Felon- acute purulent inflammation of the tissues of the fingers (less often - the legs) from the palmar side or the nail area. Inflammation of the tissues of the fingers on the back of the hand is usually not referred to as panaritium.
According to statistics, adults from 20 to 50 years old are most often ill. Since at this age, microtrauma of the fingers often occurs. Panaritium associated with an injury at work develops in 75% of cases, due to injury in everyday life - 10%. All other cases account for 15%.
Children, due to their activity, are also prone to microtrauma of the fingers.
In right-handers, the fingers of the right hand are most often affected - I, II, III, and in left-handers - the same fingers on the left hand. The development of panaritium, in addition to skin contamination, is facilitated by some local factors:
- exposure to the skin of various irritants, chemicals (quicklime, mineral oils) and metals (zinc, copper, chromium, cobalt)
- frequent hypothermia
- vibration
Often, an increased tendency to develop panaritium is present in some common diseases: diabetes mellitus, vitamin deficiency, changes in metabolism and the functioning of the immune system.
With these ailments, the nutrition of tissues and their blood supply are disrupted. Therefore, it is easier for a pathogen to penetrate through microtraumas on the skin of the fingers and toes.
Anatomical structure of the hand and fingers
They have some features, due to the variety of their functions.finger anatomy
Index (II), middle (III), ring (IV), little finger (V) fingers have three phalanges: the main (first), middle (second) and nail (third).
Thumb(I) consists of two phalanges: main (first) and nail (second).
On each finger, the phalanges are interconnected by joints and ligaments.
Nail
A derivative of the epidermis (outer layer of the skin) that protects the terminal
phalanges of the fingers from damage. It is located in the nail bed, and around it a nail roller is formed from the skin.
The nail has:
- The body is the visible part of the nail.
- The root (nail matrix) is the back part of the nail plate, which is almost completely under the nail fold. At the base of the nail, only a small area of a whitish color of a crescent shape (hole) protrudes.
On the palmar side of the hand, it is dense and inactive. Since it is fused with the palmar aponeurosis (tendon plate located in the middle of the palm).
On the back of the hand, the skin is mobile and elastic.
Subcutaneous fat
On the palmar surface of the hand contains a large number of dense strands. They start from the papillary layer of the skin and go deep into the muscles, periosteum, joints, tendons and bones of the hand.
As a result, bridges are formed that form closed cells filled with fat cells. Therefore, when an inflammatory process occurs, pus does not spread in breadth, but in depth.
On the back surface of the hand, subcutaneous fat is poorly developed.
Blood supply to the fingers
It is carried out by two arteries from the palmar side: radial and ulnar. They are connected to each other in the middle of the palm, forming a deep and superficial palmar arches. Further from them to each finger depart two small branches that feed them.
In addition, on the back side, each finger is supplied with blood by two branches that extend from the dorsal arterial arch.
The dorsal and palmar digital arteries are interconnected, providing a good blood supply to the finger. Therefore, he quickly recovers from injuries. And even with damage to one or even two or three digital arteries.
Innervation of the fingers
It is carried out by the median, ulnar and radial (not in the picture) nerves. From them depart the nerve endings to the fingers.
However, there is one feature: the nerves run along the ligaments, inside the tendon sheaths and under the transverse carpal tunnel ligament (median nerve). Therefore, during inflammatory processes and swelling of these anatomical structures, the nerves are sometimes damaged, quickly dying.
Tendons
Low extensible connective tissue part of the muscles (their continuation). With the help of which they are attached to the bones on the one hand, and on the other hand, they are closely intertwined with the muscles.
Tendon synovial sheaths
Dense almost inextensible connective tissue membranes. They continue from the surface of the muscles to the tendons, enveloping them and forming tunnels of small capacity.
On the palmar surface there are several synovial sheaths:
- II, III and IV fingers isolated. They begin at the base of the first phalanges of the fingers and end at the base of the nail phalanges.
- I finger originates from the base of the radius (bone of the forearm), ending at the base of the nail phalanx.
- V finger starts just above the wrist, then goes to the middle of the palm, where it expands to form a bag. Further, it narrows and reaches the base of the nail phalanx of the little finger.
- There is severe pain.
- Inflammatory fluid or pus quickly goes deep into the underlying tissues and spreads along the tendon sheaths, leading to the formation of complications (phlegmon and others).
- Tendons, blood vessels and nerve branches are often compressed by the inflammatory fluid, so they can die within 48-72 hours.
Causes of panaritium
The most common panaritium cause staphylococci. Somewhat less often, streptococci, Proteus, Pseudomonas aeruginosa and other pathogens lead to its development.Penetrates the infection through small stab wounds on the palmar surface of the skin of the finger on a fish bone, metal shavings, wood chips. Or through abrasions, skin cracks, minor burns, manicure wounds and other minor wounds.
Development mechanism
Since the wounds are small, patients often do not pay attention to them, not treating them on time. And, given the structural features of the skin and the blood supply to the hand, a small wound channel closes very quickly. Therefore, the infection remains in the wound, leading to the formation of an inflammatory fluid (pus).The liquid, not being able to flow out of the wound, rushes deep into the bulkheads of the subcutaneous fat layer. It involves muscles, ligaments, tendons and their sheaths, joints, bones in the inflammatory process.
Symptoms of panaritium
Depending on the location of the injury, as well as the level of damage, there are several varieties of panaritium.
Cutaneous panaritium
Only the skin is affected. Initially, a slight pain and tingling appears at the site of injury. But as the disease progresses, the pain intensifies, becoming constant.Subcutaneous felon
It occurs most often (in 32-35% of cases). The process is located in the subcutaneous fat layer, so in people with thick skin, diagnosis is somewhat difficult.
As a rule, after an injury on the 5-10th day, the first disease symptoms:
- Initially, there is a burning sensation and fullness.
- Then there is a slight throbbing and pulling pain, which increases gradually. It is especially pronounced when lowering the hand down. As the disease progresses, it acquires a pronounced pulsating character, and sometimes even interferes with sleep.
- Locally celebrated swelling (edema) and tension of soft tissues, which extend more to the dorsum of the finger.
- Skin redness rarely observed.
- The body temperature rises and the general condition is disturbed as the process progresses.
This type of panaritium is the most dangerous, since at the beginning of the disease, patients practically do not pay attention to pain. Therefore, the inflammatory fluid is quickly directed deep into: to the tendons, joints and phalanges of the finger.
Or deeper tissues are affected due to poor treatment: a small incision for the outflow of inflammatory fluid, the appointment of antibiotics, to which pathogens are insensitive, and some other reasons.
Tendon panaritium
It develops as a result of injuries or the development of complications with subcutaneous panaritium. Symptoms
- 2-3 hours after injury sharp throbbing pain, aggravated by the slightest movement.
- Fast swelling increases, which can extend both to the back surface of the finger and to the palmar. And in case of damage to the tendon sheaths of the I and V fingers, sometimes it passes to the forearm. The finger at the same time looks like a "sausage".
- The free movement of the finger is disturbed, and it takes a half-bent position.
- The skin turns red(hyperemia).
- As the disease progresses symptoms of intoxication appear: the general condition is disturbed, the body temperature rises, a headache occurs.
- There is pain along the tendon sheath.
Articular panaritium
Purulent inflammation of the joint connecting the phalanges of the fingers or phalanges of the fingers and the bones of the metacarpus. It occurs as a result of a deep penetrating stab wound into the joint cavity or when an infection enters it from a neighboring focus. With this type of panaritium, the phalanges of the finger are often also involved in the process, therefore sometimes it proceeds along with bone panaritium.
Symptoms
- Severe pain occurs in the place of the affected joint, which sharply increases with the slightest movement of the finger. However, the whole finger often hurts.
- Increasing swelling and redness of the joint but more on the back side. Gradually, they spread to the entire finger.
- Sometimes there are abnormal movements of the finger(movements that are normally absent) and a crunchy sound if the ligaments are involved in the process.
- Gradually symptoms of general intoxication increase: body temperature rises, patients complain of poor general health, nausea, headache, heart palpitations.
Subungual panaritium
It develops as a result of a splinter getting under the nail, an anguish or a bad habit of biting the nails. Symptoms
- Pronounced throbbing pain at the site of injury. Since the focus of inflammation is under the nail plate, and it is motionless.
- Sometimes through the nail plate pus shines through.
- There is swelling and redness periungual roller, and sometimes the fingertip.
- After two or three days the nail plate peels off in a small area, because the pus lifts it. At the same time, the condition of the patients improves somewhat, and the pain decreases.
Paronychia (periungal panaritium)
Inflammation of the periungual skin ridge. It develops as a result of stab wounds, hangnails with skin tears. The process is most often located between the nail plate and the periungual roller (deep form). However, sometimes a superficial form also occurs (only the skin periungual roller is affected).
Symptoms appear on the fourth or sixth, and sometimes on the tenth day after a minor injury:
- Arises severe pain at the site of injury.
- Skin tightens and reddens periungual ridge and nail phalanx.
- At the surface form a strip of pus begins to appear through the skin.
- With deep form inflammatory fluid rushes inward, sometimes affecting the nail. And then, undermined by pus, the nail plate loses its connection with the nail bed and rises. In the future, with the accumulation of pus, a secondary subungual panaritium is formed.
