If pus appears near the corner of the nail, the most common cause is paronychia. Paronychia can cause the toenail to embed into the flesh, leading to inflammation. If the inflammation is not treated well, the infection will worsen and cause pus discharge. Therefore, good treatment should be carried out in time at this time. Of course, it may also be due to trauma or improper nail trimming. What's the matter with pus coming out from the seam between my toenails? 1. Trauma: Due to playing football, collision, being hit, etc., the toes are damaged, which affects the nail bed or nail matrix cells and causes toenails to become deformed. The nail plate may be torn after being kicked or stepped on by others, causing the side edge of the nail plate to be closer to the soft tissue of the nail groove and forming an ingrown nail, which is more common in young students. 2. Improper nail trimming: Many patients trim their toenails into an arc shape to adapt to the shape of their fingers and for the sake of beauty. They trim the corners on both sides of the toenails in an attempt to eliminate the nail corners. After trimming this nail corner, a new nail corner will form behind it. You can never eliminate the nail corner, and the more you trim the nail corner, the more it will curl inward. At this time, if you wear a pair of pointed shoes, the nail groove tissue will be squeezed towards the nail corner, and the nail corner will be embedded in the "flesh", causing ingrown nails. In addition, if the toenails are cut too short, the soft tissue next to it will grow upwards because it is not covered by the toenails. As a result, when the toenails grow out, they will pierce the soft tissue and cause paronychia. 3. The shoes are too tight: Most patients are female, who wear shoes with high heels and pointed toes, such as the popular pepper shoes. The side edge of the nail is squeezed to grow into the soft tissue of the nail groove, and the nail and nail fold are rubbed, causing soft tissue swelling and aggravating the ingrown nail. There are also teenagers who grow fast and their new shoes become too small within a few months. If they are reluctant to throw away their beloved shoes, they have to put up with their feet, which increases the chances of their toes getting squeezed. Treatment: 1) In the early stage of acute paronychia , when there is no pus formed, the affected limb can be supported with a triangular bandage and 10% ichthyol ointment can be applied externally. If pus accumulates, a longitudinal incision can be made along the nail groove to drain the pus. If there is an abscess under the nail, the nail can be removed and broad-spectrum antibiotics can be used systemically. 2) In the early stage of chronic paronychia, antifungal agents and bactericides such as Daktarin ointment, terbinafine hydrochloride ointment, and neomycin ointment can be used alternately. Later, Carfilzomib ointment can be used to remove excess granulation tissue at the nail edge. During the operation, damage to the nail bed should be avoided. |
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