Recovering from a Fingernail Injury: What to Expect and Healing Time - Surgery

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Cutting the nails?


Hello, doctor.
The day before yesterday, I accidentally cut my nail while cooking, removing about a quarter of it.
There was some bleeding, but no significant pain.
I disinfected the area with povidone-iodine, which caused a slight stinging sensation, and then applied lidocaine ointment and erythromycin ointment.
Will it be able to heal back to its original state? How long will the recovery take?

Rian, 10~19 year old female. Ask Date: 2016/06/06

Dr. Li Zhonghuai reply Surgery


Hello! Avoid tap water, clean with saline solution, apply antibiotic ointment, and it should heal in about a month.
Take care! Changhua Hospital cares about you!

Reply Date: 2016/06/06

More Info


Recovering from a fingernail injury can be a concerning experience, especially when it involves cutting a significant portion of the nail. In your case, since you have cut about a quarter of your fingernail and experienced some bleeding, it’s important to understand the healing process and what to expect moving forward.

First and foremost, it’s reassuring that you have already taken steps to disinfect the wound and apply topical treatments like lidocaine and antibiotic ointment. These measures are crucial in preventing infection and managing any discomfort. The initial healing phase typically involves the formation of a protective scab over the wound, which can take a few days. During this time, it’s essential to keep the area clean and dry to promote optimal healing.

Regarding the recovery of your fingernail, it’s important to note that nails grow at an average rate of about 1/8 inch (approximately 3 mm) per month. Given that you have lost a portion of your nail, it may take several weeks to months for the nail to fully regenerate and return to its original state. The exact duration can vary based on several factors, including your overall health, age, and how well you care for the injury. Generally, you can expect the nail to start growing back within a few weeks, but complete recovery may take anywhere from 3 to 6 months, depending on the extent of the injury and individual healing rates.

In terms of functionality, as the nail grows back, you may experience some sensitivity in the area, especially if the nail bed was affected. This sensitivity is normal and should gradually decrease as the nail continues to grow and the underlying tissues heal. If you notice any signs of infection, such as increased redness, swelling, or pus, it’s crucial to seek medical attention promptly.

As for whether the nail can recover to its original state, it largely depends on the severity of the injury to the nail bed. If the nail bed was not severely damaged, there is a good chance that the nail will grow back normally. However, if the injury was more significant, there could be some changes in the nail’s appearance or texture as it grows back. In some cases, the nail may grow back thicker, ridged, or with a different shape, but this is not always the case.

To support the healing process, consider the following tips:
1. Keep the Area Clean: Continue to clean the wound gently with mild soap and water, and apply antibiotic ointment as needed.

2. Avoid Trauma: Protect the injured finger from further injury. Consider using a bandage or finger guard while it heals.

3. Nutrition: Ensure you are consuming a balanced diet rich in vitamins and minerals, particularly biotin, zinc, and protein, which are essential for nail health.

4. Hydration: Staying well-hydrated can also support overall healing.

5. Patience: Understand that nail growth takes time, and it’s essential to be patient as your body heals.

If you have any concerns about the healing process or if the injury does not seem to be improving, it’s advisable to consult with a healthcare professional. They can provide a more thorough assessment and recommend any necessary treatments to ensure proper recovery.

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