Bone panaritium
Develops infrequently. As a rule, it occurs due to the complication of subcutaneous panaritium during the transition of the inflammatory process from soft tissues to hard ones. Primarily formed rarely. First symptoms appear 3-14 days after infection:
- pain(main feature) pronounced at the site of the lesion, which decreases with the appearance of a fistula
- edema develops whole finger
- phalanx takes the form of a spindle
- general condition suffers: body temperature rises, patients complain of general malaise, headache appears
- skin turns red at the site of injury
- Lymph nodes and blood vessels may become inflamed(especially if the infection affects the joints, tendons and their vaginas, bones). Therefore, they increase and become painful.
- Often, with any kind of panaritium, quite quickly growing signs of general intoxication: body temperature rises to 38-39C, patients complain of poor general health, nausea, headache, heart palpitations.
Scheme of zones of maximum pain in various types of panaritium
Treatment of panaritium Previously, it was believed that the treatment of panaritium is only a surgical method (surgery). However, now surgeons have a slightly different attitude to this issue: the approach depends on the type of panaritium and the stage of the disease. Treatment Goals
- Complete and permanent elimination of the inflammatory process, as well as minimizing dysfunction of the finger.
- Preventing the development of complications:
- phlegmon of the hand (diffuse purulent inflammation of fatty tissue)
- fusion of the joints, damage to all tissues of the finger (pandactylitis)
- the development of sepsis (the entry of pyogenic microorganisms into the blood)
- thrombosis of vessels supplying the tendon with its subsequent necrosis (necrosis)
- osteomyelitis (purulent process in the bone) and others
Treatment of panaritium
How to treat subcutaneous felon?
Principles- At home, treatment is possible only at the initial stage of the disease: when the pain is not expressed, there is no swelling of soft tissues or it is insignificant. However, if there are ailments (diabetes mellitus, disorders in the immune system, and others) that obviously lead to the development of complications, then you should consult a doctor at the first signs of the disease. When starting home treatment, it is important to remember that there is a possibility of infection spreading deep into the underlying tissues.
- Conservative treatment(without surgery) is performed if at the site of the lesion there is only an infiltrate (seal) or an inflammatory fluid in the focus of inflammation is serous (transparent, sometimes with a slightly yellowish tint).
- The operation (opening the panaritium) is carried out if:
- treatment without surgery for one to two days did not contribute to the regression of signs of the disease
- pus formed in the focus
- after the first sleepless night of the patient due to pain - this indicates that the purulent focus has already formed
Conservative treatment
| Treatment method | Mode of application | Expected effect |
| Prescription of antibiotics to which pathogens are sensitive | Intramuscularly, intravenously or orally. The dose and frequency of administration depends on the selected drug, its form and the general condition of the patient. | Depending on the method of administration, after 12-18 hours or by the end of the first day after the start of taking the drug, improvement occurs. First of all, pain is reduced and general well-being improves. |
| Cold at the site of inflammation | An ice pack or cold water is applied topically three to four times a day for 20 to 30 minutes. | The development of the inflammatory reaction stops, pain and swelling decrease. |
| Ichthyol ointment 10% | It is applied in the form of a cake (strip 2 cm) to the site of the lesion and covered with a gauze napkin under a bandage. The application is changed every 8-10 hours. | The ointment locally somewhat irritates the skin, so almost immediately after applying the bandage there is a feeling of warmth. The ointment penetrates deeply into the tissues, providing an anti-inflammatory effect and improving blood circulation. Therefore, it reduces pain and local swelling. In addition, it fights locally with pathogens, accelerating recovery. |
| Salt baths | A tablespoon of salt dissolves in 200 ml of water. The procedure lasts 20-30 minutes. It must be carried out 2-3 times a day. Applied warm. | Reduces local inflammation and has an antimicrobial effect, thereby reducing swelling and pain. |
| UHF | It is prescribed once a day, provided that there are no symptoms of general intoxication and after a decrease in local inflammation (swelling, pain). The number of procedures is from 3 to 7. The duration of one procedure is 5-20 minutes. | Reduces pain and inflammation, improves local circulation and metabolism. With a favorable course of the disease and the timely start of the main treatment, improvement occurs after the first procedure. |
| Nimesil, Aertal, Ibuprufen, Diclofenac | As a rule, they are prescribed twice a day. | Suppress the inflammatory response, reduce pain and swelling. |
With timely treatment and proper treatment, as well as the fulfillment by the patient of all medical prescriptions, as a rule, in 65-70% of cases it is possible to prevent the formation of pus and avoid surgical intervention.
After the symptoms of the disease subside, it is necessary that the patient be under the supervision of a surgeon for another one or two days.
How to treat subungual panaritium?
Only through surgery. Since the use of folk remedies, drugs (antibiotics, anti-inflammatory), baths and ointments is ineffective. Moreover, if the surgeon is not contacted in time, damage to the phalanx bone is possible.How to treat tendon panaritium?
Principles- Not carried out at home. Since the development of a large number of complications is possible.
- Conservative treatment is carried out within 8-24 hours from the onset of the disease- before the formation of pus in the focus of inflammation. Since within 42-72 hours necrosis (necrosis) of the tendon may occur.
- Panaritium is opened(an operation is performed), if after 2-3 punctures the patient's condition does not improve or, on the contrary, it worsens:
- signs of intoxication appear or increase (body temperature rises, general condition and other symptoms are disturbed)
- pain becomes unbearable and swelling increases
- the patient spends the first sleepless night
Treatment without surgery
It is carried out only in a hospital setting.| Treatment method | Mode of application | Expected effect |
| Broad-spectrum antibiotics are prescribed | Intramuscularly, intravenously or orally. The dosage and frequency of administration depends on the selected drug and its form, as well as the general condition of the patient. | Fights pathogens. With a timely appointment, improvement occurs after 12-24 hours. |
| Locally cold | An ice pack or cold water pack is applied three to four times a day for 20 to 30 minutes. | Inflammation in the affected tissues, pain and swelling are reduced. |
| Non-steroidal anti-inflammatory drugs: Nimesil, Diclofenac | Twice a day inside. The dosage depends on the drug chosen for treatment. | Reduce swelling, pain and inflammation in the lesion. |
| The tendon sheath is punctured | Using a needle, the surgeon penetrates the cavity of the tendon sheath, and then removes the inflammatory fluid. Then he washes the cavity of the tendon sheath with an antibiotic solution or an enzyme (trypsin, chymotrypsin). | With timely treatment and a favorable course of the disease, improvement occurs after 4-8 hours (pain and symptoms of intoxication decrease). |
Important!
Conservative treatment of tendinous panaritium is ineffective, therefore, it is often opened immediately. Since the process progresses very quickly, leading to the development of complications: thrombosis of the vessels that feed the tendon, followed by its necrosis.
That is why at the very first signs of the disease (and preferably immediately after the injury), it is necessary to consult a surgeon.
How to treat periungual panaritium?
Principles- Treatment at home possible only on the surface.
- Treatment without surgery carried out when there is local compaction.
- Periungual panaritium is opened, if pus has formed in the focus or after the first sleepless night of the patient due to pain.
How to treat articular panaritium?
Principles- Home treatment is ineffective, so it is not carried out.
- Treatment without surgery is possible only in the first hours of the onset of the disease, but it often does not give a positive result.
- The surgical method is preferred it is carried out:
- if there is no improvement within 12-24 hours from the start of treatment without surgery
- when the tendons and their sheaths are affected
- the presence of signs of purulent inflammation (redness and swelling of the joint)
- there is damage to the ligaments, cartilage and bones
- severe pain that even painkillers do not relieve
Basically correspond to that which is carried out with tendon panaritium.
However there are some differences:
The injured joint is punctured (pierced) with subsequent removal of the inflammatory fluid from its cavity. Next, the joint cavity is washed with an antibiotic solution or an enzyme (Trypsin, Chymotrypsin). Improvement occurs after a few hours or by the end of the first day: pain decreases, body temperature drops, and so on.
Important!
It should be remembered that treatment without surgery is effective only in the first hours of the disease. Therefore, it is necessary to seek medical attention immediately after an injury.
How to treat bone panaritium?
Surgically (opening or removing the phalanx of the finger). Since the appointment of only antibiotics, the use of compresses, baths and ointments is ineffective. Moreover, it is fraught with the development of numerous complications.How is panaritium opened (operation)?
Surgical intervention is in most cases the main method of treatment for panaritium.
Most often performed under local anesthesia according to Lukashevich-Oberst:
- Below the needle insertion site, a thin tourniquet is applied at the base of the finger.
- On the lateral surface of the main phalanx, a needle is punctured, which is advanced towards the bone.
- Having reached the bone, the needle is pulled back 1-2 mm and 2 ml of 2% Lidocaine solution (most often) or another local anesthetic is injected.
- The same manipulations are carried out on the opposite side of the finger.
Opening of the subcutaneous panaritium
- With longitudinal cuts(along the finger) the course of the stab wound is fully revealed if the process is located on the first or second phalanx of the finger. This method is preferred.
