The ingrown nail

ingrown nailingrown Nail - introduction of the side edges of the nail plate under the nail wall. More often seen on the big toe. Usually grows outer edge of the nail, rarely both its edges. One of the frequent causes of ingrown fingernail - long pressure on the nail tight or uncomfortable shoes, and overly short cutting the side edges of the nail. Due to the growing edge of the nail plate ulcerated skin and becomes inflamed. There is pain outer edge fingers, rarely both sides noted the growth of granulation (Fig). Nail wall becomes swollen, with pressure from under him could pus. May develop phlegmon foot of lymphangitis (see).
Treatment in the early stages conservative. It is necessary to eliminate the cause of disease. At the inflammatory process is also effective warm foot bath for 20 minutes 2 to 3 times a day, hot compresses of boric acid solution (1 teaspoon on 200 g boiled water), foot bath with liquid ammonia (a few drops on a bath) for 30-60 minutes 1-2 times a day. In the presence of granulations and ulcers their surface should be coated with a strong solution of potassium permanganate, 1% alcohol solution brilliant green.
With the failure of conservative treatment of ingrown nail and frequent exacerbation of the inflammatory process showed operation that is performed under local anesthesia (1-2% solution novokaina). You should prepare thin rubber tourniquet, syringe, pointed scissors, clip Kocher, the scalpel. Pointed scissors nail is cut along the middle and affected half of it is removed along with the established territory. Sometimes excised area of the nail fold with izgyazwleniami and granulation. On the wound surface impose ointment dressing. First bandaging on the 3-4th day. The next - in day. Capacity for work is restored after 6-7 days.
Prevention: careful systematic cutting of ingrown nail, warm foot bath, wearing loose shoes.
Ingrown nails.