Evaluation
Your podiatrist talks with you about your symptoms and physical activities. He or she may palpate (press) the area at the end of the toe to determine the extent of pain. Your toe and foot are examined for any signs of infection. If a fracture or a bone spur is suspected, x-rays may be needed. If small black spots are present under the nail, other problems may need to be ruled out.

Treatment
If pain is severe, the nail may be removed, or a hole may be drilled in the nail to allow drainage of the fluid underneath. This relieves the pressure. A local anesthetic may be used. Pain may also be relieved with prescription medications, or by soaking or icing the area. If pain is not severe, you may not need treatment. The nail can be thinned or left alone to fall off. A new nail should grow to replace it.