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Doctor insights on: Recon Nail

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Vertical nail ridges--bad sign?

Vertical nail ridges--bad sign?

Not necessarily.: Most always, vertical nail ridges simply indicate an aging nail. Just as we can get lines or wrinkles on our face and body, we can get "lines" or "ridges" on our nails. ...Read more

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Toe nail injury -- nail attached, but nail bed exposed. What's the best treatment?

Toe nail injury -- nail attached, but nail bed exposed. What's the best treatment?

Bandaid and topical: The best treatment would be to get the wound assessed by a doctor. With that said if the there are no lacerations in the nail bed and the rest of the nail is attached firmly, no treatment would be necessary except for maybe a bandaid with topical antibiotic cream for a few days. If the nail is loose it may need to be taken off by a doctor or it may fall off on its own soon. ...Read more

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Had hammertoe surgery on pinky toe 5 months ago...Pinky toe nail hurts still....Why is this...?

Had hammertoe surgery on pinky toe 5 months ago...Pinky toe nail hurts still....Why is this...?

Not related: Hammertoe surgery typically avoids the toenail area. There may be a problem with the nail itself. ...Read more

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Very darkly discolored finger nail from puncture wound between nail & cuticle. Will i lose nail? How to protect finger tip til nail regrows?

Very darkly discolored finger nail from puncture wound between nail & cuticle. Will i lose nail? How to protect finger tip til nail regrows?

Nail bruising: After trauma to nail, it one can get a pooling of blood under the nail (subungual hematoma) which gives the nail a purple/maroon discoloration. If injury is recent and there is pain, please see dermatologist right away. It may be necessary to drain the blood from under nail. Whether nail will be lost depends on how much trauma and how much blood presses on junction between nail plate and bed. ...Read more

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Pinky toe nail brittle w/ dark streak. Fourth nail flaky, thick, half unattached from nail bed. Big toe thick nail. Taupe or blueish nails. Both feet?

Pinky toe nail brittle w/ dark streak. Fourth nail flaky, thick, half unattached from nail bed. Big toe thick nail. Taupe or blueish nails. Both feet?

See a : Podiatrist or dmatologist among some of the more common problems are fungus, bacteria, subungual keratinization. There are other possibilities but those are the three most common. (Each using different treatments.) ...Read more

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Subungual melanoma: nail bed discoloration or nail plate? My nail plate has a horizontal band 1/2cm across but skin underneath is normal. Confused

Subungual melanoma: nail bed discoloration or nail plate? My nail plate has a horizontal band 1/2cm across but skin underneath is normal. Confused

See a doctor: Your nail needs to be examined by your doctor, preferably by a dermatologist. After examination you will be guided further. A close watch for change in the size of discoloration or the skin around will guide the doctor further. Keep good photographs to detect changes over time(weekly). Good luck ...Read more

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Finger avulsion, nail bed intact. Distal finger pad tore off, no tendon exposed, no bone fracture. Full movement, Tx options full thickness graft, leave to heal on own, or amputate proximal to nail bed. Risks and recommendations.

Finger avulsion, nail bed intact. Distal finger pad tore off, no tendon exposed, no bone fracture. Full movement, Tx options full thickness graft, leave to heal on own, or amputate proximal to nail bed. Risks and recommendations.

Avoid amputation: If you have adequate soft tissue over the bone and tendon, there would be no reason to amputate. A tip without graft will usually gradually fill in, but graft can get quicker coverage. A general rule of thumb is that if area is less than 1 cm in diameter graft not much benefit, if it is quite a bit larger than that then placing a graft on is a consideration. ...Read more

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Blue/purple base of toe nail after injury. Will my nail fall off?

Blue/purple base of toe nail after injury. Will my nail fall off?

May: Depending on the type of injury it is probably a good idea to have this evaluated by a specialist, especially is this is the result of a crushing injury, to ensure that there are no other concomitant issues such as a fracture. ...Read more

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How to change dressings after toe nail surgery?

How to change dressings after toe nail surgery?

Ask your doctor.: Who did the surgery? Call the office and ask for post-operative instructions. ...Read more

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How long should the healing process take for partial toe nail removal surgery?

How long should the healing process take for partial toe nail removal surgery?

3 days: After a partial nail valuation the recovery is about 3 days. If you had a permanent procedure done it may take longer. ...Read more

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Is ingrown toenail surgery painful?

Is ingrown toenail surgery painful?

Ingrown nails...: The surgical part of it will be painless if you are anesthetized properly. Getting an injection to numb up the toe isn't the most comfortable feeling, however it only lasts for a few seconds then the rest of the removal is pain-free. ...Read more

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Is surgery necessary for longitudinal peroneal tendon split?

Is surgery necessary for longitudinal peroneal tendon split?

Function : Studies show surgery if indicated for ruptures or when injuries diminish function. See ortho surgeon for expert consultation. http://emedicine.medscape.com/article/91344-treatment#d10 ...Read more

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I am looking for correction of shortened flail toe from previous hammertoe surgery. Digital lengthening with one stage autologous bone graft?

I am looking for correction of shortened flail toe from previous hammertoe surgery.  Digital lengthening with one stage autologous bone graft?

Homework.: There are several ways to go depending on your specific post-operative condition. Bone grafting, small digital implants or spacers, just to mention a few. You should be aware that the chances of having a normal functioning toe are limited at best. Having multiple opinions is definitely the way to be informed before you commit. ...Read more

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Loss of toenail lost big toe nail for no reason

Loss of toenail lost big toe nail for no reason

Well, : Well, like with most belief systems, just because we can't give a logical explanation doesn't mean there is no reason. We just don't know the reason! sometimes, this happens for no "apparent" reason. Chances are, there is already a new nail growing there already. If you have no pain, there is nothing to do. Of course, you can always put the nail under your pillow, and the toenail fairy will come and leave you a dollar. And let me tell you, she is one ugly chick. Not cute, like the tooth fairly. ...Read more

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Will 3rd met. nonunion heal, strengthen putting more weight on it? Nonunion after ORIF for previous nonunion- fracture margins, callus still apparent.

Will 3rd met. nonunion heal, strengthen putting more weight on it? Nonunion after ORIF for previous nonunion- fracture margins, callus still apparent.

No: There are some long bones such as the femur, for example, that compression through weight bearing can help it heal quicker. The metatarsal bone, because it is oriented more parallel to the floor, is not like that. Which is not to say that all metatarsal fractures have to be strictly non weight bearing, but rather that weight bearing alone rarely makes them heal faster. ...Read more

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In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

Yes: If the surgery is successful, you will be much better than you were before and as such should be able to participate in amucj higher activity level than before surgery. I would discuss your specific case with your surgeon. ...Read more

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Thickening toe nails?

Thickening toe nails?

Maybe fungus?: When patients (and many non-dermatologist physicians) see this problem they automatically assume it's a fungal infection but this is only true about 50% of the time. There are several other non-infectious causes of thickened nails including psoriasis, chronic friction/trauma, and hereditary causes. See a dermatologist who may want to take a sample of the nails for a fungal culture and/or biopsy. ...Read more

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