Nails fused together?
Hello Dr.
Lee, I walked for too long and my big toe turned black, with the nail plate and the flesh having a gap.
I got busy and forgot about it until today when I noticed that the new nail growing in is stuck to the dead black nail.
What should I do? Thank you.
yin, 40~49 year old female. Ask Date: 2023/03/20
Dr. Li Yufen reply Dermatology
Hello: Based on the description, it seems that the bruising under the toenail caused by trauma has led to the separation of the nail bed.
If there is no discomfort, you can continue to observe it.
As the toenail grows, the old nail fragment will gradually protrude from the toe and can be trimmed away.
If you experience any discomfort, it is advisable to consult a nearby dermatologist for diagnosis and treatment.
Thank you!
Reply Date: 2023/03/20
More Info
When dealing with toenails that have become stuck together after an injury, it is crucial to approach the situation with care to prevent further complications. Here’s a comprehensive guide on how to treat this condition, along with additional insights into nail health and recovery.
Initial Assessment
First, assess the condition of your toenail and the surrounding area. If the toenail is discolored, painful, or if there is any sign of infection (such as redness, swelling, or discharge), it is advisable to seek medical attention. A healthcare professional can provide a thorough examination and determine if any further intervention is necessary.
Home Care Steps
1. Keep the Area Clean: Gently wash your foot with mild soap and water. Pat it dry with a clean towel. Avoid soaking your foot for extended periods, as this can soften the nail and surrounding skin, potentially worsening the adhesion.
2. Moisturize: Apply a thin layer of antibiotic ointment (like Neosporin) to prevent infection. This is particularly important if there are any open areas or if the skin around the nail is broken.
3. Avoid Forceful Separation: Do not attempt to forcibly separate the stuck nails. This can lead to further injury or infection. Instead, allow the nails to grow out naturally.
4. Use a Nail Softener: If the new nail is growing underneath the old one, consider using a nail softener or a gentle nail conditioner. This can help ease the separation process as the new nail continues to grow.
5. Monitor for Signs of Infection: Keep an eye on the area for any signs of infection, such as increased redness, swelling, or pus. If these symptoms occur, consult a healthcare provider immediately.
When to Seek Professional Help
If the toenails remain stuck together for an extended period or if you experience significant pain, it is essential to consult a podiatrist or a healthcare professional. They may recommend:
- Nail Trimming: A professional can safely trim the nails to reduce pressure and discomfort.
- Nail Removal: In some cases, if the old nail is severely damaged and causing issues, a healthcare provider may recommend partial or complete removal of the affected nail.
- Treatment for Infection: If there is an infection, a doctor may prescribe antibiotics or other treatments.
Prevention Tips
To prevent similar issues in the future, consider the following:
- Proper Footwear: Wear shoes that fit well and provide adequate support. Avoid tight shoes that can cause pressure on the toenails.
- Regular Nail Care: Keep your toenails trimmed and filed to prevent injury. Regularly inspect your feet for any signs of injury or infection.
- Foot Hygiene: Maintain good foot hygiene by washing and drying your feet daily, especially between the toes.
Conclusion
In summary, if your toenails are stuck together after an injury, it is essential to keep the area clean and monitor for any signs of infection. Avoid forceful separation and consider using a nail softener to assist in the natural growth process. If symptoms persist or worsen, do not hesitate to seek professional medical advice. Taking proactive steps in foot care can help prevent future complications and ensure the health of your toenails.
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