What does paronychia look like when it's healing?!


Question:

What does paronychia look like when it's healing?

I have paronychia on my big toe. My Doctor recently prescribed an oral antibiotic for me, which I've taken the full amount of (10 days worth). She pretty much just said that I only have to come back if I think it's not getting any better. But I really don't know. There's still pus coming out of it (sorry, I know that's gross) with very very minor bleeding (I think it's coming out a bit with the pus). Anyway... I was just wondering what does paronychia look like when it's healing?


Answers:

It should be dry and scaly, a bit swollen maybe but no more pus. This non healing is quite often caused by your foot (and toe) sliding forward because of too loose a shoe, and bumping into the side of the nose of your shoe each step you take, so it can't heal in spite of all the antibiotics, since it is a mechanical problem. The best advice I ever had (since I had had it often too!) is from a collegue of mine, a surgeon, who told me not to go for a nailbed excision, but to wear comfortable shoes with shoelaces, tightly laced so the foot can't slide forward. It worked beautifuly. I imagine wearing open shoes without stocking will work too, but that kind of footgear is not for me, and leaves the toe exposed. And in the future don't cut your toenails too short. Good luck!




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