The toenail of the big toe has been crushed?
Last Wednesday, I injured my big toe nail, and the wound has been slightly moist and itchy every time I change the dressing (the wound is covered with artificial skin).
Can I apply a scar ointment like Ningbaning after removing the gauze today? How long will it take for the wound to heal? When can I wear cloth shoes?
An An, 10~19 year old female. Ask Date: 2015/12/19
Dr. Li Zhonghuai reply Surgery
Hello! The thumbnail is fractured and it is recommended to perform a distal nail avulsion.
Clean the wound daily with saline solution and apply antibiotic ointment.
Avoid contact with tap water and do not apply artificial skin.
It is advisable to visit a general surgery outpatient clinic at least once.
You will need to change the dressing at home for at least a month.
Wishing you a speedy recovery.
Changhua Hospital cares about you!
Reply Date: 2015/12/19
More Info
Managing a broken toenail can be a frustrating experience, especially when it involves pain and discomfort. When a toenail is broken or partially torn off, it is essential to take proper care of the injury to promote healing and prevent infection. Here’s a comprehensive guide on healing time, care tips, and what to expect during the recovery process.
Healing Time
The healing time for a broken toenail can vary significantly depending on the severity of the injury. Generally, a toenail can take anywhere from 4 to 6 weeks to heal if it is a minor break. However, if the nail is completely torn off or if there is significant damage to the nail bed, it may take longer—up to several months—for the nail to fully grow back. In some cases, if the nail bed is severely injured, the nail may not grow back properly, leading to a deformed nail.
Care Tips
1. Keep the Area Clean and Dry: It’s crucial to keep the injured area clean to prevent infection. Gently wash the toe with mild soap and water, and pat it dry. Avoid soaking the toe in water for prolonged periods, as this can soften the skin and increase the risk of infection.
2. Use Artificial Skin or Bandages: Since you mentioned using artificial skin, continue to do so as it can help protect the wound from external irritants and bacteria. Change the dressing regularly, especially if it becomes wet or soiled.
3. Apply Antibiotic Ointment: After cleaning the wound, applying an antibiotic ointment like Neosporin can help prevent infection. However, if you are using a specific product like "宁疤宁" (Ning Ba Ning), ensure it is suitable for open wounds. Always follow the instructions provided with the product.
4. Monitor for Signs of Infection: Keep an eye on the wound for any signs of infection, such as increased redness, swelling, warmth, or pus. If you notice any of these symptoms, it’s essential to consult a healthcare professional promptly.
5. Avoid Tight Footwear: While your toenail is healing, avoid wearing tight shoes or any footwear that puts pressure on the toe. Loose-fitting shoes or sandals are preferable until the nail has healed sufficiently.
6. Pain Management: If you experience pain, over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort. Always follow the recommended dosage on the label.
7. Be Patient: Healing takes time, and it’s essential to be patient. Avoid picking at the wound or the surrounding skin, as this can lead to complications.
When to Wear Shoes
As for when you can wear regular shoes again, it largely depends on the healing progress of your toenail. If the area is still tender, swollen, or painful, it’s best to wait until you can comfortably wear shoes without discomfort. Generally, you can start wearing soft, breathable shoes once the wound has closed and the pain has significantly decreased, which could be anywhere from 2 to 4 weeks after the injury, depending on individual healing rates.
Conclusion
In summary, managing a broken toenail requires careful attention to hygiene, protection of the wound, and monitoring for signs of infection. Healing times can vary, but with proper care, most minor injuries will heal within a few weeks. If you have any concerns about the healing process or if the wound does not seem to improve, it’s advisable to seek medical advice. Remember, taking care of your feet is essential for overall health, so don’t hesitate to reach out for help if needed.
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