Why are the edges of my wound turning black?

Black edges around an injury are a sign of dead tissue. Contact your provider right away.

This page can’t explain what is happening in your particular wound. What it can tell you is what to do.

Black edges around an injury are a sign of dead tissue. Contact your provider right away if you have black edges around the injury.

Black tissue in the wound is also one of the findings that should prompt you to contact a doctor or nurse quickly, along with a foot or toes that become very cold, pale, blue, or black. These signs may mean a serious problem with blood flow or infection and need urgent medical assessment.

One situation needs special mention. Call your health care provider right away if you have a foot infection that becomes black and smelly. These are signs you might have gangrene. Sometimes a bad infection never heals, and the infection might lead to gangrene.

With diabetic foot ulcers, 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.

None of this tells you which of these applies to your wound. What is clear is the timeframe: this is a finding to have looked at promptly, not watched at home.

What to watch for

Contact your provider right away if you have black edges around the injury. This is a sign of dead tissue.

Call your health care provider right away if you have a foot infection that becomes black and smelly. These are signs you might have gangrene.

Black tissue in the wound is one of the signs that mean you should contact a doctor or nurse quickly. These signs may mean a serious problem with blood flow or infection needing 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 edges and the surrounding skin
  • Checking blood flow to the area
  • Assessing for infection
  • Deciding whether tissue needs to be removed and how

Sources

  1. How wounds heal — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000741.htm
  2. 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/
  3. Diabetes and Foot Problems — National Institute of Diabetes and Digestive and Kidney Diseases https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/foot-problems
  4. Diabetes - foot ulcers — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000077.htm