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A lot of runners are familiar with the terrifying black toenail. The condition involves bruising, blistering and sometimes even bleeding beneath the nail due to repeated trauma. Banging the nail or the tow to the furniture, slamming the top of the shoe on the nail or slamming the end of the shoe on the toe nails. It’s a common condition among experienced marathoners and those who train intensely see it as a badge of honour too. The more number of black nails, the more badass the athlete.1. Repetitive trauma
A common culprit is repetitive trauma which is a result of running, or from wearing any type of ill-fitted shoes. If a black nail starts appearing shortly after engaging in physical activity or a day of too-tight and too-loose shoes, this is probably the cause.
Repeated trauma can range from mild to severe which are characterised by small, painless, black and blue discolouration and larger, bloody blisters between your nail and nail plate respectively. In most mild cases, no treatment is needed and the black nail will simply grow out. In severe cases you might have to get to the doctor to get the nail detached entirely. It will help you get a new nail room to grow into properly.2. Fungal infections
Fungal infections including the notoriously common athlete’s foot can spread to your toe nails and turn them shaded of yellow, blue, green, brown, purple and eventually black. The color range is unique because of the fungus presence in the subungual debris which is a chalky white substance that carries a funky odor and is lined under the nail bed. A doctor can clip and biopsy your nail to confirm diagnosis and address the potential follow up and treatment options.3. Skin Cancer
Do you still need a reason to use sunscreen? Melanoma is a harmful form of skin cancer and can grow underneath your nail bed on the nail plate. It can cause hyperpigmentation of the surrounding area. It often goes unnoticed due to slow and painless development of the condition.
If the discoloration extends beyond your nail and onto your cuticles without any trauma, you should get it immediately checked out. A quick scan can catch any problems and help detect the severity and assess if the cancer is treatable.Should you be seeing a doctor? And, when?
The answer to this depends on how much are you suffering. Extreme, piercing pain, bruising large enough to lead to buildup of blood between skin and nails enough to make the nail fall off require you to immediately consult a doctor and take preventive health checkup.
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