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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Written by Huang Ling Juan
Dermatology
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How to determine if you have paronychia

To determine if it's paronychia, first there will be obvious swelling, pain around the nail, and sometimes exudation. Paronychia is usually caused by the penetration of a foreign object under the nail, or by trimming the nails too short. If the nails are trimmed irregularly and become embedded in the nail bed, this can also lead to paronychia. If there is obvious swelling, pain, and tenderness around the nail, paronychia should be considered. Paronychia is usually related to ingrown nails. For mild ingrown nails, topical application of iodine can gradually alleviate the paronychia. In cases of severe paronychia, it is necessary to visit a hospital where a doctor can perform a nail removal and also change dressings timely. Significant pain may require oral antibiotics treatment or intravenous antibiotics. During treatment, avoid alcohol and spicy, irritating foods.

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Written by Li Chang Yue
General Surgery
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How to trim an ingrown toenail with paronychia?

If paronychia occurs with an ingrown toenail, one must not cut the nail bed too short. It is advisable to visit a professional institution where local disinfection can be carried out, followed by surgical removal or wedge resection of the nail embedded in the nail bed. This helps to reduce the risk of infection and stabilizes the condition of paronychia, avoiding local contamination, formation of paronychia, secondary abscesses, suppuration, nail bed infections, and other serious issues caused by self-trimming. Thus, if one has paronychia or an ingrown nail, it is best to visit a formal hospital and have it treated by a doctor. If necessary, a nail removal surgery can be performed to completely and effectively cure paronychia.

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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 Liu Gang
Dermatology
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How to treat paronychia by yourself?

Paronychia is a purulent infectious disease formed when the nail embeds into the flesh. If the infection is in the purulent stage, it can be appropriately treated at home. After disinfection with iodine, use a needle to puncture and clean out the pus and blood. If the paronychia infection is severe, it is advised to visit the dermatology department of a formal hospital for a minor surgery. This disease has a tendency to recur. It can be permanently resolved by removing the nail and performing a forced correction on the affected area. To prevent recurrence, try not to wear shoes that are too tight and avoid prolonged walking, as the disease is related to one's walking posture and footwear.

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Written by Huang Ling Juan
Dermatology
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Can paronychia cause fever?

Paronychia can potentially cause fever. In the early stages of paronychia, the affected area typically becomes red, swollen, and painful. If symptoms become severe, systemic infection symptoms such as chills, fatigue, loss of appetite, and high fever may occur. For paronychia, if the local symptoms are not severe, anti-inflammatory ointments can be applied to the area, such as mupirocin ointment or erythromycin ointment. If symptoms are severe and fever occurs, oral antibiotics are necessary for treatment. If pus has formed, it is necessary to perform an incision and drainage to remove the pus, and regularly clean and change dressings to achieve effective treatment. Paronychia is generally caused by bacterial infections, predominantly by Staphylococcus aureus. Therefore, one should not attempt to squeeze the infected area, as this can worsen the condition.