- With damage to the nail phalanx an oval or semi-oval incision is made(stick-shaped), stepping back from the nail 2-3 millimeters. With this access, the sensitivity of the fingertips is preserved, and the formation of a subsequently forked finger (“fish mouth”) is also prevented. However, this method is rarely resorted to, and recently it has been completely abandoned.
Opening of the tendon panaritium
It is performed under general anesthesia (if the process has switched to the hand) or local anesthesia according to Lukashevich-Oberst (if only the finger is affected). Incisions for tendinous panaritium
- In case of damage to the tendons of the II, III and IV fingers, incisions are made on the anterolateral surface of the finger. If the synovial sheath is also involved in the process, then an additional longitudinal incision is made along its course.
- With inflammation of the tendons of the I and V fingers, paired incisions are made on the main (lower) phalanx. Next, their tendon sheaths are opened.
Opening of the subungual panaritium
Incisions for subungual panaritium depends on the location of the lesion of the nail:- Wedge-shaped excised edge of the nail plate scissors during the formation of pus at the free edge of the nail (for example, with suppuration around a splinter).
- The nail is opened (trepanned) directly above the place of accumulation of pus(for example, in the center).
- The root of the nail plate is removed, if pus has accumulated only at its base, but there is no detachment of the rest of the nail.
- The nail plate is removed if it is completely festering and exfoliated from the nail bed.
Whatever method of treatment of the subungual panaritium is chosen, the nail bed is not scraped so as not to damage the growth zone. Opening of the periungual panaritium
Incisions for periungual panaritium depend on its shape.
- superficial. Opens on its own in most cases. However, if this did not happen, then when pus appears, the panaritium is opened without affecting the nail plate.
- Deep. The affected part of the nail is removed.
Opening of the articular panaritium
It is performed under local anesthesia on the back of the hand using two parallel lateral incisions. If the articular cartilage or bone is affected, then areas of necrosis (dead tissue) are carefully and economically removed in order to preserve the growth zones as much as possible.
Opening of the bone panaritium
It is carried out, as with subcutaneous panaritium, but taking into account the presence of fistulas:- incisions on the anterolateral surface of the finger with lesions of the first and second phalanx
- incisions on the nail phalanx in the form of an arc or club
After opening any felon or tendon sheath
The resulting cavity is washed with a solution of an antibiotic, antiseptic (usually Betadine) or enzymes (Trypsin, Chymotrypsin).
No sutures are applied to the postoperative wound.
However, the opened cavity is drained (the contents are drained from the wound) using rubber strips or special polyvinyl tubes with numerous holes (very convenient for washing the opened cavities if necessary). The drainage tube or rubber strip is removed on the fourth or fifth day.
After operation a dry sterile gauze bandage is applied to the wound.
Further the wound is dressed daily using a sterile gauze bandage soaked in ointment (Betadin, Gentamicin, Levomikol) or an antiseptic until complete healing. Sometimes a biological dressing is used (contains collagen and serum from healthy donors). The choice of the drug for dressings depends on the severity of the general condition of the patient, the massiveness of the surgical intervention, as well as the capabilities of the medical institution. This tactic contributes to the rapid healing of the wound and the prevention of scarring.
In the postoperative period, it is important create peace for finger and hand. Therefore, as a rule, the finger is fixed with a plaster splint (a strip of several layers of a plaster bandage). And the hand is immobilized (rest is created) with the help of a special bandage or dressing.
In addition, in the postoperative period, drugs that improve local blood circulation in small vessels (Pentilin) and immunostimulants (for example, Methyluracil) have proven themselves well.
In the process of wound healing (usually on the third or fourth day after the operation), UVR and UHF are prescribed (from 3 to 7 procedures).
How to treat panaritium of the toes?
Panaritium on the toe develops somewhat less frequently. The periungual roller (paronychia) is most often affected or the subungual panaritium develops.The reasons are scuffs due to uncomfortable shoes, puncture with a sharp object, and others.
The principles of treatment for panaritium of the toes are exactly the same as for panaritium of the fingers. It all depends on the type of panaritium itself.
What are the alternative methods of treatment of panaritium?
Remember!Only subcutaneous, dermal and periungual (surface form) felon can be treated with herbs, compresses and baths. But only at the first signs of the disease. Moreover, it is necessary to start treatment as early as possible - and then the probability of avoiding surgery is quite high. And with the progression of the disease, it is better to consult a doctor as soon as possible.
Bone, articular and tendon panaritium cannot be treated only by folk methods, since this is fraught with the development of formidable complications (phlegmon and others).
Folk treatment panaritium
| Treatment method | Method of preparation and use | How it works |
| Salt baths | Dissolve 100 grams of dry table salt in a liter of water. Then dip your finger into the resulting solution. The duration of the procedure is 20-30 minutes. Multiplicity - 2-3 times a day. Applied warm. | Promotes the reverse development of the inflammatory process, reduces pain and swelling, fights pathogens. |
| Compresses with baked onions | A small onion is peeled and baked in the oven until soft. Then it is cut in half, applied to the site of inflammation in a warm form and a bandage is applied. Compress change every 4-5 hours. | They will accelerate the maturation of the abscess, and also contributes to the release of pus to the outside. |
| Aloe leaf compress | The aloe leaf is peeled, and the resulting pulp is applied to the panaritium. Compress time - 5-6 hours (it is possible for the night). | Reduces the inflammatory process. |
What antibiotics to take for panaritium?
In the treatment of panaritium, antibiotics are always prescribed, regardless of the chosen treatment tactics: with or without surgery. This is due to the fact that the likelihood of a rapid development of complications is high.Preference is given to broad-spectrum antibiotics.
Cephalosporins
- I generation: Cefalexin (by mouth), Cefazolin (intramuscularly or intravenously)
- II generation: Cefaclor, Cefuroxime (by mouth), Cefamandol (intravenously or intramuscularly)
- III generation: Ceftriaxone (intravenously or intramuscularly) and others
How to treat panaritium at home (folk methods + ointments from a pharmacy)
Treatment of subcutaneous, cutaneous and periungual (superficial form) panaritium is possible at home. But if it is started at the first signs of the disease, when the general condition has not yet been disturbed, there is no pronounced pain, swelling and redness. To do this, you can use home methods and ointments from a pharmacy.All other types of panaritium at home are not recommended to be treated, since the risk of complications is high.
Ointments for panaritium, prepared at home
- Take in equal parts medical tar, pine resin, homemade butter, flower honey and soft part of aloe. Place all ingredients in a glass or enamel bowl. Next, melt them until a homogeneous mass is obtained over a water bath.
- Pass dry marigold flowers through a coffee grinder or carefully grind into dust by hand. Next, mix with homemade butter in a ratio of 1 (calendula): 5 (butter). Apply a little of the resulting ointment to a gauze and put under a bandage at night.
- At the onset of the disease before the formation of pus or opening of panaritium, Ichthyol 10% ointment is used.
- After opening(independently or surgically) ointments containing antibiotics or antiseptics are used: Levomikol, Levasin, Betadine or Gentamicin ointment.
Panaritium is an acute inflammatory process of the tissues of the fingers or toes. Most often appears on the first phalanges. Many people whose work is connected with metal shavings, wood chips, as well as with various harmful substances, have probably come across this disease more than once.
Surgeons often encounter such a disease as panaritium: the reasons are very diverse. But most often, the infection penetrates the tissue through cuts, various small stab wounds, injections, and scratches. If the wound was not treated on time, or you have numerous small wounds, for example, from splinters, then there is a chance of developing this rather unpleasant disease.
Therefore, if as a result of your work you often get finger injuries, then it is advisable to wear gloves to protect your hands. Microbes can penetrate through the wounds, which cause a disease such as panaritium. Basically, staphylococci, streptococci, enterococci, as well as the so-called pathogenic flora lead to infection of the tissue and the inflammatory process. Inflammation can also spread not only to the skin, but also directly to the subcutaneous tissue, tendons of the fingers themselves, bones, and joints. Panaritium is the so-called serous, that is, edematous, as well as purulent. The last option is more dangerous. Most often, patients with diabetes mellitus, problems with blood clotting, poor blood circulation in small vessels suffer.
This disease almost never occurs without microtrauma. After some time, severe redness appears, as well as initially slight swelling. In this case, a person may feel an unpleasant and throbbing pain in the wound area. It is also possible to have a fever, chills, especially if the inflammation is severe. It needs to be treated urgently, and not wait until the wound finally heals. With panaritium, the symptoms are very noticeable, it is impossible not to pay attention to them.
There are quite a lot of different types of panaritium. Doctors mainly separate superficial as well as deep types of the disease. With superficial ones, the first layers of the dermis are mainly affected, and with deep ones, directly bone tissue, tendons, and also joints.
Subungual panaritium
Living tissue can become inflamed under the nail plate itself. This mainly occurs when a splinter gets under the nail, or the nail is pierced during careless work.
In this scenario, the cat tissue of the finger is affected. Often this type appears due to infection in the tissues, for example, with fractures. It is also possible to spread the infection from living tissues directly to the bones. Such panaritium requires immediate treatment, as it is very dangerous. Sometimes inflammation spreads to the hands, as well as the forearms.
