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2006-09-05 10:04 PM

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Elite
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Racine, WI
Subject: Marathon training and toenails

I'm pretty sure I'm in the process of losing a big toenail...it's turning a dark purplish color.  This isn't the first time it's happened to me and I'm not too concerned because I know it'll grow back.  (although the last time was years ago)

What is worrying me is that it hurts!  I don't remember losing a nail being this painful last time.  I'm in week 12 (?) of my mary training plan, next long run in a week and a half is 20 miles.  I afraid the pain will derail my training.

I know this is supposedly caused by small toeboxes, but I haven't had the problem since I switched to running in Saucony's several years ago, and they've been a good fit.  This is my first marathon experience though.  SO, other than new shoes that I can't afford, anyone have any suggestions?



2006-09-05 10:17 PM
in reply to: #531727

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Master
1661
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Newbury Park, CA
Subject: RE: Marathon training and toenails
I've lost 3 big toenails and 2 smaller toenails over the years.  It probably hurts due to the blister being full of liquid and causing pressure.  The recommended way of relieving this is to heat an unbent paperclip up and use it to melt a hole in the toenail and popping the blister.  I couldn't bring myself to do this and wound up just squeezing my toe and the blister just popped and came out on the nail edges.  Sounds gross but it feels SO good.
2006-09-05 10:23 PM
in reply to: #531727

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Elite
2468
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Racine, WI
Subject: RE: Marathon training and toenails

Wow, that does sound gross.  Do you sharpen the paper clip somehow...I mean it would have to pretty hot to melt a toenail wouldn't it? 

And how many days did you take off running after you popped it?  I'm doing a half mary race this weekend as a tune up.

2006-09-05 10:25 PM
in reply to: #531747

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Champion
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Subject: RE: Marathon training and toenails

You just hold it in a flame until it glows red.  Then you sorta twist it back and forth on the same spot on your nail.  It'll go through eventually.

Not saying that's what you should do, but that's how it's done.

CindyK - 2006-09-05 10:23 PM

Wow, that does sound gross.  Do you sharpen the paper clip somehow...I mean it would have to pretty hot to melt a toenail wouldn't it? 

And how many days did you take off running after you popped it?  I'm doing a half mary race this weekend as a tune up.

2006-09-05 10:27 PM
in reply to: #531747

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Queen BTich
12411
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Subject: RE: Marathon training and toenails
CindyK - 2006-09-05 10:23 PM

Wow, that does sound gross.  Do you sharpen the paper clip somehow...I mean it would have to pretty hot to melt a toenail wouldn't it? 

And how many days did you take off running after you popped it?  I'm doing a half mary race this weekend as a tune up.

I've used thick needles before. I mean...if you were to do that sort of thing.

Just make sure its hot, hot, hot like Derek said.

If you do it tonight you should be good to go by the weekend. Oh, take pictures too!

2006-09-05 10:27 PM
in reply to: #531727

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Master
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Newbury Park, CA
Subject: RE: Marathon training and toenails

Just found this on some random site:

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

If the toe hurts too much, especially 24 hours later, you should release the pressure underneath by one of two methods. It's always better to have this done by a doctor, but I've heard from hundreds of runners who've done this by themselves without any significant problems. It's up to you.

1. If the edge of the fluid is near the tip of the toenail, a sharp sewing needle can do the job. Sterilize it by putting it in the flame of a match or lighter until the tip becomes red hot. Be sure to insulate the end of the needle so that you aren't holding it directly with your fingers. After a couple of minutes, when the needle is cool, send it into the thin layer of skin, at the edge of the toenail, where you see water underneath. Let the water come out. Enlarge the hole slightly and insert some triple antibiotic cream up underneath, squeezing it around to speed up the healing time.

2. If the fluid is in the center of the nail, sterilize a paper clip by putting it in the flame of a match or lighter until the tip becomes red hot. As in # 1 above, make sure that your fingers are insulated from directly touching the paperclip. While it is red, place the clip into the center of the fluid area. It will quickly melt the nail, producing a nice round hole by which the fluid can escape. As in # 1 above, squirt some triple antibiotic cream underneath, squeezing it around to speed up the healing time.

These methods may seem like something out of a torture textbook, but they don't have to hurt. Again, if you have any doubts, see a doctor.

