How to trim an ingrown toenail with paronychia?

Written by Li Chang Yue

General Surgery

Updated on September 22, 2024

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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 Liu Gang

Dermatology

54sec

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Which department should I go to for paronychia?

Paronychia is an infectious, purulent disease that occurs when a fingernail or toenail embeds into the skin. This condition can relate to one's walking posture or wearing tight shoes and falls under the domain of dermatology for treatment. Treatment can be sought by registering with the dermatology department of a formal hospital. The most common treatment methods include initial oral and topical anti-inflammatory medications. If these are ineffective, surgery may be required to clean and drain the pus. After recovery, the nail may be trimmed or removed and corrections enforced to prevent recurrence of paronychia. Additionally, proper shoe-wearing, walking, dietary, and lifestyle habits should be maintained. It is advisable to avoid wearing tight shoes, walking for prolonged periods, and consuming spicy and irritating foods.

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Written by Huang Ling Juan

Dermatology

1min 3sec

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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 Liu Gang

Dermatology

56sec

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Can you use vinegar for soaking your feet when you have paronychia?

Paronychia is an infectious disease characterized by the nail embedding into the flesh, leading to a purulent infection. This condition has a strong recurrence rate and is somewhat related to one's walking posture or frequently wearing shoes that are too tight. During treatment, soaking in vinegar does not have a direct therapeutic effect and should generally be avoided. Topically, iodine can be used for disinfection, and oral and topical anti-inflammatory medications can be used for treatment. The most common and thorough treatment method is to undergo a minor surgery at a dermatology department of a reputable hospital, where the nail is forcibly corrected to prevent future embedding and recurrence of the disease. It’s advisable to avoid wearing shoes that are too tight, and in cases of severe purulent infection, it's best to undergo minor surgery to drain the pus. Avoid spicy and stimulating foods and try not to stay up late.

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Written by Liu Gang

Dermatology

43sec

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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

1min 10sec

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How to remove granulation tissue from paronychia

For polyps caused by paronychia that repeatedly flare up and are quite obvious, surgical methods are necessary for complete correction. Surgical options include nail groove plasty and lateral nail fold incision, both of which are effective treatments for severe paronychia. If the polyp from paronychia is not severe, it can be treated with topical medications to shrink the polyp and reduce swelling. Commonly used medications include skin and mucous membrane disinfectants such as povidone-iodine, and continuous damp dressing with medical alcohol can be applied to further reduce swelling, which is beneficial for muscle atrophy. Highly concentrated saline solution or phenol can also be used for local scalding through continuous damp dressing. The growth of a polyp in paronychia indicates repeated inflammatory irritation, which leads to local proliferation, so it is essential to address paronychia promptly when it occurs.