Why is my wound black?

Black tissue in a wound is something to act on, not something to interpret at home. With a leg ulcer, it’s one of the signs that mean you should contact a doctor or nurse quickly for urgent assessment.

Black tissue in a wound is something to have assessed, not something to figure out at home.

With a leg ulcer, contact a doctor or nurse quickly if you notice any of the following: sudden, severe pain in the leg or foot; a foot or toes that become very cold, pale, blue, or black; rapidly spreading redness, swelling, or fever; black tissue in the wound; or new loss of feeling or sudden numbness. These signs may mean a serious problem with blood flow or infection and need urgent medical assessment.

Foot ulcers in people with diabetes are similar. Wounds that are pale, purple, or black are less likely to heal. Contact your provider if your foot ulcer is very white, blue, or black.

For surgical wounds, a wound that looks dried out or dark is one of the changes that should prompt you to contact your surgeon.

Dark tissue in a wound is not all one thing, and this page can’t tell you which it is in your case. Pressure sores covered in dead skin that is yellow, tan, green, or brown are called unstageable, because the dead skin makes it hard to tell how deep the sore is. That’s the point: color like this hides what’s going on rather than explaining it. Working out what dark tissue means is part of what an exam is for.

What to watch for

Black tissue in the wound is one of the signs that mean you should contact a doctor or nurse quickly. Others are sudden severe pain in the leg or foot; a foot or toes that become very cold, pale, blue, or black; rapidly spreading redness, swelling, or fever; and new loss of feeling or sudden numbness. These may mean a serious problem with blood flow or infection and need urgent medical assessment.

For a diabetic foot ulcer, contact your provider if the ulcer is very white, blue, or black.

Wound Wizard is general education and can’t assess your wound or your situation. Your own clinician is the right person to ask about your wound.

What we look at

  • Examining the wound and the tissue within it
  • Checking blood flow to the area
  • Identifying what the dark tissue is and what it means for healing
  • Deciding whether tissue needs to be removed and how

Sources

  1. Wound Q&A for patients and relatives — European Wound Management Association https://ewma.org/resources-for-patients-private-carers/wound-qa-for-patients-and-relatives/
  2. Diabetes - foot ulcers — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000077.htm
  3. Surgical wound care - closed — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000738.htm
  4. How to care for pressure sores — MedlinePlus, U.S. National Library of Medicine https://www.medlineplus.gov/ency/patientinstructions/000740.htm