This variant of the disease mainly affects the tissues under the fingertips. The fact is that the pads are quite dense leather. When an inflammatory process appears, it is very difficult for pus to break out, while the panaritium begins to spread to the deep layers of the skin. The pain, as a rule, is pulsating in nature, aggravated by pressing the finger. If you start treatment in a timely manner, you can avoid inflammation of the joints, as well as bones.
Articular panaritium is very dangerous. It can occur if the infection somehow gets to the joint cavity. This often occurs when a finger is deeply injured or after prolonged suppuration of soft tissues. The joint becomes inflamed and expands, the mobility of the finger decreases, it is painful to press on it. Pain also occurs when you try to move your finger.
Tendon panaritium
Perhaps this variant of the disease can be called the most severe and rather complex. The patient may suffer for a long time from impaired mobility of the hand. The finger is often swollen. If you try to straighten your finger, you can only get severe pain.
Skin panaritium, as a rule, appears on the back of the finger. Pus begins to accumulate under the skin, a bubble forms, which is filled with cloudy contents, that is, pus. The skin may become red and also inflamed. There is a strong burning sensation, as well as pain. If the disease is not treated, the bubble may increase in size, the pus spreads to neighboring tissues. It is also very dangerous.
This form often occurs when the periungual roller becomes inflamed. Mostly girls or women suffer after an incorrect manicure. Numerous barbs, as well as cuts and small cracks in the skin, can lead to such panaritium.
How to treat panaritium at home?
Some people ask themselves: "How to treat panaritium at home?" If the finger is very swollen as a result of an infection, an abscess begins to form that cannot break out, pain appears, and the wound does not want to heal on its own, then the first thing to do is treat everything properly with some kind of antiseptic and go to see a doctor, preferably surgeon.
You can go to the emergency room, they can also help with this disease. And you need to treat this disease, based on the recommendations of your doctor. And then you can already use folk remedies when the wound already begins to heal. But individually, folk remedies are not able to cope with this unpleasant disease, especially if it has already acquired serious forms.
Antibiotics for panaritium
Antibiotics should be prescribed only by a specialist who will determine the correct dosage and select the drug based on the degree of the disease.
Some believe that various ointments are effective for panaritium. But most ointments, especially under a tight bandage, can only cause more inflammation. Therefore, it is advisable to refuse them.
Ointment Vishnevsky with panaritium
As we have already said, ointments for this disease are of little effectiveness. But if there is nothing more at hand, you can use Vishnevsky's ointment. However, the ointment can, if the bandage is worn for a long time, lead to a purulent phase of panaritium. Therefore, be especially careful.
Ichthyol ointment for panaritium
Ichthyol ointment is also not very effective and can even harm. Consult with your specialist what bandages are best done with panaritium.
Levomekol with panaritium
Levomekol is more effective, but you should not keep it on your finger for a long time. It can draw out the infection and prevent a new one from entering, as is often the case with panaritium.
Dimexide with panaritium
Dressings with dimexide are very effective in this disease. Only first it must be diluted with water in a ratio of 1: 4. Soak a gauze or bandage with this product and apply to your finger.
Baths for panaritium
Best of all, baths with table or sea salt, which are easy to purchase, help. It is enough to add 2 teaspoons of salt to 2 cups of water and stir. You need to hold the injured finger for a short time, after which you should treat the wound with iodine and apply a clean and dry bandage.
Compress for panaritium
As we already wrote, compresses with Dimexide diluted with water help well. Just make such a compress should not be too long.
Panaritium: treatment with folk remedies
Treatment with folk remedies panaritium is possible, but it is advisable to do this only after you visit a doctor who will treat the wound and give the necessary recommendations. If you use only folk remedies, then you can bring the disease to a purulent stage.
Conspiracy from panaritium
No conspiracies will help you get rid of this disease. Even if you believe in their power, a miracle will not happen. It is better to contact the surgeon in time, who will treat the wound.
Cut off a juicy aloe leaf and rinse thoroughly with water, then cut off the thorns and cut open the leaf. It is necessary to attach a sheet to the inflamed place and carefully bandage it. It is enough to keep the bandage for three to four hours to have an effect. But remember, the sheet must be clean! Otherwise, you may introduce an additional infection.
Laundry soap and onions from panaritium
You can make a compress from laundry soap and onion juice. To do this, rub a small amount of laundry soap and add a couple of drops of onion juice to the mixture.
Iodine is an excellent remedy, but it dries the skin and burns the wound. Therefore, it must be used with extreme caution. It is better to use iodine for the treatment of wounds.
Baths can be made from soda and salt for this disease. But remember that if the panaritium has already acquired a purulent form, then it is better to treat it, following the recommendations of your doctor. The same should be done if the finger began to pulsate.
Onion vs panaritium
Onions are an excellent remedy when the finger has just begun to become inflamed. It perfectly fights microbes that have penetrated the wound. You just need to boil the onion in milk, and then you need to attach a piece of the onion to the sore spot and hold for a couple of minutes.
Complications of panaritium
There are a huge number of complications with panaritium. It is very difficult for pus to break through the thick skin of the fingers, so the infection begins to spread inward. If a person suffers from diabetes, then the infection can quickly spread to other tissues. The most dangerous thing when it comes to amputation. But in most cases, antibiotic treatment and constant dressing changes help. Sometimes they do a special operation.
Panaritium: prevention
But it is best to do the prevention of panaritium so that this disease bypasses you. To do this, you should always treat the wounds with iodine or another antiseptic, and also work strictly with gloves and always follow the instructions. It is also important to treat the tools before each manicure and trim the burrs, and not bite them off. Always keep your hands clean, and you need to do this not only before eating. Wash your hands often, especially if they have wounds. If there is inflammation on the finger, consult a doctor immediately.
5 effective ways to treat panaritium at home
After a delicious dinner of fish, carefully prepared by you for the household, did your finger hurt in the morning? A harmful inflammation with a clever name can cause a lot of trouble in normal household work. Do not despair - panaritium is easily treatable at home with simple folk remedies that any housewife has at hand.
Nothing foretold trouble?
panaritium called inflammation of the muscles or tendons, which is caused by microorganisms. A small scratch, a fishbone stab, or a splinter is the perfect avenue for cunning microbes to cause inflammation. A small wound quickly heals, and pests get excellent conditions for reproduction in healthy finger tissues.
The first symptoms of panaritium are acute unbearable pain when you try to make the usual movements with your finger. A little later, visible inflammation develops, which causes anxiety in patients.
5 recipes for the treatment of panaritium at home
Traditional medicine offers simple and affordable ways to treat panaritium at home, which will quickly and inexpensively save you from such an unpleasant sore.
Minimal safety precautions (gloves and thimbles for doing household chores), as well as moderation in manicure will help you preserve the beauty of your fingers and never look for recipes for treating felons at home.
Panaritium on the toe treatment at home
An experienced hostess is ready to name at least 10 dishes made from potatoes at any time. Among them there will definitely be potato pancakes. This Belarusian delicacy has long been a common household item.
It would seem that what is special can come from minced meat wrapped in dough? There are a lot of opinions on this matter, someone loves dumplings and cannot live without them, but for someone this dish is not of particular importance.
Cauliflower in batter
One of the most interesting garden gifts is cauliflower. Dense, elastic, unusual, consisting of individual inflorescences, it attracts attention at first sight. Experienced housewives have come up with hundreds of recipes with her "participation", but the most popular dish is battered cabbage.
Treatment of panaritium of the finger on the arm and leg at home
Causes of panaritium on the finger
The causes of the development of the disease are various tissue injuries of the finger or toe:
Depending on how widespread the purulent process is, the symptoms of panaritium of the toe or hand will be distinguished. Common manifestations will be:
Treatment of panaritium at home
If you start to be treated when only redness and a slight swelling on the finger or toe are noticeable, then you can limit yourself to conservative treatment of panaritium on the finger.
Treatment of finger panaritium with folk remedies
Alternative treatment is effective at the stage when purulent fusion of tissues has not yet occurred. You can use the following recipes for compresses:
Panaritium can be complicated by such pathologies:
Prevention of finger panaritium
It is possible to prevent the development of the disease without engaging in such types of work in which injury to the fingers can occur (carpentry, carpentry, butcher work, work with glass, metal, in which small fragments and chips are formed).
Which doctor should I contact for treatment?
If, after reading the article, you assume that you have symptoms characteristic of this disease, then you should seek the advice of a dermatologist.
Treatment of panaritium on the leg - how can it be done without surgery
Panaritium is an inflammatory process that can develop on the toe of both the toe and the hand. Inflammation is caused by bacteria. Usually these are staphylococci or streptococci, but anaerobic microflora can also join, causing putrefactive fusion of finger tissues.
The occurrence of a panaritium on the leg is associated with a microtrauma, a splinter, improper pedicure or shearing of hangnails, when an infection from shoes, earth, and clothing gets into the wound.
There are several types of it, depending on which tissues are inflamed and where the pus managed to get. That's it:
Separate forms are paronychia (when pus is in the periungual roller), subungual panaritium (accumulation of pus under the nail), as well as such a situation when pus melts all tissues - from skin to bone (this is called pandactylitis).
