Postoperative issues related to paronychia?
Hello Doctor, I would like to ask about my situation.
I had a doctor remove a nail that had pierced into the flesh (specifically on the outer side of my big toe where there is more flesh).
It has been six days now, and I can walk normally without pain when touching it.
However, there is a small area of the wound, about one-fifth the size of the nail, that is not covered by nail and feels like exposed flesh.
The wound itself is clean with a tiny bit of clear fluid.
Is this normal? Will the nail gradually grow back? When can I normally soak it in water for bathing? Thank you.
Amy, 20~29 year old female. Ask Date: 2015/10/26
Dr. Xu Kaixi reply Surgery
The situation you described is a normal progression of the wound after toenail removal.
In about a week, the wound will become drier and will not have any discharge, at which point you can shower normally.
The toenail will gradually grow back from the base towards the tip.
Reply Date: 2015/10/26
More Info
After undergoing surgery for an ingrown toenail, it is common to have concerns about healing and proper care. Based on your description, it seems that you are in the recovery phase, which is typically characterized by some discomfort, drainage, and the gradual regrowth of the nail. Here are some insights and recommendations regarding your situation.
Healing Process
1. Wound Appearance: The fact that your wound is clean and only has a small amount of transparent fluid is generally a good sign. This fluid is likely serous fluid, which is a normal part of the healing process. As long as there is no significant redness, swelling, or pus, you can be reassured that your body is healing properly.
2. Nail Regrowth: It is normal for the nail to take some time to regrow after surgery. The regrowth rate can vary from person to person, but typically, toenails grow about 1 millimeter per month. Since you mentioned that approximately 1/5 of the area is still exposed, it may take several weeks to months for the nail to fully cover that area again. During this time, it is crucial to keep the area clean and protected.
Care Tips
1. Keep the Area Clean: Continue to clean the wound gently with mild soap and water. Avoid scrubbing the area, as this can irritate the wound. After cleaning, pat the area dry with a clean towel.
2. Moisture Control: If the area is still oozing a small amount of fluid, you may want to apply a sterile dressing or bandage to keep it protected. Change the dressing daily or whenever it becomes wet or dirty.
3. Avoid Soaking: Until the wound is fully healed and the nail has started to regrow significantly, it is advisable to avoid soaking your foot in water. This includes baths and swimming pools, as prolonged exposure to water can increase the risk of infection. You can take showers, but try to keep the foot out of the direct stream of water or cover it with a waterproof bandage.
4. Pain Management: If you experience any pain or discomfort, over-the-counter pain relievers such as acetaminophen or ibuprofen can be helpful. However, if you notice increased pain, swelling, or any signs of infection, it is essential to consult your healthcare provider.
5. Monitor for Signs of Infection: Keep an eye out for any signs of infection, which may include increased redness, warmth, swelling, or pus. If you notice any of these symptoms, contact your doctor promptly.
6. Follow-Up Appointments: Ensure that you attend any follow-up appointments with your healthcare provider. They can assess the healing progress and provide additional care instructions if necessary.
When to Resume Normal Activities
You can generally resume normal activities, including walking, as long as you are not experiencing pain. However, be cautious about activities that may put pressure on the toe or expose it to injury. As for bathing, you can typically resume normal showering once the wound has closed and is no longer oozing. This can take anywhere from a few days to a couple of weeks, depending on your healing process.
In summary, your current healing stage seems to be progressing well, but it is essential to continue monitoring the wound and practicing good care. If you have any concerns or if the situation changes, do not hesitate to reach out to your healthcare provider for further guidance.
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