Wednesday, December 23, 2009

Ingrown Nail


Ingrown toenail

Nail Care
The toenails should be cut straight
Summary:
Tight shoes and improper nail clipping are usually the causes of ingrown nails. The complaints are taken seriously, an early treatment is indicated, otherwise you might have to be pulled or the nail may lead to infections.

Ingrown nails - in the vast majority of cases it is the big toe nail - are among the most common complaints at all. They are very painful and must be treated to not draw serious consequences in its wake. Men are affected more often than women.
Causes

The reason that a nail grows into the lateral nail fold is located, usually due to either the shoes are too tight or that the nail is cut incorrectly: If you cut the nail oval (like a fingernail) and too short to push the edge of the nail by the pressure exerted by the shoe on him, the nail bed. This irritates the skin and inflammation occurs. Because the skin is injured, is formed) so-called granulation tissue (skin cells, to which the wound closed. This popularly known as "proud flesh" ( "Caro luxurians") called tissue grows over the nail, which thus penetrates deeper into the nail bed.
In some people's nails grow ever again - usually when the nail in its long axis is strongly curved.

Enabling Diseases
Diabetics as well as other people with an impaired pain sensation on the feet are especially vulnerable, as they, the pain that causes the growth of the nail, do not feel and can not therefore treat the ingrown nail on time.

Possible complications
By the skin lesion that is causing the growth of the nail, bacteria can penetrate into the skin and cause an infection.

Prevention
The best prevention is comfortable shoes and proper nail care. At least once a month, the toenails should be cut, and precisely and not too short - should cover the nail tip toes just barely.

Early
Once any pain and redness of skin around the nail, or even showing pus, is see a doctor.
Complaints

A nail is ingrown, the first to show a marked reddening of the skin in the affected area that are still very much under pressure to hurt. The infection is supported by a swelling and a yellowish visible through the shimmering skin suppuration.
Diagnosis

The diagnosis is based on the dermatologist significant symptoms.
Suspected of having an additional bacterial infection or a fungal infection, is clarified by laboratory testing, to which pathogen is involved.
Treatment


If the ingrown nail just a little, and leads to the formation of proud flesh, helps in many cases, a "caustic" (Austria): silver nitrate stick. It is a bactericidal (bactericidal) and caustic-looking rods, which contains silver nitrate. If it is regularly exposed to the wild meat that dies from too much tissue.
The excessive tissue with liquid nitrogen (cryotherapy treated. At -195 degrees Celsius, the tissue is also destroyed, and then falls off.
If these treatment methods, it is useful to surgically remove the wild meat, or a portion of the nail.


Surgical procedures

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The proliferating granulation tissue can either be removed with the help of a scalpel or with the so-called Elektrokaustik. For this purpose a device is in use, sits at the end of a needle, a ball or a noose. The low standing among equipment generates heat that destroys the tissue. This procedure is performed under local anesthesia.

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Has emerged a greater or inflammation is a risk that the nail grows constantly, so it makes sense to remove a part of it and possibly make a surgical nail bed reduction. This means that not just the nail itself, but also the part of the nail bed from which the nail grows back ( "The Matrix" removed) is. Thus the newly regrowing nail becomes narrower and the danger that he grows, lower. Nail removals are performed under local anesthesia.


After surgery
After removal of the nail is applied to the affected toe is an association. The day after the operation, it is possible to proceed with caution. After about a week the nail bed has healed to the extent that it is no longer quite so sensitive. With sports, you should pause, however, at least three weeks.
Until the nail is fully grown, it takes several months.

Chance of cure
The chances of cure are high. That after surgical removal of the nail, or a reduction of the nail bed of the nail grows at the same point again, is extremely rare.

Drug treatment
Has been confirmed by laboratory testing of suspected bacterial infection that is possibly the application of an antibiotic is necessary.

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