Dealing with Embedded Hair in the Foot: Skin Care Insights and Concerns - Dermatology

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Hair embedded in the sole of the foot?


Hello, doctor.
Yesterday, I discovered a hair embedded in the sole of my foot.
When I tried to pull it out, a piece about 0.8 cm broke off and remains under the skin.
No matter how much I squeeze, I can't get it out.
I tried using a needle to dig it out, which caused some bleeding, but I only managed to get a little bit out.
It’s really difficult and exhausting to do it myself, so I went to see a dermatologist the next afternoon.
However, the dermatologist didn’t even notice that I had a piece of artificial skin over the injured area and kept using a cotton swab to wipe it, then asked me where the hair was.
I later told him that I had artificial skin on, and after removing it, he seemed unable to see it clearly.
He used a forceps on my wound and said he got it out, but I’m not very convinced.
I politely told him that I didn’t think he had extracted it, but he didn’t seem very patient or friendly, so I didn’t want to ask him further.

I would like to ask you, doctor:
1.
I noticed that the hair embedded under the skin seems to be fading over time.
Does this mean it is going deeper?
2.
During the consultation, the doctor mentioned that I had dug quite deep, but when I asked if I needed a tetanus shot, he said no.
In this situation, is a tetanus shot necessary?
3.
If there is still hair that hasn’t been extracted, will it have any impact on my body? Because the wound hurts when I walk on it, and continuing to irritate the wound isn’t a solution.
I really don’t know what to do and feel very helpless.
I would appreciate your response.
Thank you.

Ms. Chen, 30~39 year old female. Ask Date: 2022/07/08

Dr. Li Yufen reply Dermatology


Hello: Based solely on the textual description, it is not possible to accurately diagnose a skin condition.
Since your wound hurts when you walk on it, it is uncertain whether there is still a foreign body embedded in the skin or if the wound is causing irritation and inflammation.
It is recommended that you consult a nearby dermatologist for diagnosis and treatment.
Thank you!

Reply Date: 2022/07/08

More Info


Dealing with embedded hair in the foot can be a frustrating and painful experience. It’s understandable that you feel concerned about the situation, especially after your visit to the dermatologist. Let’s address your questions one by one and provide some additional insights regarding your condition.

1. Will the embedded hair get deeper over time?
When hair becomes embedded in the skin, it can sometimes migrate deeper, especially if there is inflammation or if the body reacts to it as a foreign object. However, it’s also possible for the hair to remain in the same position without causing further issues. If the hair is not causing significant pain or infection, it may not pose a serious problem. However, if you notice increased redness, swelling, or pus, it could indicate an infection, and you should seek medical attention promptly.

2. Do I need a tetanus shot?
Tetanus shots are typically recommended if you have a puncture wound, especially if the wound is deep and you haven’t had a booster in the last five years. In your case, since the hair was embedded and you mentioned that you used a needle to dig it out, it might be wise to consult with a healthcare provider regarding your tetanus vaccination status. If the wound is clean and you are up to date on your vaccinations, you may not need a shot, but it’s always best to err on the side of caution.

3. Will leaving the hair embedded cause health issues?
If the hair remains embedded and does not cause any infection or significant inflammation, it may not lead to serious health issues. However, it can cause chronic discomfort or pain, especially if pressure is applied to the area while walking. If the hair is not removed, it could potentially lead to a granuloma, which is a small area of inflammation caused by the body’s attempt to isolate the foreign material. If you continue to experience pain or if the area becomes increasingly uncomfortable, it would be advisable to seek a second opinion from another dermatologist or a podiatrist who may have more experience with such cases.


Additional Insights:
- Self-Care and Management: While waiting for further medical advice, you can manage the area by keeping it clean and dry. Avoid applying pressure to the wound, and if you notice any signs of infection (such as increased redness, swelling, or discharge), seek medical attention immediately.


- Follow-Up Care: If the hair is not removed and you continue to have pain, consider asking for a referral to a specialist who can perform a more thorough examination and possibly a minor surgical procedure to extract the hair safely.

- Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and reduce inflammation. However, always follow the recommended dosages and consult with a healthcare provider if you have any underlying health conditions.

- Preventive Measures: In the future, to prevent similar incidents, be cautious when using sharp objects near your skin, and consider wearing protective footwear, especially in environments where hair or other debris may be present.

In conclusion, while embedded hair can be a nuisance, it is often manageable with proper care and attention. If your symptoms persist or worsen, don’t hesitate to seek further medical advice. Your health and comfort are paramount, and there are professionals who can help you navigate this issue effectively.

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