Ingrown Toenail Treatment and Recovery Tips - Surgery

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Paronychia issues?


Hello, Dr.
Li.
My right big toe had ingrown toenails on both sides, so I had the nails trimmed down to the middle part.
It has been over a week now.
During my follow-up appointment for a dressing change, the doctor said that I still have some blood clots remaining and that I shouldn't get it wet yet.
They mentioned that I need to wait until the wound is drier, but I see that the blood clots have dried up and the wound looks dry as well.
Why can't I get it wet? I would appreciate your clarification.
Thank you.

Yu, 20~29 year old female. Ask Date: 2015/11/20

Dr. Li Zhonghuai reply Surgery


Hello! The wound is dry, but the nail on the nail bed hasn't fully grown back yet.
It’s been tough for you during this time, so please avoid contact with tap water; otherwise, the bacteria in the tap water can easily enter.
At least there should be new nail growth covering the nail bed.
Wishing you a speedy recovery! Changhua Hospital cares about you!

Reply Date: 2015/11/20

More Info


Ingrown toenails, or onychocryptosis, occur when the edges of the toenail grow into the surrounding skin, leading to pain, swelling, and sometimes infection. Treatment for ingrown toenails can vary depending on the severity of the condition, but it often involves a combination of home care and medical intervention.

In your case, it seems that you have undergone a procedure where the edges of your toenail were removed due to an infection (likely from the ingrown toenail). The presence of blood clots and the doctor's advice to avoid water contact are crucial aspects of your recovery. Here’s a detailed explanation of the treatment and recovery process for ingrown toenails, along with some tips:

Treatment Overview
1. Initial Care: After the removal of the ingrown portion of the toenail, it is essential to keep the area clean and dry. The doctor may have applied a dressing to protect the wound and prevent infection.

2. Avoiding Water: The recommendation to avoid water is likely to prevent the wound from becoming too moist, which can lead to a higher risk of infection. Even if the blood clots appear dry, the underlying tissue may still be healing, and exposure to water can disrupt this process.

3. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort. Always follow the dosage instructions provided by your healthcare provider.

4. Follow-Up Appointments: Regular follow-ups with your doctor are essential to monitor the healing process. If you notice increased redness, swelling, or discharge, you should contact your healthcare provider immediately.


Recovery Tips
1. Keep the Area Clean: Once your doctor gives you the go-ahead, gently clean the area with mild soap and water. Pat it dry instead of rubbing to avoid irritation.

2. Avoid Tight Footwear: Wear open-toed shoes or sandals to reduce pressure on the affected toe. Tight shoes can exacerbate the problem and delay healing.

3. Monitor for Signs of Infection: Watch for symptoms such as increased pain, swelling, redness, or pus. If these occur, seek medical attention promptly.

4. Follow Medical Advice: Adhere to your doctor's instructions regarding wound care and medication. If they have prescribed antibiotics, complete the full course even if you feel better.

5. Gradual Return to Normal Activities: Once the wound has healed sufficiently, you can gradually return to your regular activities. However, avoid activities that put excessive pressure on your toes until fully healed.

6. Consider Nail Care: After recovery, consider preventive measures for your toenails, such as proper trimming techniques (cutting straight across rather than rounding the edges) and maintaining foot hygiene.


Conclusion
In summary, while it may be frustrating to wait before resuming normal activities, following your doctor's advice is crucial for a successful recovery from an ingrown toenail. The healing process can take time, and patience is key. If you have any concerns about your recovery or if the condition worsens, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your foot health is important, and taking the right steps now can prevent future complications.

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