The nail is lifted but not removed?
Three weeks ago, I injured my toe by hitting it against the refrigerator, which caused my toenail to lift.
After visiting the emergency room, it was determined that I did not need to have the nail removed, and I was given anti-inflammatory medication and ointment.
I followed up with a primary care appointment on Monday, where the doctor advised me on how to apply the medication and keep the area clean, instructing me to avoid water exposure.
Now, three weeks later, there is no pain, and I have removed the gel polish.
The nail appears to be attached to the underlying tissue, but I can see that the inner layer has some blood or bruising.
I would like to know when I can start washing it with water or taking a shower.
Ya Ya, 30~39 year old female. Ask Date: 2023/07/11
Dr. Li Zhonghuai reply Surgery
Hello! You can come into contact with tap water, but please avoid soaking in it for now.
Stay safe! Changhua Hospital cares about you!
Reply Date: 2023/07/11
More Info
When it comes to caring for a nail injury, particularly one that involves trauma to the nail bed, there are several important considerations to keep in mind. Based on your description, it sounds like you have been following appropriate medical advice after your injury, which is crucial for proper healing.
Healing Timeline and Showering
Typically, after a nail injury, the healing process can take several weeks to months, depending on the severity of the injury and the individual’s healing capacity. Since you mentioned that it has been three weeks since the injury and you are no longer experiencing pain, this is a positive sign. However, the presence of blood or bruising under the nail indicates that the healing process is still ongoing.
Regarding when you can shower or expose the injured area to water, it is generally advisable to wait until the nail and surrounding tissue have healed sufficiently. This can vary, but here are some guidelines:
1. Initial Healing Phase: In the first few weeks post-injury, it is crucial to keep the area dry to prevent infection. If your doctor advised against exposing the area to water, it is best to follow that guidance until they provide further instructions.
2. Signs of Healing: If the nail is securely attached to the nail bed and there are no signs of infection (such as increased redness, swelling, or discharge), you may be able to start gently washing the area. However, avoid soaking the finger or toe in water for prolonged periods.
3. Consult Your Doctor: Since you have already seen a doctor and received treatment, it would be wise to follow up with them regarding your specific case. They can assess the healing progress and provide personalized advice on when it is safe to shower without covering the area.
Care Tips
Here are some additional care tips for your nail injury:
- Keep It Clean: If you are allowed to wash the area, use mild soap and water. Pat the area dry gently with a clean towel afterward.
- Moisturize: If your doctor approves, applying a thin layer of antibiotic ointment can help keep the area moist and prevent scabbing, which can lead to more significant scarring.
- Avoid Trauma: Be cautious to avoid bumping or putting pressure on the injured nail as it heals. This can help prevent further injury and promote better healing.
- Watch for Infection: Keep an eye on the injury for any signs of infection, such as increased pain, swelling, redness, or pus. If you notice any of these symptoms, seek medical attention promptly.
- Follow-Up Appointments: Regular check-ups with your healthcare provider can help monitor the healing process and address any concerns you may have.
Conclusion
In summary, while it may be tempting to resume normal activities, including showering, it is essential to prioritize the healing of your nail injury. Given that it has been three weeks, you are likely nearing a point where gentle washing may be permissible, but always consult your healthcare provider for tailored advice based on your specific situation. Proper care and attention to your injury will help ensure a smooth recovery and minimize the risk of complications.
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