Manifestations of panaritium on the leg
The difference between panaritiums and other purulent diseases is that this disease is characterized by a fairly rapid spread of pus to neighboring areas and tissues. This is due to the structure of the hands and feet: there is subcutaneous fat under the skin, tendons and muscles pass under it. The peculiarity of these places is that the tendons of the muscles that move the fingers are enclosed in special cases of connective tissue and surrounded by loose fatty tissue: pus, getting into such a layer, easily spreads both in length and in thickness.
Panaritium manifests itself as swelling, redness and pain in the finger area of varying severity. The pain is of a throbbing nature, it intensifies at night, has a tendency to increase. Surgeons even have a rule for the first sleepless night, which means that if a person could not fall asleep due to pain in his finger, it's time to operate.
With the spread of the purulent process, the general condition of the patient worsens: weakness appears, body temperature rises, and the pulse quickens. It becomes more and more painful to move your finger or step on it while walking, swelling and redness become more noticeable and more pronounced.
The treatment of panaritium on the leg is almost always surgical - under local (with a common process - under general) anesthesia, an abscess is opened, dead tissues are removed, then the wound is drained and 1-2 sutures are applied to it, or sutures are not applied at all. The wound is washed with solutions of peroxide, chlorhexidine, furacillin. Antibiotics are given orally or intramuscularly (intravenously).
If the abscess is visible under the skin, swelling and redness of a small size, there has not been a sleepless night yet, you can try the following method: alternate 2 types of compress during the day:
1) Dressings with hypertonic sodium chloride solution: you can take a ready-made 10% solution in a pharmacy or prepare it yourself by dissolving a tablespoon of salt in a glass of water. Apply and hold the compress until it dries, 2-3 times a day.
2) Compress with dimexide: dilute dimexide with boiled water at the rate of 1:4, moisten sterile gauze with this solution, put on the finger, polyethylene on top, bandage or cotton fabric on top. The best option would be to pour an antibiotic solution on top of the gauze (for example, penicillin diluted with saline - 5 ml per 1 vial), and then just apply cellophane and gauze.
When treating panaritium, one rule must be remembered: the abscess must not be heated in any case in order to prevent the process from spreading to the underlying and adjacent tissues.
Recipes of modern traditional medicine in the treatment of panaritium
Every person at least once in his life injured his toes or fingers, because they can be easily cut or scratched with sharp objects. For example, fingers are very easy to injure with a knife if handled carelessly. important with treat the wound once disinfectants, otherwise a purulent inflammatory process may develop, in medical science it is called panaritium.
Description of the disease
Panaritium is an acute inflammation of the soft tissues of the fingers or toes. It occurs after microbes enter the wound. The most common of these are staphylococci and streptococci. There are situations when panaritium on the leg or on the arm is born against the background of mixed pathogenic microflora.
- Cutaneous panaritium occurs on the back of a finger or toe. Under the skin, or rather under the epidermis, pus begins to collect. As a result, a bubble is formed, inside of which there is a turbid yellow-gray liquid. In some cases, droplets of blood also join the pus. The skin adjacent to the formed bubble has a strong reddening. The place where the abscess formed is very painful, and some complain of a burning sensation in this area. If the bubble begins to grow, this means that the inflammation progresses and begins to affect deeper tissues. Therefore, it is necessary to take urgent measures, it is impossible to postpone treatment in this case.
- Subcutaneous panaritium occurs under the skin from the side of the palmar surface of the fingers. The skin in this part of the palm is very dense, especially for men's hands. Work calluses often form here. Because of them, pus does not break out to the surface and spreads into deep tissues. If treatment is not started on time, tendons, joints, and even bones can be affected.
- Nail or subungual panaritium affects the soft tissues that are located under the nail plate of the fingers or toes. Inflammation of the nail appears mainly after a splinter has fallen under the plate, and it cannot be pulled out.
- Panaritium periungual, in medical science it is also called "paronychia". This concept has Greek roots. "Para" - near, "onyx" - a nail. A purulent bubble always forms near the nail fold. The main reason for its occurrence is a carelessly done manicure. If proper assistance is not provided to a person in time, then the roller and the underlying fiber can be completely affected.
- Articular felon is also called purulent arthritis of the joint, which connects two fingers together. Inflammation of this part of the arm begins after the limb has been damaged and an infection has entered the joint. This form of inflammation can become a complication of subcutaneous purulent inflammation. If you do not provide the necessary medical care in time, then in the future you can lose the mobility of the joint. Most often, the interphalangeal joint near the thumb and forefinger is affected.
- Osteoarticular felon is considered to be a complication of the articular form of the disease. If the disease begins to progress, then it passes from the joint to the bone.
- The bone form appears on its own when the bone was damaged during an open fracture or as a complication of the subcutaneous form of the disease.
- Tendon panaritium in medical science is called tendovaginitis. Suppuration affecting the tendons is considered the most severe form of purulent inflammation. It is difficult to treat and can disrupt the motor function of a person’s hands for a long time. Tendon inflammation is characterized by severe swelling of the finger, severe pain and limited mobility. The affected area is mostly in a bent state. A person cannot straighten his finger, because. this process is quite painful.
- The herpetic form is caused by the herpes virus and is characterized by the absence of pronounced external formations. Very rarely, purulent blisters appear. First, a person feels pain in the region of the palmar and dorsal surfaces of the phalanges. And after 2-3 days, vesicles, cavity formations are already formed. This is how they differ from bubbles, which take on a round shape. Opening of suppuration of herpetic origin is strictly prohibited. Infection, hitting other areas of the skin, will spread very quickly throughout the body.
- Constant pain in the area of \u200b\u200bthe finger or toe, which have a pulsating character.
- The skin around the painful area becomes very red, and the damaged area swells or even swells.
- There is a restriction in the mobility of the toes or hands. It is impossible to bend or unbend them due to severe pain.
- An acute inflammatory process is always accompanied by an increase in body temperature.
- Reception of warm baths with the addition of a light pink solution of potassium permanganate. One procedure lasts 5-7 minutes on average. Baths should be taken every day until the patient feels better.
- A compress with the addition of a pus extractor to be worn as long as possible. The bandage is best applied to the affected area after taking a therapeutic bath. Levomekol or dioxidine ointment can be used as a medicine to create a compress. It is necessary to bandage the damaged area strongly enough so that the compress holds firmly.
- A course of antibiotic treatment if the disease was caused by staphylococcus or streptococcus. If the purulent process was formed due to a fungal infection, then antifungal drugs are prescribed to the sick person.
- One of the most effective treatments is onion treatment. It is necessary to peel a medium-sized onion from the husk, then it must be cut into two halves and baked in the oven. As a result, it should become soft. If there is no oven, then you can cook onions in milk. After putting it on a purulent bladder and tightly bandage your finger with a bandage. The dressing should be changed every 5 hours. Onions help the purulent bladder ripen faster and its contents come out.
- Treatment of panaritium at home is possible with the help of beets, from which a compress is prepared, but before that, the sore finger must be steamed in a warm bath with potassium permanganate. Grate the beetroot until a slurry is formed, put it on a purulent bladder and tightly tie it with a bandage. The old compress can be changed to a new one after five hours. Beets help to stop the penetration of infection and the development of a purulent process at the very beginning of the onset of the disease.
- The disease can also be treated with castor oil, because it helps to accelerate the maturation of the abscess and the release of pus to the outside. Before using castor oil, the bottle must be heated under running hot water. After that, take a cotton swab and moisten it with plenty of oil. Attach a swab to the purulent bladder and tightly bandage it with a bandage. After 2 hours, the bandage must be changed to a new one.
- The healing plant aloe helps in the treatment of inflammation. Cut off the fleshiest leaf from a houseplant. Then carefully remove the skin with thorns from the upper side of the leaf. Crush the pulp of an aloe leaf until juice is formed. It is with this side that you need to attach a sheet to a sore spot. Aloe helps reduce inflammation.
- Good results are shown by treatment with calendula. An alcohol tincture of this medicinal plant is used, which is added to a warm bath. One procedure lasts approximately 7 minutes. Calendula helps in the treatment of both subungual and periungual inflammation.
- A popular method can be called celandine treatment. You need to take 1 tsp. chopped herbs and pour it with half a liter of water at room temperature. Then put the container on the stove and boil over low heat for 10 minutes. Wait until the broth cools down to 70 ° C. After, without filtering, apply the resulting product as a therapeutic bath. Keep the sore finger in the composition for about 15 minutes. Take a bath 2-3 times a day.
Symptoms of the disease
Absolutely all types of panaritium have their own characteristics.. However, they are united by common symptoms that characterize the disease as an acute purulent inflammation.
Causes
The habit of a child to lick his fingers can cause illness
The development of the disease begins in the soft tissues of the fingers or toes after an infection enters them. This happens when a path opens into the deeper layers of the skin as a result of an injury, cut, scratch, prick, abrasion, or penetration of a splinter. Not only a foreign body penetrates the skin, but also an infection: all kinds of microbes, bacteria and viruses. They become the culprits of the onset of the purulent-inflammatory process.
The skin of an adult is much thicker than the skin of a child, which is especially prone to injury. It is necessary to carefully monitor what the child plays with, what he picks up. Any wound, even the smallest scratch, must be treated with disinfectants. This will help prevent the development of panaritium in children.
