How to Stop Black Toenails From Ruining Your Runs

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Both a bane to runners and—in some strange way—a badge of honor, the black toenail, or subungual hematoma, is actually blood collecting underneath your nail.

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Black toenails are more common in runners who run long or at a high intensity than in those who are just getting started. Still, now is the time to work on tactics to prevent them as you start to ramp up.

Sizing up a half size in shoes or wearing a thinner sock can help ease the pressure and protect toenails, says Metzl.Okay, you have a black toenail. Don’t fret. In mild cases, no treatment is needed, and the black nail will simply grow out. But in some cases, the subungual hematoma can cause pain—the more blood under your nail, the more it will hurt, says Metzl.

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