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Published on: 4/7/2025

What Could Be the Cause of Sudden Sharp Pain under My Fingernail?

Sudden sharp pain under your fingernail is often caused by a hidden injury, e.g. a slight bump, that creates blood pooling under the nail, or sometimes by an infection.

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Explanation

When you feel a sudden, sharp pain under your fingernail, it is most commonly due to a little injury you might not even notice. This can happen if you accidentally bump or press your nail, causing a small collection of blood to form under it, which we call a subungual hematoma. The buildup of blood creates pressure on the nail bed, resulting in a sharp, intense pain. Sometimes, the pain might also be due to a small infection or irritation in the nail fold even without an obvious cut or bruise. To help ease this kind of pain, you can try applying a cold compress to the affected finger to reduce pain and swelling. It is important to keep the area clean and avoid further pressure on the nail. If the pain continues, becomes worse, or if you see signs of infection like redness or pus, it is best to consult a healthcare provider who can assess the area and provide proper treatment.

(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].

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

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