat your lunch while viewing this thread)
2011-09-27 12:16 PM
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Subject: RE: blood blister under toenail during marathon training
Welcome to marathon training. LOL!


2011-09-27 3:08 PM
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Subject: RE: blood blister under toenail during marathon training

toenails are for wimps.

yeah- it'll feel much better in a couple days.  you'll be fine.  Welcome to the club.

in the future- keep your toenails well clipped and filed.

2011-09-27 3:49 PM
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Subject: RE: blood blister under toenail during marathon training
You'll be fine. The pain subsides in a few days. Just take some Motrin before training runs and take your shoes off and let it dry out when you can. I had a blood blister that actually was a huge blood bubble under the entire big toenail. Hurt for a few days until it totally drained. Lost it, of course, but a new one grew back fine. I found better socks and better fitting shoes to avoid it happening again.

Edited by Blanda 2011-09-27 3:50 PM
2011-09-27 4:00 PM
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Subject: RE: blood blister under toenail during marathon training

Best methods of prevention are regular pedicures (twist my arm!) and making sure you keep the toenails short!

Also, as others have mentioned, make sure the toe box has enough room.  HOWEVER, if you believe you have plenty of room in your toe box but are still having issues then try out different socks.  I was running in one kind of sock last year that would allow my foot to slide around too much and thus I was beating up on my toenails a little.  Switched socks and now have happy toes!

As for what to do now...try running...if it hurts, stop and wait another day.

2011-09-27 6:13 PM
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Subject: RE: blood blister under toenail during marathon training
jldicarlo - 2011-09-27 4:00 PM

Best methods of prevention are regular pedicures (twist my arm!) and making sure you keep the toenails short!

Also, as others have mentioned, make sure the toe box has enough room.  HOWEVER, if you believe you have plenty of room in your toe box but are still having issues then try out different socks.  I was running in one kind of sock last year that would allow my foot to slide around too much and thus I was beating up on my toenails a little.  Switched socks and now have happy toes!

As for what to do now...try running...if it hurts, stop and wait another day.

Thank you for the advice. I am pretty sure that I have enough room in the toe box. I think the culprit was the nails were just a little longer than they should have been. Not long but not super short. I will be back to running tomorrow if all goes well and have cut all the other nails way way back.
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