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Published on: 8/20/2026
Pain under the fingernails is a common issue with several possible causes. The most frequent triggers include physical injuries (such as trauma or crushing), bacterial and fungal infections (like paronychia or onychomycosis), and inflammatory conditions (such as psoriasis or eczema) that affect the nail bed or surrounding skin.
Because nail pain can range from a minor bruise to a sign of a deeper infection, identifying the underlying cause is key to getting the right treatment. Take a free, instant, online symptom check to better understand what's happening and confidently plan your next steps.
Reviewed for medical accuracy: 07/15/2026
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There are several common reasons you might feel pain under your fingernails. One frequent cause is a direct injury to the nail. When you hit your nail hard, it can create a subungual hematoma, which is a collection of blood under the nail that can hurt. Infections are another common cause. A type of infection called paronychia happens when germs get into the area around the nail, leading to swelling, redness, and pain. Sometimes, fungi can also infect the nail, causing discomfort. Additionally, other nail conditions, like inflammation from psoriasis or other autoimmune issues, can make the nail area painful. In some cases, tiny cuts or repetitive injury from biting or picking at your nails can lead to irritation and pain. If you ever experience this kind of pain, you can use a free symptom checker to help identify what might be causing your discomfort and determine whether you need to see a doctor for proper care.
(References)
Fonia A, Richert B. Onychalgia Causes and Mechanisms: The "GIFTED KID" and the "FOMITE". Skin Appendage Disord. 2020 Mar;6(2):77-87. doi: 10.1159/000504347. Epub 2019 Dec 18. PMID: 32258050; PMCID: PMC7109409.
Olvera-Rodríguez V, Gatica-Torres M, Carrillo-Córdova DM, Barrera-Godínez A, Domínguez-Cherit J. Painful nails: A practical approach to the diagnosis and management of painful nail conditions. Int J Dermatol. 2021 Nov;60(11):1318-1333. doi: 10.1111/ijd.15496. Epub 2021 Mar 15. PMID: 33720408.
Dulski A, Edwards CW. Paronychia. [Updated 2023 Aug 7]. In: StatPearls [Internet].
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