Also, small children have a habit of licking their fingers, and some bite their nails. Bad habits in childhood can lead to damage. And this means that the infection will easily enter the child's body.
Sometimes panaritium occurs in newborns, more often in the periungual region. The reason in this case is the careless processing of children's nails.
If a child has such an inflammation, it must be urgently treated, because in the child's body the infection spreads especially quickly. If the treatment of purulent inflammation is not urgently started, the result will be deplorable, up to the loss of finger mobility.
The risk of developing inflammation increases with fungal diseases of the feet and nails. Very often, an abscess on the toes begins against the background of an ingrown nail.
Possible Complications
It is not easy to cure panaritium, so you do not need to self-medicate without consulting a doctor. This is a very serious disease that leads to severe complications.
First, a person may lose the mobility of the fingers or toes. This happens as a result of the fact that suppuration has passed into deeper tissues and struck the tendons.
Secondly, neglected inflammation can penetrate so deeply into the human body that sepsis begins - blood poisoning. If you do not take urgent measures, then everything can end in death.
It is recommended to be doubly careful if purulent inflammation is suspected in a future mother. The infection can pass from the mother to her unborn child. This is why expectant mothers are advised not to visit nail salons.
Thirdly, panaritium can result in purulent inflammation of the fatty tissue of the hand, because the disease is also called "phlegmon of the hand." This form is treated only by surgical methods.
Baths with potassium permanganate will help in the treatment
If the diagnosis is made on time, then the treatment will be much faster and easier. It will be possible to use the methods of conservative therapy without the use of surgical methods to solve the problem.
Methods of conservative therapy:
Folk remedies
In addition to traditional methods of treating inflammation, there are traditional medicine recipes that help speed up recovery. However, they can be used with the approval of the attending physician.
Panaritium requires a complex effect, therefore, treatment with folk remedies will be much more effective along with traditional medicine.
Traditional medicine offers the following recipes:
Eucalyptus is an excellent remedy for ailment
- Inflammation on the legs is treated with eucalyptus. You can buy ready-made alcohol tincture of eucalyptus in a pharmacy and use it in medicinal baths. To do this, you need to add 1 tsp to 0.5 liters of hot water. tinctures. You can prepare a decoction from dry herbal raw materials. To do this, pour half a liter of water 1 tbsp. l. fresh leaves or 2 tsp. dry herbal raw materials. Then put on the stove and boil over low heat for about 10 minutes. After that, you need to wait until the broth cools down to 70 ° C. Dip a sore finger into it and hold it there for about 15 minutes. Repeat the treatment procedure 2-3 more times.
- Among the popular methods – garlic treatment. First you need to peel and chop a whole head of garlic. After the resulting slurry, it is necessary to pour a glass of hot water, the temperature of which is 80 ° C. Cover the container with a lid and leave to infuse for about 3-5 minutes. Then lower the inflamed area into the resulting bath. Continue the procedure until the infusion is completely cool. Then filter it. Apply the garlic cake to the sore spot and tie it tightly with a bandage.
- Panaritium in children is treated with soda and salt. These components must be used in the preparation of a bath, the water temperature in which is not higher than 70 ° C. Children's skin is especially delicate, so you need to be very careful not to burn it. For one procedure, half a liter of water will be enough, to which 1 tbsp should be added. l. salt and soda. Mix everything well until the salt and soda are completely dissolved in water, then lower the child's sore finger into the bath. It is recommended to continue the procedure for 15 minutes. You can repeat 2 more times a day.
- Aloe juice helps relieve inflammation.
- Alcohol tincture helps in the treatment of subungual and nail panaritium. It is added to the bath and fingers are lowered there for 7 minutes.
- From a decoction of celandine, baths are made for a sore finger. A teaspoon of grass is poured into 0.5 liters of boiling water and boiled for 10 minutes over low heat. Then the broth is cooled to 70 degrees.
- Baths of eucalyptus tincture are used 3 times a day for 15 minutes. For 0.5 liters of water, take a teaspoon of ready-made alcohol tincture.
- An effective remedy is fir oil. An ointment is prepared from it: 2 tsp. fir oil is mixed with 4 tsp. pork fat.
- Onion. Grated fresh onion or hot vegetable boiled in milk is applied to the affected area. Change the bandage every 5 hours.
- clay with yeast. Mix these two ingredients in equal proportions and apply to the sore spot. After drying, change the agent.
- Potato. You need to wrap your finger with the potato peel.
- Bread. A crumb of wheat bread soaked in milk is applied at night to dissolve the abscess.
Panaritium of the finger on the hand - an effective treatment for an abscess on the finger at home
A purulent-inflammatory process on the fingers or toes is called panaritium. It appears if the wound is not treated in time after a cut or scratch with a disinfectant. It is possible to treat panaritium at the initial stage at home, using folk remedies. What recipes are the most effective?
Panaritium occurs due to exposure to microbes, most often staphylococcus and streptococcus, so antibiotic therapy is mandatory in this case.
The choice of methods for treating panaritium at home depends on the severity of pain and the inflammatory process:
In an acute inflammatory process, antibiotic therapy is necessary in conjunction with local treatment.
Vishnevsky's ointment draws out pus in several applications
Important. Infections can lead to blood poisoning and death of the patient.
Deterioration of well-being with an increase in body temperature indicates the infectious nature of panaritium.
Staphylococcal and streptococcal infections are treated with antibiotics, and fungal infections are treated with antifungal drugs.
With deep localization, the abscess is opened, and antibacterial drugs are used to treat the wound, such as " Ceftazidime and Ceftriaxone».
Panaritium on the arm is treated at home with decoctions, infusions and ointments. The following medicinal herbs are used:
Fir oil helps to remove inflammation in two weeks
Other effective folk remedies
At an early stage, to accelerate the maturation of an abscess and reduce swelling, the following agents are used:
Important. Treatment of panaritium should be comprehensive, so it is worth combining folk methods and traditional medicine.
When using compresses, it is advisable to bandage the finger or wrap it with polyethylene
A fairly popular remedy is garlic. It is peeled and ground to a gruel consistency. Then pour hot water (temperature 80 degrees) and insist 10 minutes. Dip your finger in the water and hold until the water is warm. Then the liquid is filtered, and the garlic cake is applied to the sore spot.
Children are especially prone to this disease, because they like to put dirty fingers into their mouths and bite their nails. At the slightest redness or swelling on the arm, finger, leg or around the nail, a bath with soda and salt is made. Prepare it this way:
- Prepare water, the temperature of which should not exceed 60 degrees. Enough 0.5 liters for the hands and 1 liter for the legs.
- For 0.5 liters of water, take a tablespoon of soda and salt.
- Expect complete dissolution.
After cooking, the sick finger of the child is dipped in the bath for 15 minutes. Do the procedure twice a day until the disappearance of all symptoms.
Children are more likely to be diagnosed with a periungual form
Note. With regular procedures, the symptoms disappear in two to three days.
For the treatment of nail panaritium at home, you can also prepare a soda bath. For 200 ml of hot water, take two tablespoons of soda and hold your finger for half an hour. After the procedure, the skin around the nail is smeared with iodine.
You should not start the disease. Panaritium can lead to serious complications. At the initial stage, it will be easier to cope with purulent inflammation.
Panaritium of the toe is a purulent inflammatory tissue disease. Panaritium is one of the most common surgical pathologies. In most cases, this disease does not pose a particular danger to the patient and is quite easily cured. How to treat purulent inflammation of the toe? Is it possible to cope with panaritium at home?
Reasons for the appearance of panaritium
Panaritium is an infectious disease, and a variety of pathogenic bacteria and fungi can be its cause. Microorganisms, getting into the soft tissues of the finger, cause the development of purulent inflammation. It would seem that in this situation, a person should constantly suffer from such a disease, because bacteria live on the skin in large numbers. Why does panaritium not occur in each of us?
Purulent infection of the toe develops only with a decrease in local immunity. For a number of reasons, the skin does not fulfill its protective function, and dangerous bacteria penetrate the soft tissues. This is facilitated by leg injuries (cuts and abrasions), as well as diseases associated with impaired tissue trophism (diabetes mellitus, varicose veins, and others).
Recognizing panaritium on the finger is not too difficult. The disease occurs acutely, and all its signs develop in a matter of days. The main symptom of purulent inflammation is pain. In the first days from the onset of the disease, the pain is moderate, and only with pressure on the finger, discomfort can intensify. If at this moment the treatment of the disease is not started, the inflammatory process will progress, and the pus will move to the underlying tissues.
Aching pain on the second or third day becomes throbbing and almost unbearable. Among surgeons, there is even such a term as "a symptom of the first sleepless night." If the patient does not sleep all night due to unbearable pain in the finger, this clearly indicates the development of panaritium. Pus accumulates under the skin, eventually melting the tissues and reaching the bone. Treatment of such a pathology should be started as soon as possible.
Can't sleep because of severe pain in your finger? Seek medical attention immediately!
In most cases, panaritium passes without deterioration in general well-being. In advanced situations, it is possible to increase body temperature to 38-39 degrees, chills, headaches. This condition is typical for debilitated and elderly patients, as well as for children under three years of age.
