Should I Remove My Nail for Proper Healing After Injury?

Nail issues?

Hello, doctor.
Last month, my finger got caught in a machine, and the white part of my nail has grown out, but the tip of the nail is still indented.
Should I remove the nail to let it grow back, or should I wait for it to grow out on its own?

Niming, 20~29 year old female. Ask Date: 2023/05/26

Dr. Xu Kaixi reply Surgery

You can observe for a while; the nail will grow out.
If the newly grown nail shows no abnormalities, theoretically, it should return to normal after a few months when it has completely grown out.

Reply Date: 2023/05/26

More Info

When it comes to nail injuries, especially after trauma such as being caught in a machine, the decision to remove the nail or allow it to grow back naturally depends on several factors. In your case, since you mentioned that the white part of the nail (the lunula) is growing but the tip of the nail is still concave, it suggests that there has been some damage to the nail matrix, which is the tissue under the base of the nail responsible for nail growth.

Should You Remove the Nail?
1. Assessment of Damage: If the nail is significantly damaged, painful, or if there is a risk of infection, removal may be necessary. A damaged nail can sometimes lead to complications such as ingrown nails or infections if not treated properly.

2. Pain and Discomfort: If the nail is causing you significant pain or discomfort, it might be advisable to consult a healthcare professional about removal. They can assess whether the nail is likely to grow back properly or if it would be better to remove it to allow for a healthier regrowth.

3. Nail Growth: Nails grow slowly, and it can take several months for a nail to fully regrow. If the nail is still attached and not causing any pain, it may be best to leave it alone and allow it to grow out naturally. The body often has a remarkable ability to heal itself, and the nail may eventually return to a more normal shape as it grows.

4. Consult a Professional: It is always best to consult with a healthcare provider or a dermatologist who specializes in nail injuries. They can provide a thorough examination and determine the best course of action based on the extent of the injury.

Additional Considerations
- Infection Risk: Keep an eye on the nail for any signs of infection, such as increased redness, swelling, or discharge. If you notice any of these symptoms, seek medical attention promptly.

- Nail Care: While the nail is healing, it’s important to keep it clean and protected. Avoid exposing it to harsh chemicals or environments that could exacerbate the injury.

- Follow-Up: Regular follow-up with a healthcare provider can help monitor the healing process and ensure that the nail is regrowing properly.

Conclusion
In summary, whether or not to remove the nail after an injury depends on the extent of the damage, the level of pain, and the risk of complications. If the nail is not causing significant issues, it may be best to allow it to grow back naturally. However, consulting with a healthcare professional is crucial to ensure proper healing and to make an informed decision about the best course of action for your specific situation.

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