Complete nail fracture?
I kicked a tile while playing, and when I got home, I found that my toenail had completely come off (not a bit left).
The bleeding wouldn't stop, so I went to the pharmacy to get it bandaged.
Will the toenail grow back? If so, how long will it take? Is there anything special I need to pay attention to? Thank you.
Lin Jianheng, 10~19 year old female. Ask Date: 2016/03/01
Dr. Li Yufen reply Dermatology
Hello: As long as the nail matrix is not damaged, a new toenail will grow back.
The growth rate of toenails is relatively slow and varies from person to person; it may take 6 to 12 months to fully regrow.
In the meantime, it is important to care for the wound and prevent infection.
Thank you!
Reply Date: 2016/03/01
More Info
Experiencing complete toenail loss can be quite alarming, but it is important to understand the healing process and how to care for the affected area. When a toenail is completely lost, it can take some time for the nail to regrow, and there are several factors to consider regarding healing time and care tips.
Healing Time
Typically, toenails grow back at a rate of about 1 millimeter per month. Therefore, if you have lost your entire toenail, it may take anywhere from 6 to 12 months for the nail to fully regrow. However, this timeline can vary based on individual factors such as age, overall health, and the specific conditions of the injury.
Immediate Care
1. Control Bleeding: If you are experiencing continuous bleeding, it is crucial to apply direct pressure to the area with a clean cloth or bandage. If the bleeding does not stop after 10-15 minutes of pressure, seek medical attention.
2. Clean the Area: Once the bleeding is controlled, gently clean the area with mild soap and water. Avoid using alcohol or hydrogen peroxide, as these can irritate the skin.
3. Dress the Wound: After cleaning, apply a sterile bandage to protect the area from dirt and bacteria. Change the dressing daily or whenever it becomes wet or dirty.
4. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage any discomfort you may experience.
Long-Term Care
1. Monitor for Infection: Keep an eye on the area for signs of infection, which may include increased redness, swelling, warmth, or pus. If you notice any of these symptoms, consult a healthcare professional.
2. Avoid Tight Footwear: Wear open-toed shoes or sandals until the area has healed and the new nail has started to grow back. Tight shoes can cause irritation and delay healing.
3. Nutritional Support: Ensure you are consuming a balanced diet rich in vitamins and minerals, particularly biotin, zinc, and protein, which are essential for nail growth.
4. Protect the Area: As the new nail begins to grow, it may be more susceptible to injury. Consider using protective footwear, especially if you are engaging in activities that could put your toes at risk.
5. Follow-Up Care: If you have any concerns about the healing process or if the nail does not seem to be growing back properly, it is advisable to follow up with a healthcare provider. They can assess the area and provide additional guidance.
Conclusion
In summary, while losing a toenail can be distressing, with proper care, it will eventually grow back. The healing process requires patience, as it can take several months for the toenail to fully regenerate. By following the care tips outlined above and monitoring for any complications, you can support the healing process and ensure the best outcome for your toenail recovery. If you have any further questions or concerns, do not hesitate to reach out to a healthcare professional for personalized advice.
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