Black Toenails

Black or darkened toenails are essentially bruised nails and can result from a variety injuries or problems. Darkened nails may occur as a result of the toe hitting the end or the top of the shoe toe area. Sometimes, the bruise can lead to a fungal nail infection.

Treatment may include trimming the nail back and applying a topical antifungal medication. If the skin under the nail is ulcerated, a topical antibiotic ointment should be applied.

Diabetic patients should contact a chiropodist or podiatrist for evaluation if they experience any change in the color of toenails The pressure causing the bruised nail may lead to a small sore under the toenail, which can lead to infection.