I notice that you have gravel in your tank.
Loaches love to play in the substrate burying their bodies in it with their faces poking out, sometimes I catch mine completely submerged and pushing up my plants!
They also love getting into tight awkward places, I think he's probably just hurt his nose digging around, any open wounds could become infected if the water isn't great, but this just looks like trauma to me.... Have you ever thought about changing your gravel to sand? They will love it, you'll see a completely different fish... They are like kittens messing about.