Post-Nail Removal Care for Paronychia: When to See a Doctor? - Surgery

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Onychocryptosis after nail extraction?


I would like to ask if I need to return for a follow-up appointment the day after having my nail removed due to severe paronychia on November 4th, or can I wait until the doctor advises that I can change the dressing at home?

táng, 20~29 year old female. Ask Date: 2022/11/05

Dr. Li Zhonghuai reply Surgery


Hello! According to medical practice, it is essential to change the dressing daily.
Take care! Changhua Hospital cares about you!

Reply Date: 2022/11/05

More Info


When it comes to post-nail removal care for paronychia, it is essential to follow proper guidelines to ensure healing and prevent complications. Paronychia, an infection of the skin around the nail, can become serious if not treated appropriately. After nail removal, the care you provide can significantly impact your recovery.

Typically, after a nail removal procedure, you should have a follow-up appointment with your healthcare provider within a few days to a week. This is particularly important if the infection was severe or if there were any complications during the procedure. The doctor will assess the healing process, check for signs of ongoing infection, and determine if further treatment is necessary.

In the immediate aftermath of nail removal, here are some key care instructions to follow:
1. Keep the Area Clean and Dry: It is crucial to keep the affected area clean to prevent further infection. Gently wash the area with mild soap and water, and pat it dry. Avoid soaking the area in water for prolonged periods, as this can soften the skin and make it more susceptible to infection.

2. Dress the Wound: Your doctor may provide specific instructions on how to dress the wound. If they advise you to change the dressing at home, ensure that you do so regularly, typically once a day or whenever it becomes wet or dirty. Use sterile gauze and adhesive tape to cover the area.

3. Monitor for Signs of Infection: After nail removal, watch for signs of infection, which may include increased redness, swelling, warmth, pus or drainage, and worsening pain. If you notice any of these symptoms, it is essential to contact your healthcare provider promptly.

4. Pain Management: If you experience pain, over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage discomfort. Follow the dosage instructions on the packaging or those provided by your doctor.

5. Avoid Tight Footwear: If the nail removal was on a toe, avoid wearing tight shoes that could irritate the area. Opt for open-toed shoes or sandals until the area has healed.

6. Follow-Up Care: Your doctor may want to see you for a follow-up appointment to ensure that the area is healing properly. If they have not scheduled this, it is a good idea to call their office to discuss when you should return for a check-up.

In summary, while it may not be necessary to return to the doctor the very next day after nail removal, you should definitely have a follow-up appointment scheduled within a week. If you have any concerns about your healing process or if you notice any signs of infection, do not hesitate to reach out to your healthcare provider sooner. Proper care and monitoring are crucial for a smooth recovery from paronychia and nail removal.

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