How Long Does It Take for Nail Bed Inflammation to Heal with Topical Treatment?

The doctor diagnosed it as an early stage of paronychia. How many days will it take to improve with just topical medication? I have finished the course of Dexamethasone but still experience pain. Should I go to the pharmacy to buy more medication on my own?

Hello Doctor, last Saturday I visited a surgeon due to mild pain in the nail of my right big toe.
The doctor diagnosed it as early-stage paronychia and prescribed me two days' worth of oral medication (Dexamethasone) totaling six doses, along with a tube of topical ointment (Lifuf ointment).
I would like to know how many days it might take to recover if I rely solely on the topical treatment.
Additionally, I have already finished the Dexamethasone.
If I continue to experience pain after applying the ointment, should I go to the pharmacy to buy anti-inflammatory medication? I have previously undergone surgery for paronychia on my left foot, and if possible, I really want to avoid another surgery as it was very painful...
Thank you in advance for your response, and I appreciate your hard work!

Tina, 10~19 year old female. Ask Date: 2021/07/19

Dr. Li Zhonghuai reply Surgery

Hello! If it improves, the swelling should subside in a few days.
If it doesn't improve, it will remain red, swollen, hot, and painful.
This is due to cutting the nail too short, which causes it to grow deeper into the skin, leading to worsening conditions, including possible infection.
Try to minimize walking and elevate the affected limb; there is a chance for recovery.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2021/07/19

More Info

Nail bed inflammation, commonly known as paronychia, can be quite uncomfortable and may require careful management to ensure proper healing. The healing time for nail bed inflammation can vary significantly depending on the severity of the condition and the treatment approach. In cases of mild inflammation, topical treatments such as antibiotic ointments can lead to improvement within a few days to a week. However, if the inflammation is more severe or if there is an underlying infection, healing may take longer, potentially several weeks.

In your case, since you have already been prescribed a topical ointment (利膚外傷軟膏) and have completed a course of oral antibiotics (得百利寧), it is crucial to monitor your symptoms closely. If you find that the pain persists after using the topical treatment, it may indicate that the inflammation is not adequately resolving or that there is a more significant infection present. In such situations, it is advisable to consult your healthcare provider again rather than self-medicating with over-the-counter anti-inflammatory medications. This is particularly important given your history of having undergone surgery for paronychia in the past.

If the inflammation does not improve within a week or if you notice increased redness, swelling, or pus, it may be necessary to revisit your doctor. They might consider further interventions, which could include draining any accumulated pus or prescribing a different antibiotic if the current treatment is ineffective.
Additionally, it is essential to maintain good hygiene and avoid any irritants that could exacerbate the condition. Keeping the affected area clean and dry, and avoiding tight footwear can also help in the healing process. If you experience any signs of systemic infection, such as fever or increased pain, seek medical attention promptly.

In summary, while mild cases of nail bed inflammation can heal within a few days to a week with appropriate topical treatment, more severe cases may take longer and require further medical evaluation. Always prioritize consulting with your healthcare provider if you have concerns about your symptoms or treatment progress.

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