Can You Swim with Paronychia? Healing Time and Care Tips - Family Medicine

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Can I swim with paronychia?


I recently had an ingrown toenail treated, and the hospital removed the entire toenail because I had ingrown toenails on both the inner and outer sides.
This was done on June 16.
I would like to know how long it will take before I can get the wound wet or swim in a pool.
I am currently changing the dressings regularly.
How can I assess whether the wound is ready to be exposed to water?

Ka, 10~19 year old female. Ask Date: 2023/06/24

Dr. Xiao Yongxun reply Family Medicine


Dear Mr.
Ka: 1.
Since each person's condition and disease situation is different, it is best to direct your questions to your attending surgeon.
2.
Generally speaking, because it is an open wound and lacks the protection of nails, the skin barrier against bacteria is very thin; I believe it is advisable to avoid contact with non-sterile water for at least two weeks (the water in swimming pools is likely not sterile).

Reply Date: 2023/06/24

More Info


Paronychia, an infection of the skin around the nails, can be quite uncomfortable and may require careful management, especially after a surgical intervention like nail removal. In your case, since the entire nail has been removed due to paronychia, it is crucial to allow the area to heal properly before exposing it to water, particularly in a swimming pool.


Healing Time
The healing time for a nail bed after the removal of the nail can vary significantly based on several factors, including the extent of the infection, your overall health, and how well you care for the wound. Generally, the initial healing phase can take anywhere from 1 to 3 weeks, but complete healing, including the regrowth of the nail, may take several months. During this time, it is essential to monitor the wound for any signs of infection, such as increased redness, swelling, or discharge.


When Can You Swim?
As a general guideline, it is advisable to avoid submerging the affected area in water until the wound has fully healed and any scabs have fallen off. This is particularly important for swimming pools, which can harbor bacteria and other pathogens that might exacerbate the infection or lead to new complications. Typically, you should wait at least 2 to 3 weeks after the procedure before considering swimming, but this can vary based on your healing progress.


Signs That It’s Safe to Swim
To determine whether it is safe to swim, consider the following indicators:
1. Wound Appearance: The wound should be closed, with no open areas or scabs. It should appear clean and dry.

2. Absence of Symptoms: There should be no signs of infection, such as increased pain, swelling, or pus.

3. Doctor’s Advice: Always consult your healthcare provider before resuming activities like swimming. They can provide personalized advice based on your healing progress.


Care Tips
1. Keep the Area Clean and Dry: Follow your doctor's instructions for wound care, including regular dressing changes. Keeping the area dry is crucial to prevent further infection.

2. Avoid Irritants: Stay away from harsh chemicals or products that could irritate the wound.

3. Watch for Signs of Infection: Be vigilant for symptoms such as increased redness, warmth, swelling, or discharge. If you notice any of these, contact your healthcare provider immediately.

4. Limit Physical Activity: While it may be tempting to return to normal activities, it’s important to allow your body to heal. Avoid activities that put pressure on the affected area until it has healed adequately.


Conclusion
In summary, while swimming can be a great way to stay active, it is essential to prioritize your healing after a paronychia treatment. Wait until your wound has fully healed and consult with your healthcare provider before returning to the pool. Following proper care and monitoring your recovery will help ensure that you can enjoy swimming again without complications.

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