How is paronychia radically cured?

Written by Liu Gang
Dermatology
Updated on September 01, 2024
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Paronychia is a purulent infectious disease caused by the repeated irritation of a nail embedding into the flesh, most commonly found on the big toe. If the purulent infection is severe, it may require incision and drainage. If the symptoms are mild, it may be treated with appropriate oral and topical anti-inflammatory medications. To completely cure this condition, surgery is necessary to remove the nail embedded in the flesh and then use sutures to forcibly correct the placement. This can prevent recurrences in future life. Regular walking habits should be maintained without jumping, and wearing shoes that are too tight should be avoided. Dietary and lifestyle habits should also be regulated.

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How to treat paronychia?

The treatment of paronychia begins with identifying the cause, which predominantly is due to bacterial infection of the nail groove and surrounding tissues, leading to an inflammatory response. Therefore, to effectively treat paronychia, it is essential to combat the infection and apply or take some anti-inflammatory medications. Additionally, if pus formation occurs, proper drainage is necessary. After developing paronychia, it is advised against self-medicating or performing incisions to drain pus; instead, treatment should be sought from a dermatologist or a surgeon.

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Written by Zhang Jian Bo
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How to treat paronychia when it becomes purulent?

Paronychia has already become suppurative and needs timely treatment. Patients can choose to use medications to clean the affected area, which can prevent the condition from worsening. Paronychia is not a very serious disease, but improper care or worsening of the condition can lead to suppuration and cause severe symptoms. It is considered that the condition may be caused by accidentally injuring the surrounding soft tissue when trimming nails or by wearing tight shoes. If the patient's condition is severe, it is best to go to a formal hospital for timely examination and diagnosis. The suppurative area can be incised, and anti-inflammatory medications can be applied to avoid severe local infections. During the recovery period, patients should maintain a light diet and avoid spicy foods.

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Written by Huang Ling Juan
Dermatology
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How to treat an ingrown toenail that has become infected and pus-filled?

Paronychia with suppuration can be controlled by disinfecting the area with iodine and then applying anti-inflammatory ointments, typically mupirocin ointment or erythromycin ointment. If there is significant local swelling, it may be necessary to perform a lateral nail avulsion or nail removal under local anesthesia to ensure adequate drainage of the pus and control the infection effectively. After controlling the infection, for more severe cases of ingrown toenail deformity, it may require further correction of the nail and a procedure to reshape the nail groove to manage the inflammation and correct nail deformities. Treatment should also include oral antibiotics, taken under medical supervision, such as erythromycin tablets. Since paronychia with pus formation can easily lead to systemic infection, it is crucial to treat it aggressively.

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Written by Zhang Jian Bo
Dermatology
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How to deal with big toe paronychia on your own?

The patient with an ingrown toenail managed it themselves, requiring minimized activity and elevating the foot to promote local circulation. Additionally, topical disinfectants such as iodine tincture can be used, not merely applied, but used for moist dressing. Take some cotton soaked in iodine tincture and apply it to the swollen area around the nail fold, generally recommending a five to ten-minute application. Antibiotic ointments can also be applied externally, such as mupirocin cream. After application, cover it for two hours, and treat it two to three times a day. If this method does not effectively alleviate the pain, consider taking antibiotics that have previously caused no allergies, with a preference for cephalosporins or penicillin-type antibiotics. If the antibiotics still do not effectively relieve the pain, it is advised to seek medical attention at a hospital. (Use medications under the guidance of a doctor.)

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Written by Huang Ling Juan
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What to use for swelling of paronychia?

Paronychia, characterized by redness, swelling, and pain, can be treated by applying iodine tincture for local disinfection and cleansing, which helps reduce swelling. Under a doctor’s guidance, anti-inflammatory ointments such as compounded polymyxin B, fusidic acid cream, or mupirocin ointment can also be applied. For severe redness, swelling, and pain, oral antibiotics may be administered in conjunction with the treatments mentioned above to reduce inflammation. It is important to follow a medically supervised and proper regimen when using antibiotics and to increase water intake during treatment. If the paronychia is caused by an ingrown nail piercing into the nail fold, trimming the nail may relieve the local swelling and pain. It is recommended to seek treatment at a professional hospital. Paronychia is a common condition, and taking preventive measures can help avoid its onset.