How to Care for a Torn Nail: Healing Tips and Pain Management - Surgery

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Nail lifting


Due to being pinched by a cabinet, the entire nail has been lifted off, and currently, there is no nail on the finger.
I would like to ask how to care for the wound.
Do I need to change the dressing every day? How long will it take for the pain to subside? Thank you.

Zhou, 30~39 year old female. Ask Date: 2023/05/14

Dr. Li Zhonghuai reply Surgery


Hello! There are two corners at the proximal end of the nail that need to be cleaned out.
An X-ray assessment is recommended to check for any fractures.
It is advised to seek treatment at a hospital.
The wound needs to be dressed daily, and it must not come into contact with tap water.
The pain should gradually subside over about a week.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2023/05/14

More Info


Caring for a torn nail can be a challenging experience, especially when the nail is completely lifted or missing. Here are some essential tips for healing and pain management, along with an understanding of the healing process.


Immediate Care
1. Clean the Area: Start by gently cleaning the affected area with mild soap and water. This helps to remove any dirt or debris that could lead to infection. Avoid using alcohol or hydrogen peroxide, as these can irritate the wound.

2. Control Bleeding: If there is bleeding, apply gentle pressure with a clean cloth or bandage until it stops. If bleeding persists, seek medical attention.

3. Protect the Wound: After cleaning, cover the area with a sterile bandage or gauze. This protects the exposed skin from further injury and reduces the risk of infection.


Daily Care
1. Change Dressings: It is advisable to change the dressing daily or whenever it becomes wet or dirty. When changing the dressing, clean the area again with mild soap and water. If you notice any signs of infection (increased redness, swelling, warmth, or pus), consult a healthcare professional.

2. Moisturize: Keeping the area moisturized can promote healing. You can apply a thin layer of antibiotic ointment (like Neosporin) before covering it with a bandage. This helps to keep the wound moist and can prevent scabbing, which may be painful.

3. Avoid Irritants: Try to avoid exposing the wound to harsh chemicals or excessive moisture (like prolonged soaking in water). Wearing gloves while doing dishes or cleaning can help protect the area.


Pain Management
1. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen can help manage pain and reduce inflammation. Follow the dosage instructions on the package or as advised by your healthcare provider.

2. Cold Compress: Applying a cold compress to the area can help reduce swelling and numb the pain. Use a cloth or ice pack wrapped in a towel and apply it for 15-20 minutes at a time.


Healing Time
The healing time for a torn nail can vary depending on the severity of the injury and individual healing rates. Typically, if the nail bed is intact, the pain should start to decrease within a few days, and the area will begin to heal. However, if the nail matrix (the tissue under the base of the nail) is damaged, it may take longer for the nail to grow back.

- Nail Growth: Fingernails grow at an average rate of about 1/8 inch (3 mm) per month. If the nail is completely lost, it may take several months for a new nail to fully grow back.


When to Seek Medical Attention
If you experience severe pain, signs of infection, or if the nail does not appear to be healing properly, it is essential to seek medical attention. A healthcare professional may need to assess the injury and determine if further treatment is necessary, such as stitches or a more specialized dressing.


Conclusion
In summary, caring for a torn nail involves keeping the area clean, protected, and moisturized while managing pain effectively. Regular dressing changes and monitoring for signs of infection are crucial for proper healing. While most cases will heal without complications, do not hesitate to reach out to a healthcare provider if you have concerns about your injury or if the pain persists.

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