Toenails with bruises should be treated promptly by a doctor depending on the severity of the condition, and treatments include conservative treatments, surgical treatments, and more. Toenails with bruises are usually caused by trauma. If the symptoms are mild, with only bruises and no localized obvious swelling and other symptoms, cold compresses can be applied within 24 hours of the toenail injury to reduce the spread of bleeding to the surrounding tissues, while hot compresses can be applied appropriately after 24 hours of the trauma, which is conducive to promoting blood circulation and helping the absorption of bruises. Patients can also follow the doctor’s instructions to use drugs such as Panax ginseng tablets, which are also effective in relieving the symptoms of toenail bruising. If the degree of injury to the toenail is more serious, bleeding and bruising and accompanied by hematoma, pain and other symptoms, usually need to consider the treatment of nail extraction, or the surface of the toenail drilling drainage, in order to promote the discharge of blood. If there is no clear history of trauma and there is bruising under the toenail, a hospital visit should be made to investigate coagulopathies.