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Published on: 4/7/2025

What Are the Common Causes of Pain under Fingernails

Pain under the fingernails can come from injuries, infections, or inflammatory conditions that affect the nail or its surrounding tissues.

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Explanation

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, it is important to have a doctor look at your nail to make sure you get the right 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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