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Published on: 8/20/2026

What could cause pain around my fingernails, and how can it be treated?

Fingernail pain is most often caused by minor injuries or infections. Common culprits include subungual hematoma (bleeding under the nail from trauma), paronychia (a bacterial or fungal infection of the skin around the nail), ingrown nails, and hangnails. Treatment depends on the cause and may include warm water soaks, topical antibiotic or antifungal medications, over-the-counter pain relievers, or minor drainage procedures for pus or blood buildup. Most cases resolve with proper care, but persistent or worsening symptoms may require medical attention.

Because finger and nail pain can stem from many different conditions—some minor, others requiring prompt treatment—it's important to understand what may be causing your symptoms before deciding on next steps. Take a free, instant, online symptom check to get personalized insights and clear guidance on whether home care is enough or if you should see a doctor.

Reviewed for medical accuracy: 07/15/2026

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Several issues can make the area around your fingernails hurt. One common cause is trauma; if you accidentally bump or crush your finger, you might develop a subungual hematoma, which is when blood collects under the nail. This results in pressure and sharp pain. Another cause is an infection in the area around your nail, called paronychia. This infection often happens when germs enter through a small cut or break at the cuticle, leading to redness, swelling, and tenderness. In some cases, pain may also arise if there is a fungal infection involving the nail and surrounding skin. To treat these conditions, start by soaking the affected finger in warm water with a bit of salt for 10–15 minutes a few times a day, which can help reduce swelling and inflammation. For a paronychia, applying an over-the-counter antibiotic cream may be useful. If there is a noticeable collection of blood or pus, or if the pain worsens, it is important to see a doctor who can drain the hematoma or prescribe oral antibiotics. In the case of a fungal infection, a topical antifungal solution like ciclopirox might be recommended. If you're experiencing persistent finger or nail pain and want to better understand your symptoms, try this free AI symptom checker to help identify potential causes and determine if you need medical attention.

(References)

  • Gupta AK, Fleckman P, Baran R. Ciclopirox nail lacquer topical solution 8% in the treatment of toenail onychomycosis. J Am Acad Dermatol. 2000 Oct;43(4 Suppl):S70-80. doi: 10.1067/mjd.2000.109071. PMID: 11051136.

  • Pingel C, McDowell C. Subungual Hematoma Drainage. [Updated 2023 Jul 25]. In: StatPearls [Internet].

  • Dulski A, Edwards CW. Paronychia. [Updated 2023 Aug 7]. In: StatPearls [Internet].

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