Doctor insights on:
Ripped Off Toenail Treatment
See a podiatrist: There is a small piece of nail still embedded in the corner. If you can't get it out on your own, a podiatrist can. Sometimes this can be done without numbing the toe, but often, anesthesia is necessary. If it is a chronic condition, there is a very successful surgery that can be done to permanently correct the problem. ...Read more
Topical-Oral-Laser: There are 3 tratments that I recommend. Topical antifungal medication that is brushed on the toenail, several times daily. Very low cure rate. Oral antifungal medication such as Lamisil (terbinafine) that you take daily for 3 months. Or laiser treatments to get rid of the fungus. Lamisl and laser treatments have a much higher cure rate. Laser treatments are not usullay covered by insurance and can be expensive. ...Read more
It may hurt, but...: There is a small piece of nail still embedded in the corner. You need to get that out. If you can't get it out on your own, a podiatrist can. Sometimes this can be done without numbing the toe, but often, anesthesia is necessary. If it is a chronic condition, there is a very successful surgery that can be done to permanently correct the problem. ...Read more
See a podiatrist: The podiatrist can examine the toe and may be able to trim the nail properly for you and recommend a topical medication to avoid recurrence or may recommend a more definitive treatment. Depending on the chronicity of your ingrown toenails, you may want to have the edge of the nail plate removed temporarily or permanently. Both procedure are done in-office with little to no down-time. ...Read more
Sometimes.: The reason you hear so many different treatments for toenail fungus is because there is no perfect, sure-fire treatment that works 100% of the time. I've seen vaporub work, as well as other natural oil remedies, but rarely. You can also try laser therapy, antifungal creams, paints, or even oral medications if your doctor deems you healthy enough to take them. ...Read more
Removal...: ...Is the only permanent solution. Just the painful border can be removed, or the entire nail if necessary. After removal you can let the border grow out again, or your doctor can use a chemical to stop the nail from regrowing. If you're concerned, don't perform bathroom surgery on yourself. That can lead to an infected ingrown toenail, which could require antibiotics. ...Read more
Time of Injury: It depends on the time of the injury. If its acute, then I do agree with my colleagues that a heated paperclip and puncturing the nail will evacuate the hematoma. However if it is chronic, a total nail avulsion might have to be performed since the blood has probably thickened. ...Read more
Which treatment if you have an ingrown toenails which are nasty and very painful is the very best?
Removal, antibiotics: If your ingrown nail is infected, you'll likely need antibiotics, and possibly a nail procedure. Just the painful border can be removed, or the entire nail if necessary (you're numbed up for this, don't worry!). While waiting to see your doctor, soak the toe 10 min/day in luke warm water and epsom salts, use a small amount of topical antibiotic ointment, and cover with a bandaid. ...Read more
My mom's toenails have surface & have darker color than usual. What could be the reason & treatment? Thank you.
Other possibilities: In addition to the common causes enumerated by dr. Kopes-kerr, there are several distinctive patterns of nail discoloration which signal underlying medical conditions or syndromes. A nail expert (usually a dermatologist) should examine your mother. Btw greenish discoloration is often caused by pseudomonas bacteria, not fungus. ...Read more
Ingrown: Outside of periodically trimming the offending nail edge back, there is no painless treatment. Even with the surgical treatment my patients rarely take more than tylenol (acetaminophen). See your podiatrist and discuss your concerns so they can be accommodated in the best manner possible. ...Read more
My mom's toenails look like dead. They are very rough and stop growing. What could be the reason and & treatment?
Ingrown nail: You can expect to be pain free. It's a simple in office procedure and most are able to do daily activity the next day. ...Read more
Nail care: Try soaking your foot in warm water, removal of embedded debris from the nail borders, and applying an antibiotic ointment to temporarily soften the corners. If you have redness and drainage, get it looked at by a professional, as you may need to have the ingrown nail border removed again. You may benefit with a permanent removal of the ingrown part of the nail. ...Read more
Infection of bone: Ingrown toenails can cause infection in the skin which can progress to bone infections. The skin in your toe is close to your bone so long standing ingrown toe nails are dangerous. If infection gets to your bone, there is a chance you can lose your toe. ...Read more
Ingrown nail: What I do is remove it under local and remove part of the matrix which is a very quick procedure and heals quite quickly in most cases. Matrix can be removed either by acid or surgically ...Read more
I'm getting my ingrown toenail treated in a few days. What is the duration of the treatment process?
Few: Choices are topicals, orals or laser. Topicals are the lease effective working about 8-10% of the time. Orals are most effective - shold monitor liver function enzymes when going on them. Lasers are better than topicals not quite as good as orals and while you don't have to monitor blood they are expensive about 750-1, 000 for the treatment. ...Read more
We can try!: Toenail fungus is very common, and unfortunately very difficult to cure 100%. We can test the nail to see if it is a callused or traumatized nail or if it's fungus, and from there you have several options (again, none guaranteed 100%): topical or oral antifungal medications, laser nail treatment, or removal of the nail in severe cases. See your doctor to talk about which treatment is right for you. ...Read more
Is toenail fungus with M. Gypseum contagious to other family members? How can I avoid spreading during treatment?
Spreading is a myth.: In short, dermatophytes are saprophytes - meaning an organism that grows on non living tissue. The nail has to have some sort of damage, thickness, pulling up from the nail bed first for the fungus to get into or under the nail. Unless someone is immunologically compromised, it is very rare to 'pass' the fungus from one person to another. ...Read more
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