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why is the top of my foot looking blackish and my big toe??

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Did you drop something on your foot? Did you hit your toe? Or any other sort of trauma?

Other than that, are you diabetic? Is your foot warm or cold? Can you feel a pulse?
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Ungual hematoma or black toe
Author : Dr Michel Canesi
Ungual hematoma or black toe

Bleeding under the nail of the big toe is a very common complaint amongst dancers. It can be caused by considerable pressure being exerted on the toe. The injury is typified by a blackish mark, often very painful, centred under the ungual plate. It sometimes causes the nail to drop off. It can be the result of the anterior part of the ballet shoe repeatedly rubbing against the extremity of the 1st or 2nd toe. It is often caused by abrupt starting and stopping, or, sudden changes in direction (Turf Toe Syndrome). Fig 1.

The longest toe is the one the most affected (1st or 2nd toe). This kind of haematoma is also to be found amongst tennis players, marathon runners and cross-country skiers, where it, more particularly, affects the 4th and 5th toe.

The ungual melanoma or the nævocytic nævus constitutes the main differential diagnosis.

Evolution shows a migration of the haematoma towards the distal end of the nail as it grows.

An ungual biopsy must be carried out, if there is the slightest doubt in the diagnosis.

Treatment consists of puncturing using a red-hot needle and draining. The result is immediate pain relief.

Healing can be speeded up if, after a certain length of time, the nail, that is half hanging off, is removed.
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