Post-Nail Removal Care for Ingrown Toenails: What You Need to Know

Post-Care Instructions After Nail Avulsion for Paronychia

I had two ingrown toenails on the sides of my big toes removed on the 4th, as the doctor mentioned they were growing into the flesh and had become inflamed with granulation tissue.
I removed a small portion of the nail during the procedure.
Due to work commitments, I haven't been able to return for a follow-up appointment and have been changing the dressings and taking antibiotics at home.
As of now, there is no pus, and the pain has significantly decreased, with only occasional discomfort in the fleshy area.
Since it has been about a week, do I still need to return for a follow-up? Can I get the area wet now? Should I continue to keep it covered?

Tang, 20~29 year old female. Ask Date: 2022/11/10

Dr. Li Zhonghuai reply Surgery

Hello! Please come in for a follow-up appointment! The formed membrane can get wet once it dries, which will take about two to three weeks.
Take care! Changhua Hospital cares about you!

Reply Date: 2022/11/10

More Info

Post-nail removal care for ingrown toenails is crucial for ensuring proper healing and preventing complications. After undergoing a procedure to remove part of an ingrown toenail, especially when there is inflammation and granulation tissue involved, it is essential to follow specific care guidelines to promote recovery.

Firstly, it is good to hear that you are experiencing less pain and no signs of pus, which suggests that the healing process is progressing well. However, even if you feel better, it is generally advisable to follow up with your healthcare provider, especially if you had a surgical procedure. A follow-up visit allows the doctor to assess the healing process, check for any signs of infection, and ensure that the nail is growing back correctly. If you notice any changes such as increased redness, swelling, or discharge, you should seek medical attention sooner.

Regarding your question about water exposure, it is typically recommended to keep the area dry and clean for at least the first week after nail removal. After this period, if there are no signs of infection and the wound appears to be healing well, you may be able to gently expose it to water. However, it is essential to avoid soaking the foot in water, as prolonged exposure can lead to maceration of the skin and increase the risk of infection. When washing, ensure that you gently clean the area without scrubbing, and pat it dry afterward.

As for whether you should continue to bandage the area, it depends on the condition of the wound. If the area is still open or has any scabs, it is advisable to keep it covered with a sterile bandage to protect it from dirt and bacteria. Change the dressing regularly, especially if it becomes wet or soiled. If the wound has closed and is no longer oozing, you may leave it uncovered to allow it to breathe, but continue to monitor it for any signs of infection.

In addition to these care tips, continue taking any prescribed antibiotics as directed by your physician to prevent infection. If you experience any unusual symptoms, such as fever, increased pain, or worsening redness, contact your healthcare provider immediately.

In summary, while it sounds like you are on the right track with your recovery, a follow-up appointment is recommended to ensure everything is healing properly. Be cautious with water exposure and continue to protect the area as needed. Always prioritize your health and consult with your healthcare provider if you have any concerns.

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