Fingertip and Nail Bed Injury

Fingertip and nail bed injuries are a very common hand injury. Injuries may include a fractured (broken) distal phalanx bone, and/or cuts of the nail bed, fingertip skin (pulp), the tendons that straighten or bend the fingertip, and nerve endings.

Causes of Fingertip and Nail Bed Injuries

One of the most common causes of fingertip and nail bed injuries is a crush or pinch injury. For example, getting the fingertip caught in a door or hitting it with a hammer. Injuries can also happen from getting cut with a knife or power tool – such as a table saw, lawn mower, or snow blower.

Signs and symptoms of an Fingertip and Nail Bed Injury may include:
  • Fingertip sensitivity to cold temperatures
  • Fingertip hypersensitive to touch
  • Feeling in the fingertip may be dull or numb
  • Deformity of nail or fingertip
Hand Therapy

Treatment for fingertip and nail bed injuries often include a referral to Hand Therapy. Hand Therapists can provide instruction on splinting options, wound care, and home exercises to address symptoms


A custom splint may be made to help protect the injured fingertip as it heals.

Wound and Scar Care

If you have a wound, your therapist will instruct you in caring for your finger as it heals. They will also instruct you in scar management or stump remodeling techniques as appropriate.


Your therapist will develop and instruct you in an exercise program to help you regain range of motion and strength, minimize hypersensitivity, and regain functional use.