Types of panaritium
Purulent inflammation of the finger can be localized at different levels. Depending on the degree of tissue damage, several types of panaritium are distinguished.
- Intradermal
The easiest form of purulent process in the toes. With this pathology, pus is located directly under the epidermis (the upper layer of the skin), without touching the underlying tissues. Outwardly, such a panaritium strongly resembles a corn, but only the contents in it are not transparent, but purulent. Pain with intradermal panaritium is not too strong. Usually such purulent formations are opened and go away by themselves without treatment.
- Subcutaneous
The most common form of the disease. With this form of panaritium, pus passes under the skin, into the area of \u200b\u200badipose tissue. Due to the structural features of adipose tissue, pus with subcutaneous panaritium easily spreads inward. If such a disease is not treated, the infectious process will pass to the muscles and bones.
- Subungual (paronychia)
With this form of the disease, pus is located under the nail or around it. Painful sensations will also be localized in this area. Paronychia often leads to peeling of the nail plate.
- Tendinous
Purulent lesion of the tendons occurs when the infection passes from the subcutaneous fat. In this case, the finger always remains in a bent position, and the pain spreads mainly along its plantar surface.
- Articular
In this situation, pus is localized in the area of \u200b\u200bthe joints of the toes. Any movement in the joint causes severe pain. The toe is very swollen. Treating articular panaritium at home is not worth it - the risk of affecting the entire finger and even the foot is too high.
- Bone
With this form of the disease, osteomyelitis develops - a purulent lesion of the bones. The pain in this stage subsides somewhat, the finger increases in volume. Treatment of bone panaritium is only surgical. Even after all the therapy, doctors are not always able to return the movements in the finger in full.
- pandactylitis
The most severe form of purulent lesions of the toes. At this stage, the infectious process captures all tissues up to the bone. The finger swells, increases in size, movements in it become impossible. If the treatment is not carried out on time, the purulent process will pass to the foot and the entire lower limb. Pandactylitis is a serious pathology that can lead to death.
Treatment of panaritium
Before treating panaritiums of the toe, one should find out the degree of soft tissue damage. Treatment of subcutaneous inflammation of the finger and bone panaritium is significantly different. Sometimes the form of the disease can only be established during surgical procedures to remove pus.
Conservative treatment is possible only with intradermal and subcutaneous felon. A bandage with an antiseptic agent is applied to the affected finger. The most commonly used ointment "Levomekol" or its analogues with a wide spectrum of action. The bandage is changed twice a day. To eliminate pain and relieve swelling, anti-inflammatory drugs are prescribed in tablets. Such treatment can be carried out at home if the patient feels well.
Before applying the ointment, gently remove the protruding pus from the skin.
Conservative therapy can last no more than three days. If during this time the inflammation has not decreased, surgical treatment is performed. The type of operation is determined by the type of panaritium. With the accumulation of pus under the skin under local anesthesia, an incision is made, after which the pus is removed from the finger. Drainages are installed along the edges of the wound for a better outflow of the contents. Treatment lasts for a week. At this time, the doctor makes daily dressings, examines the wound and treats it with antiseptic solutions. During the entire period of therapy, the finger is under a bandage.
Treatment of subungual panaritium begins with the removal of the affected nail plate. After that, the skin around the nail is treated with an antibacterial ointment and covered with a bandage. The duration of treatment is from 10 to 14 days. With a successful postoperative period, a new nail grows on the finger after some time.
It is often necessary to treat articular and bone panaritium in a hospital setting. In this case, the surgeon removes pus, and also opens the joint cavity and eliminates dead tissue. After this form of the disease, mobility in the joints does not always return. In most cases, there is moderate to severe stiffness in the affected finger for the rest of your life.
The treatment for pandactylitis is amputation (removal of the finger). Such a measure is the only way to save the lower limb, and even the life of the patient. In order not to lead to such an outcome, you should consult a doctor at the first symptoms of purulent inflammation of the finger.
Alternative treatments for panaritium
It is possible to treat panaritium at home only in the early stages of the disease. With an intradermal form of inflammation, various wound healing and antibacterial ointments can be used. Vishnevsky's ointment, ichthyol ointment, "Levomekol" have a good effect. These products are applied directly to the affected area of the skin twice a day. The rest of the time, the finger should be under a plaster or bandage.
At home, you can start treatment and subcutaneous felon. The scheme of therapy does not differ from the above. In this case, you need to carefully monitor all the sensations in the finger. If within three days after the start of therapy the effect has not occurred, you should consult a doctor.
What can not be done at home? Open the pus on the finger with improvised means or try to squeeze it out through the skin. It is strictly forbidden to take foot baths and use any heating! The effect of heat on the focus of inflammation can lead to the penetration of pus into the deeper layers and the development of severe forms of panaritium.
Specific prophylaxis of panaritium has not been developed. Surgeons recommend monitoring the condition of the skin of the legs, avoiding injuries, and not delaying the treatment of chronic vascular diseases. When the first symptoms of purulent inflammation of the finger appear, you should consult a doctor.
An untreated, infected wound on the toe can lead to a disease - panaritium. Its characteristic feature is the speed of flow. To prevent inflammation from leading to complications, measures must be taken at the initial stage of the disease. Panaritium on the leg is treated with surgery, medicines, traditional medicine.
In 80% of cases, panaritium appears after staphylococcus enters the finger wound. Pathogenic flora, penetrating into tissues, causes inflammatory processes that can deepen and develop in bones, tendons, and joints. More often, the focus of affected tissues is located on the first phalanx of the finger, develops near the nail plate or penetrates under it.
In addition to punctures, cuts and careless handling of instruments during pedicure, microtraumas can appear for other reasons. These include the presence of the following diseases:
- diabetes;
- various manifestations of allergic reactions;
- vascular diseases of the legs;
- hormonal disruptions;
- decreased immune defense.
Careless handling of household chemicals can lead to damage, infection of the skin of the fingers. The reproduction of pathogenic flora on the legs is facilitated by the lack of daily hygiene.
Symptoms and signs on the leg
The wound has already healed, but there is pain. Due to the pressure on the finger and inflammation, it becomes pulsating, worse at night. With bone panaritium, the pain is severe, constant. If the tendon is affected, then the wound bothers even with slight flexion.
Swelling is evident. Redness at the initial stage is not very noticeable due to dense, keratinized skin. With superficial types of the disease, the symptoms are local in nature, appear more often on the big toe.
If the formed pus does not break out, the infection spreads further, the body temperature rises to 39 ° C. A symptom of purulent inflammation is a painful change in the lymph nodes, a deterioration in general well-being.
The rapid course of panaritium, pronounced symptoms often appear in people with a weakened immune defense of the body. These include young children and the elderly.
Differential Diagnosis
The surgeon makes an accurate diagnosis, prescribes treatment. A visual examination of the finger, a survey of the patient is carried out. It is necessary to donate blood for laboratory analysis of leukocytes, ESR. These indicators will determine the stage of inflammation.
Panaritium is differentiated on the basis of the anatomical structure of the finger. There are several types of disease.
Cutaneous
The site of inflammation with purulent contents is located under the epidermis, can spread to the entire finger or connect to a focus of subcutaneous tissue. With the growth of the area of the affected area of the finger, reddening of the skin increases. Pain becomes pulsating.
subungual
The main reasons for its appearance are splinters and hematomas that appeared as a result of a bruise. It proceeds sharply, the nail plate rises due to the formation of a purulent focus. The pain is pronounced.
Subcutaneous
Develops in cellulose. Usually occurs with deep puncture wounds. A few hours after the microtrauma, the finger swells and hurts. If treatment is not done in time, the inflammatory focus will quickly spread, affecting the nearby tendon and bone.
Periungual
The periungual roller becomes inflamed. There is swelling, redness. Pus is visible near the nail plate and under it. A common cause is careless handling of pedicure tools.
Articular
There are two options for the development of panaritium. In the first case, only the soft tissues of the joint are affected, and in the second, cartilage is destroyed. If you take a puncture, the contents will be cloudy. The finger swells, with the slightest movement there is severe pain. Self-medication is not recommended.
Tendinous
The inflammatory process moves from fiber. The pain spreads along the sole, intensifying when you try to move your toe. If surgical intervention does not occur in time, then due to tendon necrosis, it will not be possible to maintain the flexion function of the cured finger.
Bone
Occurs with a deep puncture reaching the bone or the transition of the inflammatory process from fiber. Over time, the skin on the finger becomes smooth and shiny. The pain doesn't stop. The body temperature rises. Treatment is possible only by surgery.
pandactylitis
This is a disease that is the result of untimely or improper treatment and the development of complications. Purulent inflammation affects all tissues of the finger. With it, edema occurs, the finger becomes purple, fistulas and tissue necrosis appear.
To prescribe the correct treatment, it is necessary to accurately determine the location of the focus of inflammation. To do this, x-rays are taken.
At the first manifestations of symptoms of panaritium, you need to consult a surgeon. Only the attending physician will make an accurate diagnosis, prescribe a course of antibiotics or open an abscess. Conservative therapy is allowed only for superficial types of the disease.
At the initial stage, baths with the addition of manganese and furacilin help well. An effective solution of a liter of water with two tablespoons of salt and soda. You should lower the foot into the prepared bath at room temperature for 5-10 minutes.
