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nature
climber
Flagstaff, AZ
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Oct 27, 2005 - 12:36am PT
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It's called a Half Dome. - lmmfao.
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David Nelson
climber
San Francisco
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Crimpergirl,
I am coming into this discussion rather late, and the fate of your toenail is now long gone into history. However, in case this helps either you or anyone else with an injured toe:
Check out my page on fingertip injuries, it has a great drawing of the anatomy of a nail: http://www.davidlnelson.md/Fingertip_crush_injuries.htm, and will help you to follow this explanation.
The photo shows that you have a collection of blood (hematoma) under the nail plate (the thing you trim with a fingernail clipper). This collection of blood under the nail plate is called a subungual hematoma. It is usually due to trauma to a fingertip or toe. The hematoma lifts the nail plate off the nail bed (the pink tissue immediately below the nail plate). It is usually exquisitely painful and can be easily relieved by putting a hole (called "trephining")in the nail plate. I use a specialized motorized drill made just for this purpose in the office, but a hot paperclip is said to be fairly low pressure (I have not tried it), or you could use any simple drill (just don't place pressure on it, both to prevent pain and to avoid overshooting the nail plate, called "past pointing", and further injuring the nail bed, as well as hurting like hell).
The hematoma usually separates the nail plate from the nail bed, sometimes to the point that the nail plate falls off or almost falls off (which seems to be your condition). The nail plate need not be kept on, but it is a great protection for the nail bed. Leave it on if you can.
A new nail will come in, and usually without permanent deformity. The is often transient deformity, say for a year or so. Check out the line drawing that I hyperliked at the beginning of this post. The new nail is formed by the germinal matrix, which is usually undamaged and is located proximal (closer to your heart) to the nail fold (see the picture). The nail plate will grow out slowly, usually taking 3 months in the finger and about twice that in the toe. If you opt to leave the old nail on, protect it with a bandaid or similar, so it will not be torn off (hurts just to write about it). Let the new nail plate push off the old nail plate.
Be careful to avoid a fungal infection in the meantime. I usually suggest Lamisil ointment, to supress the normal fungal elements that are all over all of our feet, mine as well as yours. The subungual hematoma and removed nail plate both violate the normal barriers the body has to fight fungal infection, so I like to supress the fungus with Lamisil.
Now, back to all the fun but silly repartee on this thread...
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Shack
Big Wall climber
So. Cal.
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Ok...seen it for real now...It's definitely grosser up close.
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Crimpergirl
Sport climber
St. Louis
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Topic Author's Reply - Nov 7, 2005 - 01:35pm PT
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David:
Thanks for the great info.
It is grosser now. And Shack did get all woozy when I showed it too him. It ached all day from climbing on it. I'll take some photos when I get home to keep you up to date. It's icky. Bleh....
Sorry we missed you at the campfire Shack - wish we could have spent more time together...
Crimpie
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BrentA
Gym climber
estes park
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top right, wish that damn toenail would come off...lol. sorry about the other spray photos, couldn't snip it.
Cheers,
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Crimpergirl
Sport climber
St. Louis
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Topic Author's Reply - Nov 7, 2005 - 08:32pm PT
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Ewwwww!
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Crimpergirl
Sport climber
St. Louis
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Topic Author's Reply - Nov 12, 2005 - 11:40am PT
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My camera sucks. The toenail has separated at the base. Icky.
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matisse
Trad climber
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Nov 12, 2005 - 12:06pm PT
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" but a hot paperclip is said to be fairly low pressure (I have not tried it), or you could use any simple drill "
I have, back in the day when dinosaurs roamed the earth and I was a family doc. The hot paper clip hurts like hell for a second because you do get some heating. However, like you suggest, a small bit from a drill twiddled back and forth between the fingers, resting lightly on the nail, works awesomely well as it slowly carves away the nail. Even better one can do it on oneself, always a bit heroic with the hot paper clip trick.
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Crimpergirl
Sport climber
St. Louis
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Topic Author's Reply - Nov 12, 2005 - 12:43pm PT
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Next time I'll try it. I just suffered through the pain (do I get a medal? Ha!) It is now in the sit-and-watch phase. Can't believe it's going to take a year to come off. It was climbing-induced so I won't complain though!
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Ouch!
climber
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Nov 12, 2005 - 01:43pm PT
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Crimpergirl
Sport climber
St. Louis
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Topic Author's Reply - Nov 12, 2005 - 03:43pm PT
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Ewwwwww! I just got a bit woozy. Worms. Ugh!
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maculated
Trad climber
San Luis Obispo, CA
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Nov 12, 2005 - 03:43pm PT
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Callie, my first toenail just fell off last night . . . and I have no excuse. It hasn't been in a climbing shoe in weeks. (Fixing that today).
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Crimpergirl
Sport climber
St. Louis
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Topic Author's Reply - Nov 12, 2005 - 03:51pm PT
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Did you taste it?
Ha hahaha! Couldn't resist. Bet it was a relief. POST A PHOTO OF IT!!! I'm just waiting for this one to start snagging on stuff.
Hey, I'm hoping to get back to J-Tree a day or two in December. And I've got to go to a meeting during the second week in February at UC Irvine. Hopefully we can compare knarly hooves and chisled briskets then!
looking forward to it.
C
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Claude
climber
where I'll end up
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Nov 12, 2005 - 03:55pm PT
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more boobs shots. :)
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Crimpergirl
Sport climber
St. Louis
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Topic Author's Reply - Nov 12, 2005 - 04:09pm PT
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They're coming. I promise. The cd is in the mail.....
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Claude
climber
where I'll end up
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Nov 12, 2005 - 04:12pm PT
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kidding of course. :)
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Crimpergirl
Sport climber
St. Louis
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Topic Author's Reply - Nov 12, 2005 - 04:16pm PT
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Of course!
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Claude
climber
where I'll end up
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Nov 12, 2005 - 04:22pm PT
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so, any pictures then?
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maculated
Trad climber
San Luis Obispo, CA
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Nov 12, 2005 - 04:35pm PT
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Sigh . . . foot fetishists.
Note the interesting toenail paint transfer. There's a very thin layer left on the bottom half and the paint seems to have stuck with it.
Callie, As soon as Dec 2 rolls around I'm heading north, but I think Feb I might be able to swing. :)
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Crimpergirl
Sport climber
St. Louis
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Topic Author's Reply - Nov 12, 2005 - 05:09pm PT
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My parents have several Blue and Gold Macaws. Malachi, a male, has a thing about toenails painted red. If he sees them, he runs over to the toes and regurgitates on them. In parrot-ville, that is the highest of compliments. Weird. He'd love your feet!
Jeez, now that I see your feet, I see how hoove-like mine really are!
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