Nail trauma
I stubbed my toe on a table last Thursday, and my toenail was partially lifted, only attached at the back.
The doctor pressed my nail back down and applied medication.
How long will it take before I can get it wet? Will the nail grow back? Can I use saline solution to clean it?
Niming, 10~19 year old female. Ask Date: 2021/09/20
Dr. Chen Bingze reply Surgery
1.
It is recommended to wait at least two to three weeks before coming into contact with water.
If daily wound disinfection is necessary, you can use a clean small basin filled with saline solution and water-soluble povidone-iodine, soaking for ten minutes each day.
2.
It sounds like the nail bed was not injured; as long as the nail bed is intact, the nail can regrow afterward.
Reply Date: 2021/09/20
More Info
When dealing with nail injuries, especially those involving the lifting or detachment of the nail, it’s crucial to follow proper care guidelines to ensure healing and minimize the risk of infection. Based on your description, it sounds like you have experienced a significant injury to your nail, which requires careful management.
Recovery Timeline
Typically, after a nail injury where the nail has been partially lifted or detached, the healing process can take several weeks to months, depending on the severity of the injury and individual healing rates. The nail bed, which is the skin underneath the nail, needs time to heal properly before the nail can reattach or grow back fully. Generally, you can expect the following timeline:
1. Initial Healing (1-2 weeks): In the first week, the area will likely be tender and may swell. It's essential to keep the area clean and dry. If your doctor has advised you to keep the nail in place, follow their instructions closely.
2. Nail Growth (3-6 months): Nails grow at an average rate of about 1/8 inch per month. Depending on how much of the nail was lost, it may take several months for the nail to grow back completely.
When Can You Get It Wet?
As for getting the injured nail wet, it is generally advisable to avoid submerging the area in water for at least the first week after the injury. This is to prevent infection and to allow the nail bed to start healing. After the initial week, if your doctor has confirmed that the area is healing well and there are no signs of infection (such as increased redness, swelling, or pus), you may be able to gently clean the area with mild soap and water.
However, if you are considering soaking the area (for example, in a bath or pool), it’s best to wait until the nail has reattached securely or until your doctor gives you the go-ahead. If the nail is still loose or if there is any open wound, avoid soaking it to prevent bacteria from entering.
Cleaning the Area
Regarding cleaning the area, using saline solution (like a saline wound wash) is generally safe and can help keep the area clean. However, avoid using saltwater directly unless it has been specifically recommended by your healthcare provider. Saltwater can be irritating and may not be the best option for cleaning an open or healing wound. If you want to use a saline solution, you can either purchase a sterile saline solution or make a diluted version at home by mixing 1 teaspoon of salt in 1 cup of boiled (then cooled) water.
Additional Care Tips
1. Keep it Covered: If your doctor has advised you to keep the nail in place, ensure it is covered with a sterile bandage to protect it from dirt and bacteria.
2. Watch for Signs of Infection: Monitor the area for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, contact your healthcare provider immediately.
3. Pain Management: If you experience pain, over-the-counter pain relievers like acetaminophen or ibuprofen can help manage discomfort, but consult your doctor for recommendations specific to your situation.
4. Follow-Up Care: Make sure to attend any follow-up appointments with your healthcare provider to monitor the healing process and to receive further instructions on care.
In summary, while your nail is healing, it’s essential to keep it clean and dry, avoid getting it wet for the first week, and monitor for any signs of infection. With proper care, your nail should eventually grow back, but the timeline can vary. Always follow your healthcare provider's specific instructions for the best outcome.
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