How to remove granulation tissue from paronychia

Written by Huang Ling Juan
Dermatology
Updated on March 23, 2025
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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.

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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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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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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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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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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.