"Why is My Nail Lifting with Blood Underneath, Showing a Layer Beneath the Shell?"

Nail Hematoma and Lifting of the Nail Plate

The lifting of a layer of the nail plate accompanied by hematoma may indicate a change in condition caused by trauma, requiring appropriate treatment based on the severity of the injury. When the nail is injured or subjected to severe impact, it can lead to rupture and bleeding of the capillaries beneath the nail, often resulting in separation of the nail plate from the local muscle tissue. This may cause the nail plate to lift up in layers, potentially accompanied by symptoms such as pain, bleeding, and local damage. In cases where some of the nail remains attached to the muscle tissue, with relatively minor bleeding that stops on its own, local cleaning and disinfection can be performed, followed by regular dressing changes.

If the nail plate is completely detached from the muscle tissue, the nail may need to be removed. After the condition improves, new nail growth may occur in the affected area. When a patient experiences nail hematoma with a lifted nail plate, appropriate treatment should be administered under the guidance of a medical professional, taking into account individual circumstances.

It is generally recommended to minimize movement of the affected finger to prevent deterioration of the condition due to excessive traction.