How to remove ingrown nail
Author: doctor Deryushev A.N.
An ingrown nail is the deepening or indeed the real growth of one edge or both edges of the nail into the surrounding soft tissue of the finger. Most often this happens with the lateral (outer) edge of the nail at the first finger on the foot. The use of tight shoes as well as improper processing of the nail (cutting the edges of the nail too deep) leads to such a state. However, it is believed that the basis of this disease may be an innate feature of the direction of growth of the nail.
This disease manifests itself, first of all by pains when walking in shoes, an ulcer is formed on the roller of such a nail, it is possible that pus is separated, and the finger swells. With the progression of the disease, the inflammatory process extends to the entire roller of the nail, which often leads to its detachment. In patients with diabetes mellitus or atherosclerosis obliterans, this process can sometimes end with even gangrene of the finger. The diagnosis usually does not cause difficulties, however, angiopathies can give a similar picture.
In the early stages of treatment is usually conservative, warm baths with sodium bicarbonate solution, or with potassium permanganate are used, laying stripes of gauze dipped in an antiseptic solution or an antibiotic between the edge of the nail and soft tissue of the finger. Be sure to avoid tight shoes. With a very deep ingrowth of the nail, surgical methods of treatment are always indicated. The operation is carried out after acute inflammation subsides. Preference is usually given to operations in which a modified part of the body of the nail is excised together with its bed, otherwise the disease may recur.
There are several different types of surgical
interventions for ingrown nails
Bartlett's operation is a wedge-shaped excision of the soft tissues of the finger on the side of ingrowth outside the area of inflammation followed by stitching on the edges of the defect, while the roller is pulled from the edge of the nail.
Dupuytren's operation: the nail is cut longitudinally into two halves, followed by twisting each half of the nail and carefully excising the damaged tissue.
Schmieden's operation: wedge-shaped excision of the ingrown edge of the nail, along with its roller and also part of the bed. The nail bed is then excised to the periosteum, granulations, which have grown in the area of the roller, are scraped out with a sharp spoon. The dissected tissues of the nail bed are stitched.
Hadzhistamon's operation: directly at the root of the nail on the side of ingrowth, cut out and then remove the triangular skin flap, soft tissue is cut from this defect distally along the nail roll, this incision should bend around the granulations and reach the free edge of the nail. All soft tissues and granulations that are close to the nail are removed along with the ingrown part of the nail, as well as the bed area. The remaining flap of the roller must be sewn at the edge of the nail. For two or three days a small drainage is introduced into the wound.
During operations it is recommended to apply a bandage with ointment on such a wound. When, after about a month, a new nail is growing, it is recommended to put a turunda made of gauze under its edge until the nail takes the correct position. After one or two days turunda should be changed.
Currently, laser technologies are used quite often and effectively in surgical intervention for ingrown nails, which allow making operations less traumatic. It is worth being aware of the treatment of subarticular felon - this is another disease.
From the popular methods of treatment, it is recommended to use aloe casting in the initial stages of the disease. This reduces pain and cleans the wound from purulent contents. Rinsing with broths of chamomile, pharmacy, St. John's wort, sage, that is, herbs with anti-inflammatory properties will also help.
Prevention of this condition is the correct selection of shoes (with the exception of using tight shoes), proper care of the skin of the feet, fingers, nail care, the correct order of cutting nails.
author: doctor Jordan A.V.
It would seem, what a trifle - toe bruise, who has not hit at least once? However, it is still the same trauma as the bruises of other parts of the body, because after a bruise, and even a strong one, it becomes impossible, not only to walk, but even to move the injured finger. And how carelessly are the victims in this situation? As a rule, after bruising the toes, regardless of the pain and other possible symptoms, the person returns to his cases of interrupted bruising.
author: doctor Ambrosova I.A.
Sometimes it happens that when working with a knife, he goes not where he is directed, but leaves his deep notch on the finger. It should be noted that there are no vital blood arteries on the fingers, in connection with which, it is not worth much to drag it.
To reduce blood loss, a wounded arm can be raised upwards.
When cutting a finger, it is not recommended to place it under a stream of running water, as this can make it difficult to stop the bleeding and sometimes cause infection.
author: orthopedic traumatologist Konev K.V.
To understand how the dislocation of the big toe is going on and how it is treated, we first need to touch on its structure a bit. The bone base of the large (first) toe are two small bones - phalanges, which are attached to the foot to the first metatarsal bone. This compound is called by the names of the bones, which form it - the first metatarsophalangeal joint.
author: doctor Zhilyuk V.Yu.
What is a cut on a finger? It would seem a trifle, which even the attention is not worth it. But sometimes cuts are deep, painful, and bleed badly.
author: doctor Kamneva A.N.
Each of us throughout his life at least once received a slight injury to his toes. Pinching and bruising of the fingers, the fall on them of heavy and not very objects are not so rare. The most offensive consequence of such injuries is the appearance of a bruise-hematoma under the nail, which is not at all happy, and sometimes frightening the eye.
author: doctor Ambrosova I.A.
Bruising a nail on the arm is a nuisance that almost every one of us can face in everyday life. Such an injury can be obtained by pinching the nail with the door or crushing it with something heavy. There are many situations in which the probability of injury occurs, and it is simply not realistic to list them all, just as well as to prevent the likelihood of injury by one hundred percent. That is why it is necessary to know the methods of providing first aid to the damaged nail for its quick and painless recovery.
Author: Surgeon Denisov MM
This type of felon is characterized by localization under the nail plate, while it is either limited or exfoliates the entire nail.
author: doctor Zhilyuk V.Yu.
The easiest ways to get a nail bruise is to drop a heavy object on your leg, to trip over something hard, to pinch a finger in the doorway. You can step on your foot, you can unsuccessfully attach to the ball, playing football.
Symptoms of bruised nail.