What is the treatment for paronychia?

Paronychia usually occurs on the big toe, mainly because people do not trim their toenails in time or trim them too short, causing bleeding. If the symptoms of paronychia are relatively mild, conservative treatment is generally recommended, but when the symptoms worsen, surgical treatment is required. This article will make a detailed analysis of the specific methods for treating paronychia.

Traditional treatment methods

Systemic treatment: Acute paronychia should be treated effectively as soon as possible to prevent nail bed damage. Broad-spectrum antibiotics that cover both aerobic and anaerobic bacteria, such as amoxicillin/clavulanic acid, can be used for treatment. If symptoms do not improve within 48 hours, surgical treatment should be adopted. In the early stages of treatment, hot compresses, physical therapy, external compresses, and the use of iodine amines or antibiotics can be used.

Surgical treatment: When the infection of acute paronychia is superficial and localized, incision and drainage can be performed. If the infection is deep, under local anesthesia, lift the proximal 1/3 of the nail plate and place a drainage strip under the proximal nail fold to drain the secretions. If there is pus, a longitudinal incision can be made at the nail groove for drainage. When the infection has spread to the subcutaneous area around the nail base, a longitudinal incision can be made in the nail grooves on both sides, the epithelial sheet on the nail root can be turned up, the root of the nail can be removed, and a small piece of vaseline gauze or latex sheet can be placed for drainage. If pus has accumulated under the nail bed, the nail should be removed or the nail above the abscess cavity should be trimmed. When removing nails, be careful to avoid damaging the nail bed to prevent deformities of the new nails in the future.

If you have paronychia, you should pay attention to the maintenance of your nails in daily life. Choose shoes of appropriate size. Do not remove hangnails casually. It is best to cut your nails into an arc shape to help protect them. Apply ingrown nail cream to the area with paronychia!

After knowing the methods for treating paronychia, I hope patients understand that diseases like paronychia are the best to prevent. You only need to be careful when trimming your nails, not trimming them too short, and not cutting them to bleed, to prevent the occurrence of paronychia. I hope all friends can understand these methods to prevent paronychia.