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Popping the blister is a huge relief.  You'll be able to run right after.



2006-09-05 10:56 PM
in reply to: #531751

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Elite
2468
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Racine, WI
Subject: RE: Marathon training and toenails
Comet - 2006-09-05 10:27 PM

Oh, take pictures too!

ROFLMAO....only you, Comet!

I think I'll give it that 24 hours before I spark up the gas grill and pull out the instruments of torture.  Thanks guys!

2006-09-05 11:20 PM
in reply to: #531765

Subject: ...
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2006-09-06 2:03 AM
in reply to: #531727

Pro
4206
20002000100100
Los Angeles, CA
Subject: RE: Marathon training and toenails
Do you have health insurance?

My SO dropped an Apple Computer on her big toe and it became black. She went to see her doc as a walk in and he did the hole thingy and relieved the pain and the blood came out from under the nail. It save the nail too. Only took several minutes and you probably have a better chance of it not getting infected since you or whoever might just fluck it up and get an infection. Then it will really derail your training.
2006-09-06 6:57 AM
in reply to: #531727

Runner
Subject: RE: Marathon training and toenails
People, people..... No need to get all fancy shmancy here. We're missing the most obvious solution:

Amputation. Seriously, no more pain in the toe from the nail, and no more concern over toe nails. Now, I'm not advocating removal of the entire toe, just the nail part. Say, from the joint up.
2006-09-06 7:13 AM
in reply to: #531801

Veteran
216
100100
Columbus, Ohio
Subject: RE: Marathon training and toenails

auto208562 - 2006-09-06 3:03 AM Do you have health insurance? My SO dropped an Apple Computer on her big toe and it became black. She went to see her doc as a walk in and he did the hole thingy and relieved the pain and the blood came out from under the nail. It save the nail too. Only took several minutes and you probably have a better chance of it not getting infected since you or whoever might just fluck it up and get an infection. Then it will really derail your training.

I would go this route.   I had it done when one of my toe nails turned black when I was training for cross country.  It was quick and painless and my toenail didnt fall off.  I was able to run on it no problem.



2006-09-06 7:26 AM
in reply to: #531727

Regular
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2525
Subject: RE: Marathon training and toenails
another option to draing the fluid under the nail, is to take the small drill bit that you might have around the house. sterilize it. and then just use your hand to rotate the drill bit, and eventually, you'll "drill" thru the nail and all will be well.

i wasn't sure about piercing hot metal objects through me, so i took this route. good luck.

2006-09-06 3:43 PM
in reply to: #531727

Elite
2468
20001001001001002525
Racine, WI
Subject: RE: Marathon training and toenails
Done deal, the hot needle went through more easily than I thought it would.  It feels better already...now I just seriously hope I don't get an infection.  I washed it with betadine then put antibiotic ointment on it.
2006-09-06 3:49 PM
in reply to: #531845

Champion
8936
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Subject: RE: Marathon training and toenails

We usually do it this way with a needle.  Didn't think she'd have a large guage needle laying around the house though. 

whataboutjohnlee - 2006-09-06 7:26 AM another option to draing the fluid under the nail, is to take the small drill bit that you might have around the house. sterilize it. and then just use your hand to rotate the drill bit, and eventually, you'll "drill" thru the nail and all will be well. i wasn't sure about piercing hot metal objects through me, so i took this route. good luck.

2006-09-06 3:56 PM
in reply to: #532653

Runner
Subject: RE: Marathon training and toenails
CindyK - 2006-09-06 4:43 PM

Done deal, the hot needle went through more easily than I thought it would. It feels better already...now I just seriously hope I don't get an infection. I washed it with betadine then put antibiotic ointment on it.


If it's infected, we're amputating. And taking pics for Comet.
2006-09-06 4:51 PM
in reply to: #531727

Master
2287
2000100100252525
Calgary, Alberta
Subject: RE: Marathon training and toenails
To help avoid this in the future keep your toenails cut as short as possible.  Hope you avoid infection.Yell


2006-09-06 4:53 PM
in reply to: #532653

Queen BTich
12411
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,
Subject: RE: Marathon training and toenails

CindyK - 2006-09-06 3:43 PM
Done deal, the hot needle went through more easily than I thought it would.  It feels better already...now I just seriously hope I don't get an infection.  I washed it with betadine then put antibiotic ointment on it.

