How to Treat Nail Bed Issues and Promote Healthy Nail Growth - Surgery

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Nail problems


Doctor, I think I accidentally removed the cuticle at the edge of my left thumb nail...
but it doesn't seem to be growing back.
I've also noticed that the nail on this thumb doesn't look smooth; it seems to be curving downwards...
Could you please advise if there are any ointments I should apply or what I can do to help the edge grow back and cover the nail with a proper curvature?

Chen, 10~19 year old female. Ask Date: 2016/09/20

Dr. Li Zhonghuai reply Surgery


Hello! Do not touch it; it will gradually heal on its own.
The more you interfere with the edges of the nails, the more problems will arise.
Take care! Changhua Hospital cares about you!

Reply Date: 2016/09/20

More Info


When it comes to treating nail bed issues and promoting healthy nail growth, it’s essential to understand the anatomy of the nail and the factors that contribute to nail health. The nail bed is the skin beneath the nail plate, and it plays a crucial role in nail growth and health. If you've experienced trauma to the cuticle or nail bed, as you mentioned with your left thumb, it can affect the nail's growth and shape.


Understanding Nail Growth
Nails grow from the nail matrix, which is located under the cuticle at the base of the nail. When the cuticle is damaged or removed, it can lead to irregular nail growth. The shape of the nail can also be influenced by how the nail bed heals after injury. If the nail bed is not properly protected or if there is ongoing trauma, it may not grow back in its natural shape.


Recommended Treatments
1. Keep the Area Clean and Moisturized: To promote healing, it’s essential to keep the affected area clean. Use a gentle soap and water to clean the area, and then apply a moisturizer. Look for creams or ointments that contain ingredients like vitamin E, aloe vera, or shea butter, which can help soothe and hydrate the skin.

2. Use a Protective Bandage: If the area is sensitive or prone to further injury, consider using a protective bandage. This can help shield the nail bed from trauma and prevent infection.

3. Topical Treatments: Over-the-counter ointments that contain antibiotics (like Neosporin) can help prevent infection if there is any open skin. However, avoid using these for extended periods without consulting a healthcare provider.

4. Nail Growth Products: There are specific nail growth treatments available that contain biotin, keratin, or other vitamins that can help strengthen nails and promote growth. Look for products that are specifically designed for nail health.

5. Dietary Considerations: Ensure you are consuming a balanced diet rich in vitamins and minerals that promote nail health. Biotin, zinc, and protein are particularly important for nail growth. Foods like eggs, nuts, seeds, and leafy greens can be beneficial.

6. Avoid Further Trauma: Be mindful of activities that could further damage the nail or nail bed. Avoid biting your nails or picking at the cuticle area.

7. Consult a Dermatologist: If the nail does not begin to grow back normally or if you notice signs of infection (such as redness, swelling, or pus), it’s important to consult a dermatologist. They can provide a thorough examination and recommend treatments tailored to your specific situation.


Promoting Healthy Nail Growth
To promote healthy nail growth in general, consider the following tips:
- Regular Trimming: Keep your nails trimmed and filed to prevent snagging and breaking.

- Limit Exposure to Harsh Chemicals: If you use nail polish or remover, choose products that are free from harsh chemicals like formaldehyde and toluene.

- Hydration: Drink plenty of water to keep your body and nails hydrated.

- Avoid Acrylics and Gels: If you frequently use artificial nails, consider taking a break to allow your natural nails to recover.


Conclusion
In summary, caring for your nails after an injury involves keeping the area clean, moisturized, and protected. If you notice any irregularities in nail growth or shape, or if you have concerns about infection, seeking professional advice is crucial. By following these guidelines and maintaining a healthy diet, you can support the healing process and promote healthy nail growth.

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