Nail regrowth issues after nail loss?
Hello Doctor, last month I accidentally lost my entire big toenail.
I have been changing the dressing daily for a month, and I have started to see a little bit of nail growth.
However, I feel that there is still a small wound about 0.5 cm from the nail bed to the root that hasn't completely healed.
Do I still need to keep it bandaged? And can I take a normal shower? Thank you, Doctor!
CXQ, 20~29 year old female. Ask Date: 2023/03/15
Dr. Li Zhonghuai reply Surgery
Hello! If the new membrane is still moist, you should continue changing the dressing until the membrane matures a bit more before exposing it to water.
You can shower without affecting it by covering your foot with a plastic bag.
Take care! Changhua Hospital cares about you!
Reply Date: 2023/03/15
More Info
Recovering from a torn toenail can be a slow process, and it’s important to take the right steps to ensure proper healing. Given that you have been changing the dressing daily for a month and have noticed some regrowth of the toenail, it sounds like you are on the right track. However, the fact that there is still a wound approximately 0.5 cm from the nail bed suggests that you should continue to monitor the area closely.
Wound Care and Dressing
1. Continue Dressing: If there is still an open wound, it is advisable to keep the area covered with a sterile dressing. This will protect the wound from dirt and bacteria, which can lead to infection. Change the dressing daily or whenever it becomes wet or dirty. If the wound appears to be healing well and is not showing signs of infection (such as increased redness, swelling, or discharge), you may be able to reduce the frequency of dressing changes over time.
2. Signs of Infection: Keep an eye out for any signs of infection. If you notice increased pain, swelling, redness, or pus, it’s important to consult a healthcare professional as soon as possible. An infection can complicate the healing process and may require additional treatment.
3. Moisture Management: Keeping the wound slightly moist can promote healing. Consider using a hydrogel or a non-stick dressing that allows for moisture retention while still protecting the area.
Bathing and Hygiene
Regarding your question about bathing, you can typically wash your foot, but you should take precautions to keep the wound dry. Here are some tips:
1. Protect the Wound: When showering, cover the toe with a waterproof bandage or plastic wrap to prevent water from getting in. This will help keep the area dry and reduce the risk of infection.
2. Gentle Cleaning: When washing your foot, be gentle around the area of the torn toenail. Avoid scrubbing the wound directly, as this can irritate it and delay healing.
3. Drying: After bathing, gently pat the area dry with a clean towel. Avoid rubbing the wound, as this can cause further irritation.
Nail Regrowth
As for the regrowth of your toenail, it’s normal for toenails to take several months to fully regrow, especially after a traumatic injury. The new nail may appear different in texture or color initially, but it should gradually normalize as it continues to grow out.
When to Seek Medical Attention
If you have concerns about the healing process, or if the wound does not seem to be improving, it’s wise to follow up with a healthcare professional. They can assess the wound and provide additional treatment options if necessary.
In summary, continue to care for the wound by keeping it covered and clean, monitor for any signs of infection, and protect it while bathing. If you have any doubts or if the wound does not heal as expected, don’t hesitate to seek medical advice. Your foot health is important, and proper care will help ensure a full recovery.
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