Ingrown Toe Nails Medical Treatment
Treatment options depend on the stage of ingrown toenails, medically known as onychocryptosis.
Stage 1 can be managed by recommending shoes with a comfortable wide toe box or open-toed shoes. Instruct the patient's parents to cut the nail straight across and avoid cutting back the lateral margins. The nail edge should extend past the tissue.
Stage 2 can be treated by stretching the soft tissue away from the side of the nail, elevating the offending edge of nail from the soft tissue, and placing a small pledget of cotton under the nail edge to lift it back into the nail grove. Instruct patients with stage 2 ingrown nails on how to perform this treatment. Parents should also be instructed to have the child rest, keep the foot elevated, and use warm soaks.
Stage 3 should be treated by removing the nail margin as described in "Surgical Care." Chronic ingrown toenails may require matrix ablation.
Stage 3 ingrown nails require avulsion of the lateral border of the nail plate with sharp excision of the hypertrophic granulation tissue. If avulsion has been unsuccessful in the past, partial or total ablation of the nail plate chemically, surgically, or via laser may be indicated. Prepare the digit with Betadine or alcohol if the patient is iodine allergic. Perform a digital block with 2% lidocaine without epinephrine. Lift the nail off of the nail matrix bluntly all the way back to approximately one eighth of an inch under the proximal nail fold. Insert a scissors blade and cut the nail back to the proximal nail fold. Remove the free portion of the nail.
Protuberant granulation tissue can be removed sharply or treated with silver nitrate. Bleeding, if any, is controlled with pressure. Antibiotic ointment and clean dressing should be applied.
Consult a podiatrist for routine follow-up care or for patients in whom primary avulsion therapy has been unsuccessful. Close follow-up care with an orthopedist is required if inflammatory osteophytic changes are observed or if evidence of osteomyelitis is present.
Follow-up with a primary care physician is indicated for any type of immunosuppression, including diabetes mellitus.
Diet: No dietary limitations are required.
Activity: Rest, keep the extremity elevated, soak the affected nail in warm water, and maintain limited weight bearing until healing has taken place.
Gregory Mburu is a medical professional and part time marketer. He post his helpful information about ingrown toenail at http://nail-fungus-cure.blogspot.com/
This RSS feed URL is deprecated, please update. New URLs can be found in the footers at https://news.google.com/news
University of Louisville takes its medicine and starts healing process | Tim Sullivan - The Courier-Journal
Personalized Lifestyle Medicine Institute to Host 2018 Thought Leaders Consortium in Tucson - PR Newswire (press release)
Cholesterol Prescription Medications Can Kill You
While there are numerous options for people to lower cholesterol naturally, thousands and thousands of people are taking prescription medication to lower cholesterol - risking some very dangerous side effects.These side effects can include:? An increase in cancer risk ? Elevated liver enzymes (causing liver damage) ? Yellow skin / yellow eyes ? Rhabdomyolysis (degenerative muscle tissue condition) ? Impaired kidney function ? Muscle weakness and pain ? Dizziness ? Gas ? Headache ? Heartburn or indigestion ? Nausea or vomitingCrestor, a prescription medication to lower cholesterol, has been linked to the death of a patient who developed a suspected case of severe muscle wasting.
Nasonex And You: Breathe Easy, Not Sneezy
While everybody else is wandering around enjoying the spring weather, are you hiding out in your hermetically-sealed house? Do you dread the start of poolside parties because your date is going to be a box of tissues? If so, like so many of us, allergies may be running your life.Why me? And why allergies?An allergy is caused when your body releases chemicals to ward off foreign bodies trying to make their way into your blood stream.
Integrative Medicine And Its Future
The NBC National News, quoted the Washington Post in March 2000 about the concerns that the FDA had over the mixing of supplements and conventional medications. There was concerns that millions of people are taking supplements (considered herbs, homeopathic, vitamins, minerals, amino acids, enzymes and some diet products) and having reactions when they mix these things with common and prescribed medications.
Stevens Johnson Syndrome Lawyer Says: Get Help
SJS is an allergic reaction to certain medications that can result in death. It has been linked to pain killers, antibiotics, barbiturates, anti-convulsants, non-steroid anti-inflammatory drugs, arthritis medications, and sulfa antibiotics such as Bextra, Arava, Aventis, Remicade, Allopurinol, Phenytoin, Carbamazepine, Ibuprofen, Daypro, children's Motrin, Advil, Lamectal and Topamax.
