Should You See a Doctor for Sand Trapped Under Your Toenail?

Sand embedded in the toenail of the big toe?

Hello, Dr.
Hsu.
A few weeks ago, I went to the beach and discovered that sand had gotten lodged under my right big toe while I was rinsing my feet.
I tried to wash it out with water, but it wouldn't come out because it was stuck deep down, and I couldn't dig it out either.
However, it's been a few weeks, and my foot hasn't turned red, inflamed, or caused any discomfort.
I'm still hesitant about whether I should seek medical attention or just wait for the sand to be pushed out as my toenail grows.

Wu Xiao-Han, 20~29 year old female. Ask Date: 2019/08/06

Dr. Xu Kaixi reply Surgery

If there are no symptoms of inflammation, it can be left untreated, as it will naturally be expelled.

Reply Date: 2019/08/06

More Info

If you have sand trapped under your toenail, it's understandable to feel uncertain about whether to seek medical attention. Here are some considerations to help you make an informed decision.

First, it's important to assess the current condition of your toe. You mentioned that there is no redness, inflammation, or discomfort, which is a positive sign. However, even in the absence of symptoms, sand trapped under the nail can lead to potential complications. Over time, if the sand is not removed, it could cause irritation or infection, especially if it starts to create pressure as your toenail grows.
The toenail grows at a rate of about 1 millimeter per month, so it may take some time for the sand to naturally work its way out. However, if the sand is deeply embedded, it might not come out on its own, and waiting could lead to further issues.
Here are some reasons why you might consider seeing a doctor:
1. Risk of Infection: Even if there are no current signs of infection, the presence of foreign material like sand can increase the risk of bacterial growth, especially if the area becomes moist or if there is any minor injury to the nail or surrounding skin.

2. Nail Growth Issues: If the sand is causing pressure under the nail, it could lead to abnormal nail growth or even nail deformities. This could result in discomfort or pain in the future.

3. Professional Removal: A healthcare professional can safely remove the sand without causing damage to the nail or surrounding tissue. They have the right tools and techniques to minimize any risk of infection or injury.

4. Peace of Mind: If you are feeling anxious about the situation, a visit to the doctor can provide reassurance. They can assess the area and confirm that everything is healing properly or take action if necessary.

5. Monitoring for Changes: If you notice any changes in the condition of your toe, such as increased redness, swelling, or pain, it would be wise to seek medical attention immediately.

In conclusion, while it may be tempting to wait for the sand to come out on its own, it is generally advisable to consult a doctor, especially if the sand is deeply embedded. They can provide a thorough examination and determine the best course of action. If you choose to wait, keep an eye on your toe for any changes and be prepared to seek medical help if necessary. Your health and comfort should always come first.

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