Black Toenails - Nasty Problem, Simple Solution

By Kevin Doyle

Runners endure pain. By its very nature, running is a test in pain tolerance. That's one of the reasons it is such a satisfying sport. Whether it's a loop around the block or the Boston Marathon, you can push your body to the brink of exhaustion, fight through the pain and have a great performance.

While some pain is inherent to our sport, many common aches and pains can be prevented. One such problem is the illusive black toenail. It is ugly and painful, but preventable.

The Black toenail is a build up of blood under the toenail caused by continuous rubbing and pressure on the toes. While some opt for crude self surgery with a sterilized needle to release the blood from under the nail (not recommended), most people wait for the darn thing to fall off and grow back again. Unfortunately, more often than not, the newly grown toenail is doomed to the same fate as its predecessor because people are not getting to the cause of the problem. The Solution: Properly Fitting Footwear.

Every lost toenail could have been saved with bigger or wider shoes. Ignore the number on the shoe box, it means nothing when buying running shoes. Running shoes are sized differently than regular shoes, plus each shoe brand has a different fit. In addition to those variables, you must leave dead space in the front of the shoe to accommodate any swelling that takes place while running. Everyone experiences swelling during a run, but the amount of swelling depends on how far you are going. For that reason, shoe size is even more critical if you are increasing your mileage for a marathon. In most cases, runners need to go a half to a full size up from their normal shoe size.

Now what if you already bought a pair of shoes, do a few runs in them, and come to realize they are too small? The simple solution is to buy a new pair of running shoes and use the other ones for non-running activities. But let's face it, good running shoes are expensive, so there are a few things you can try.

First step is to buy thinner non-cotton socks. Running socks made of synthetic fibers such as Coolmax, wick away sweat from your feet, which reduces swelling. Cotton socks just absorb sweat. Buy them as thin as possible to take up less room in your shoes.

If thin socks aren't doing the job, you may have to break out the exacto knife and make a few key incisions in the forefoot of the shoe to relieve pressure on the toes. This should be the last resort, since you will likely reduce the life of the shoe because over time your small incision can turn into a huge hole in the front of the shoe.

Here are some general shoe buying tips:

Go shoe shopping near the end of the day (after your run if possible), because your feet will already be swollen from an entire day on your feet.

Purchase shoes with a toe-box that works for your foot. Make sure the toe-box is wide enough so you toes can spread out when you are standing up. Remember, just because your friend who runs marathons tells you he has the greatest running shoes in the world, doesn't mean that shoe is the best for you.

Do not mail order or purchase shoes online unless you are getting the exact same shoes that have worked for you in the past. Keep in mind that updated styles of older shoes will have a different fit than the original.

Go to a specialty running store. The salesperson there will not let you leave the store with the wrong shoe for you.

If you have any training, injury, or shoe questions that you feel would make a good "Tip of the Week", email shoegeek@RunPA.com