Lunesta Sleeping Pills: A Quick Guide To Lunesta
When was the last time you enjoyed a good night's sleep? I'm talking about feeling tired, heavy, and relaxed - the times when you might say "wow! I love air conditioning" and fall right into a deep sleep. If you haven't fallen asleep quickly and woken up feeling refreshed and ready for anything, then you're not alone.
Understanding Tumescent Liposuction
Tumescent liposuction is done using a local aesthetic. A large volume of saline solution containing the aesthetic and a drug called "Epinephrine" is injected directly into the areas where there are excessive fatty deposits.
Can You Always Trust Your Dentists Recommendations?
Can you always trust your dentists' recommendations? Think for yourself - in the last 30 years the health of our teeth has improved dramatically. We drink fluoridated water, which almost eliminated decay in our teeth.
Lunesta is a newly released sleeping pill. Marketed as a revolutionary sleep aid, Lunesta is the only medication approved by the FDA for long term treatment of insomnia symptoms.
Melatonin, Sleep Enhancement, and ADHD
Overview Melatonin is a natural hormone, which is produced and secreted by the pineal gland. Melatonin plays an important role in the regulation of many hormones in the body.
Natural Vitamin E Combined with Vitamin C for Treatment of Alzheimers Disease
Checklist of Treatments for Alzheimer's DiseasePart 2 of 82. Vitamin E combined with Vitamin C.
Modern Medicine Has Extended Life - BUT 9 Out of 10 People Say Its a Miserable Extension!
Sit down in a quiet place alone and take a minute to notice how you really feel inside and out? Would you consider yourself in good health or living a slow death you call life? As you sit quietly observing yourself, pay attention to the signs and symptoms of your body. Notice the things you've been ignoring such as a low-grade headache that rarely ceases, aching joints, slightly blurred vision, a bulging stomach, sagging chin, no zest for life or maybe a definite feeling of being bone tired and constantly in pain somewhere.
Vioxx Side Effects : Are You Suffering?
Have you ever taken the drug Vioxx or celebrex? In September 2004 the drug manufacturer Merck decided to recall the product after long term data suggested a serious potential side effect.This drug and others like it such as as 'Celebrex', 'Bextra' and 'Arcoxia' are part of a family of drugs known as "COX2 drugs" or "COX2 inhibitors"They have been developed with, ironically, patient safety in mind.
Who Else Wants General Information on Arthritis?
Today there are about 70 million Americans with arthritis?that's one person out of every four who suffer both pain and the expense of this crippling disease. In one year alone, arthritis will be responsible for over half a billion dollars in lost wages.
The Trouble with Tranqs
There's a whole group of drugs out there called benzodiazepines.They are tranquillisers, or sedatives.
rX My Heart and Hope to Die
This must be a mistake! How could his drug costs rise from $150 a month to $1101 in just three weeks? My hands shook while I read the pharmacy bill.There was no mistake.
New Surgical Treatment Options for Hernias
Hernia repair is one of the most commonly performed surgical procedures worldwide. In fact, there are over 600,000 hernia repair surgeries performed each year in the U.
Accutane Side Effects Lawyer: Hair Loss, Depression, Suicide
You probably know the drug isotretinoin by its trade name, accutane. Accutane is a powerful drug often used to treat acne.
Testosterone Therapy in XXI Century
Nowadays many people are familiar with the appellation of "low testosterone level". What does it mean? It mean that male body produce less amounts of this hormone than necessary.
Residential Drug Treatment Centers
Chemical dependency recovery provides with positive changes in reactions and behaviors. Residential Treatment Centers can be accommodate those suffering from alcoholism, drug addiction, gambling addiction, and more.
New Company Helps Another Medical Condition Become: "Acceptable" Dinner Conversation
Recently once taboo subjects like plastic surgery have become acceptable dinner conversation. Medical conditions are no longer whispered to friends, but have instead become part of the dinner table conversation with full blown discussions on Botox, erectile dysfunction and the feared colonoscopy.
|home | site map | Dr. Thad Thomas|