Isn't it amazing what a difference burning a hole in the nail can make? 12 years ago I smashed my finger in the car door and fractured the tip, it sounds exactly the same as yours. The doc burned a hole in my nail to relieve the pressure and wow. So much less pain. I heard you can do it yourself by heating up a needle or a nail in a candle flame! I'd just as soon pay a professional to do it, even if that was exactly what they did!