I would think you'd be ok. You're pretty healthy right? I've done much worse...we won't talk about me popping blisters in the car with my earring post...

2006-09-06 5:58 PM
in reply to: #532719

Pro
4292
20002000100100252525
Evanston,
Subject: RE: Marathon training and toenails

But did you then put the earring back in your ear?

We need pics to prove it. 

2006-09-07 6:46 AM
in reply to: #531727

Elite
2468
20001001001001002525
Racine, WI
Subject: RE: Marathon training and toenails

I remembered the camera about 10 minutes too late.  Too bad too, because the stuff spurting across my bathroom would have made a great action shot

It's still a little tender to the touch so I'm going to put off running until tomorow.



Edited by CindyK 2006-09-07 6:49 AM
2006-09-07 7:49 AM
in reply to: #531727

Veteran
272
1001002525
Durham
Subject: RE: Marathon training and toenails
What's with everyone trying to keep toenails? If they aren't tough enough to keep up with you, I say lose 'em! I think we're all forgetting that less weight equals faster splits! Sure they don't weigh much by themselves, but multiply the weight by how many steps taken on runs, and you're lookin' at some serious poundage! Right?
2006-09-07 9:41 AM
in reply to: #531727

Science Nerd
28760
50005000500050005000200010005001001002525
Redwood City, California
Subject: RE: Marathon training and toenails
I'm having the same problem after my half-marathon on Sunday.  Thanks for the advice.  What gauge needle do you use for this?  I can take one home from the lab and use that instead of the flaming paperclip.


2006-09-07 9:43 AM
in reply to: #533169

Champion
8936
50002000100050010010010010025
Subject: RE: Marathon training and toenails

16 or 18 would work.  Just want the hole to be big enough to let the blood out.  Just put a tiny bit of pressure on it and twist it back and forth.  Don't wanna stab yourself in the toe when it finally goes through.

Artemis - 2006-09-07 9:41 AM I'm having the same problem after my half-marathon on Sunday.  Thanks for the advice.  What gauge needle do you use for this?  I can take one home from the lab and use that instead of the flaming paperclip.

2006-09-07 9:54 AM
in reply to: #531727

Crystal Lake, IL
Subject: RE: Marathon training and toenails

Ok, I've tried to stay away from this thread but since I had to know what was going with my bud Cindy I just read the whole thing.  I'm squeamish about this stuff.

If this ever happens to me I'm screwed.  I almost just ran to the bathroom to throw up. 

<<<shiver>>> 

<<<shudder>>>

I don't deal with this stuff well.  Ewwwwww.

Cindy, I'm glad it's feeling better and you'll still be able to run on Sunday with us!

I think I just threw up a little bit.  I have to go now.  Uck.

 

2006-09-07 10:16 AM
in reply to: #533191

Elite
3650
200010005001002525
Laurium, MI
Subject: RE: Marathon training and toenails

i used the drill bit method in the past and it works wonders.

now... how to prevent this....  There are two causes that I'm aware of that causes this in runners.  The first is a short toe box pushing the nail backwards toward the cuticle repeatedly.  Every time it's shoved, you get micro-tears on the nail bed until enough is damaged that it starts to bleed and detach.  The other cause is the tip of the nail catching on the seam that runs around the toe box, so with every step, the nail is slightly lifted up and away from the nail bed.  Again, after a while, it damages it enough to make it bleed and seperate.

how to stop it.... Keep your nails really short, wear shoes that the right length (sometimes a half size larger then normal), and wear thicker socks if you are prone to this problem.  I use the smartwool running socks and swear by them.

2006-09-07 10:24 AM
in reply to: #531845

Expert
1166
10001002525
Northern VA
Subject: RE: Marathon training and toenails

whataboutjohnlee - 2006-09-06 8:26 AM another option to draing the fluid under the nail, is to take the small drill bit that you might have around the house. sterilize it. and then just use your hand to rotate the drill bit, and eventually, you'll "drill" thru the nail and all will be well. i wasn't sure about piercing hot metal objects through me, so i took this route. good luck.

Anyone that skims posts or reads them quickly, please realize that this post says to hold the drill bit in your hand, not the drill.

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