Should You See a Doctor for Nail Pain After Improper Trimming?

Nail issues?

Hello, doctor.
When I was cutting my nails, I didn't cut the edges completely and pulled them off directly.
Now the outer edge of my nail and finger feels bruised and painful, but there are no visible wounds on the surface, and it looks normal.
It's been over a week.
Should I see a doctor for an examination? Thank you.

Xun, 40~49 year old female. Ask Date: 2020/09/10

Dr. Wu Yuxin reply Dermatology

No lesions were observed, making it difficult to determine the issue.
If this is causing significant distress, please seek medical attention promptly.

Reply Date: 2020/09/10

More Info

Nail pain following improper trimming can be a common issue, especially if the nail was not cut properly and was forcibly pulled away from the nail bed. In your case, it sounds like you may have experienced some trauma to the area, which can lead to pain and bruising even if there is no visible wound. Given that it has been over a week and you are still experiencing pain, it is advisable to consult a doctor for a thorough evaluation.

Here are several reasons why seeing a doctor is a good idea:
1. Assessment of Injury: A healthcare professional can assess the extent of the injury. Sometimes, what seems like a minor issue can be more serious, such as a nail bed injury or even a fracture in the underlying bone. A doctor can perform a physical examination and, if necessary, order imaging tests like an X-ray to rule out any fractures.

2. Infection Risk: Even if there is no visible wound, there is still a risk of infection, especially if the nail was forcibly pulled. An infection can lead to more severe complications, including abscess formation. A doctor can evaluate for signs of infection, such as increased redness, swelling, warmth, or discharge.

3. Pain Management: If the pain is significant, a doctor can recommend appropriate pain management strategies. Over-the-counter pain relievers may not be sufficient, and a healthcare provider can prescribe stronger medications if necessary.

4. Proper Care Instructions: A doctor can provide guidance on how to care for the affected area to promote healing and prevent further injury. This may include recommendations for keeping the area clean and dry, as well as advice on when to return for follow-up care.

5. Preventing Future Issues: If improper trimming is a recurring issue, a healthcare provider can offer advice on proper nail care techniques to prevent future injuries. They may also refer you to a podiatrist or dermatologist if they believe specialized care is needed.

In summary, while it may seem like a minor issue, persistent pain following improper nail trimming warrants a medical evaluation. It is always better to err on the side of caution when it comes to potential injuries, especially those involving the nails and fingers, as they can affect your daily activities and overall quality of life. If you decide to see a doctor, be sure to provide them with a detailed history of the injury, including how it occurred and any symptoms you have experienced since. This information will help them make an accurate diagnosis and develop an appropriate treatment plan.

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