Lotions with the use of chlorhexidine, miramistin have an antiseptic effect. The napkin is moistened with a solution, applied to the finger. The procedure is repeated 4 times a day.
Attention! The use of hot baths, compresses contributes to the further development of inflammation.
To get rid of pus, a remedy is applied to the sore spot, bandaged. Bandages are changed twice a day.
- levomekol;
- Vishnevsky;
- ichthyol;
- tetracycline;
- dioxidine.
Antibiotics are prescribed, which are used to fight inflammation. Doctors prescribe the following drugs:
- zyromin;
- sumalek;
- azithromycin;
For treatment at home, traditional medicine is widely used.
It draws out purulent contents well and relieves severe pain of aloe. The leaf is washed, the lateral spines are cut off and cut lengthwise. Then applied with the inside to the affected area, fixed with a bandage or plaster.
You can use raw or baked onions. In the first case, it is ground on a grater, in the second, a piece of onion is applied. Fix and leave for 4-5 hours.
Using propolis, the abscess will open in three days, and full recovery in seven. To make a lotion, you need to dissolve a piece of medicine the size of a pinhead in half a glass of alcohol, moisten a napkin and attach it to a sore spot.
To get rid of panaritium, baths are made with eucalyptus, celandine or chopped garlic.
Attention! Self-medication should be done no more than 3 days. If the results are not visible, you need to see a doctor, otherwise complications will arise.
Surgical methods
Radical methods of treatment are resorted to in cases of delayed initiation of therapy or when home treatment is impossible.
An abscess is opened under local or general anesthesia in a medical office. If the operation occurs with superficial types of the disease, then after the incision, purulent contents, necrotic tissue areas are removed, and antibiotics are administered. A bandage with levomekol is applied.
The rehabilitation period lasts at least a week after the removal of the nail plate with subungual panaritium. The patient will have daily washings, dressings.
Complicated forms of panaritium require an operation in a hospital under general anesthesia. The first stage is the drainage of the purulent focus, the second is surgery with the removal of dead tissue (fiber, tendons, bones) and closing the wound with sutures.
Physiotherapy (ultraviolet irradiation, electrophoresis) is prescribed to accelerate healing.
Prevention of panaritium consists in the following activities:
- taking vitamin complexes;
- compliance with daily foot hygiene;
- antiseptic treatment of fingers immediately after injury;
- nail care, pedicure;
- selection of comfortable and appropriate footwear.
If, at the first signs of panaritium, immediately consult a doctor, then the prognosis of the disease is favorable. Finger deformity, rough postoperative scars can be accompanied after recovery only in complicated forms.
Panaritium is an acute purulent inflammation of the tissues of the finger. This is one of the most common purulent diseases. The causative agents are often staphylococci. The disease is provoked by the ingress of pathogens into the tissues during cuts, injections, splinters, with frequent injuries and constant violation of the integrity of the soft covers and the nail plate. Purulent contents begin to accumulate under the nail plate and next to it. In the absence of selected therapy, inflammation penetrates deep into the tissues and affects the tendon and bones.
Panaritium on the toe: treatment
- pain occurs in the affected area, aggravated by flexion and extension of the finger;
- within a few hours, the pain intensifies, becomes throbbing and the finger swells;
- fever, malaise, general weakness;
- there is redness of the skin, swelling of the tissues of the finger;
- the general condition can both remain satisfactory and worsen significantly;
- due to severe swelling, it becomes difficult to move a finger, while the inflammatory may begin to spread to nearby tissues;
Attention! It is important to carefully monitor its performance when the temperature rises. If the body temperature reaches +39 degrees, an ambulance should be urgently called, as there is a high probability of sepsis due to the extensive distribution and formation of purulent masses on the leg. Such high rates indicate the spread of infection throughout the body.
Azithromycin
Azithromycin is characterized by a quick result and the possibility of passing a minimum course of therapy.
A modern drug that is distinguished by a quick result and the possibility of undergoing a minimum course of therapy. Patients tolerate the prescribed treatment well if they do not have problems with individual intolerance and kidneys. Azithromycin is taken only once a day in the amount of 500 mg of the active ingredient. An antibiotic drug is taken for three days. In exceptional cases, the course dose of the active substance can be doubled, but only under the direct supervision of the attending physician.
Sumalek
The drug Sumalek
Skin diseases with the help of the drug are treated for three days. At the same time, Sumalek is taken at the same time, 0.5 g of the active ingredient. Drink an antibiotic should be an hour after eating to ensure maximum absorption. The drug belongs to the analogues of the expensive Sumamed. The need to increase the dose for panaritium and prolong the course of therapy should be checked with your doctor.
Ziromin
Ziromin allows you to achieve the desired therapeutic result in 3-5 days
A good modern antibiotic that allows you to achieve the desired therapeutic result in 3-5 days. When symptoms of panaritium appear on the toe, 500 mg of the active ingredient should be taken once a day. To maintain the required concentration of the main component, you should drink the medication at the same time.
Attention! Antibacterial drugs are taken by patients with panaritium of an infectious nature with the active activity of bacteria. Antibiotics are not taken for viral diseases.
Ointments against panaritium on the hands
Ichthyol ointment
Ichthyol ointment is a traditional remedy that is used in the presence of any purulent inflammation.
A traditional remedy that is used in the presence of any purulent inflammation. The active substance ichthyol is able to penetrate deep into the skin, reaching the focus of inflammation. When using the ointment, in rare cases, allergic reactions occur. The strength of the drug is the absence of the possible development of tissue atrophy. Ichthyol ointment is used three times a day under a tight bandage. Therapy using the drug lasts up to two weeks.
Levosin
Levosin ointment
Ointment is a drug of combined effects, due to which an antimicrobial and anti-inflammatory effect occurs. Levosin should be applied exclusively to sterile wipes, and then fixed with a bandage. The compress is changed daily. Treatment with the use of the drug continues until the complete elimination of the inflamed focus of the disease.
Tetracycline ointment
Tetracycline ointment perfectly relieves inflammation and redness
An antibacterial ointment that perfectly relieves not only inflammation and redness. It also allows you to reduce swelling and eliminate the pain effect due to panaritium on the toe. Tetracycline ointment is applied 1-2 times a day for two weeks. If the patient has a kidney problem, the doctor may recommend that the dose be adjusted to prevent kidney failure.
Synthomycin ointment
Synthomycin ointment
A first-generation drug that can provoke a fairly large number of side effects in a patient. Synthomycin ointment should only be used by adult patients, no exceptions are allowed. The active substance is applied to the sterile surface of the bandage or napkin, after which they should be fixed. The dosage of the ointment is very small, a substance no larger than a pea should be applied. Before applying a bandage, the affected area should be disinfected. Synthomycin ointment can be used for two weeks.
Attention! Since ointments are applied to dressings, care should be taken to ensure that they are always changed on time. This will not increase the manifestations of inflammation.
Lotions against panaritium on the toe
Dermasept-Gel
The drug is a disinfectant solution for treating the skin. The drug should be used as an element of combination therapy. To process panaritium, you should take a small sterile napkin and soak it with an antiseptic. It is applied to the affected area until completely dry. You can repeat the procedure 3-4 times.
A traditional antiseptic used for a long time in medical practice. Well disinfects the skin, which avoids the further spread of infection and bacteria. Antisept is used in the same way as Dermasept-Gel. Only in exceptional cases, the medication caused allergic reactions in the form of swelling.
Attention! Therapy with the use of an antiseptic drug continues until the disturbing symptoms disappear completely.
Alternative methods of therapy for the treatment of panaritium on the leg
chicken protein
A good remedy for the treatment of panaritium on the toe, which can be used even in childhood. To prepare it, you should take the protein of a chicken egg and place it in a glass. After that, medical alcohol should be added to it until the protein begins to fold.
After that, the substance should be passed through a fine sieve and the flakes should be placed on a sterile gauze bandage. The compress is kept on the leg for 7-10 hours, after which it should be changed. Therapy can continue until the symptoms of panaritium completely disappear.
Treatment of finger panaritium with folk remedies
blue vitriol
This substance allows not only to significantly reduce the manifestation of panaritium, but also to remove severe pain due to its localization near the nail plate. To prepare a medicinal solution, a pinch of the substance should be dissolved in 50 ml of warm boiled water. The sore toe is placed in the resulting liquid and kept there for 15 minutes. The course of therapy continues until complete recovery every day.
This therapy can also be used by pregnant women and young children. For treatment, you should use soda baths, which are prepared according to the following recipe. For 1000 ml of boiled water with a water temperature of +37 degrees, you should take two tablespoons of the substance. For a better effect, 1-2 tablespoons of table salt should also be added to the solution. After stirring in the medicinal solution, you should put your foot or moisten gauze with it and apply it to the sore spot. The therapy continues for 10-20 minutes, after which the foot should be dried with a soft cloth or paper towel. Treatment continues until the symptoms disappear completely.
Attention! It is important to understand that alternative methods of treatment are used only as a combination therapy with traditional medicines.
Panaritium finger
Prevention of panaritium on the toes
To prevent such a rather dangerous disease, it is enough to adhere to a number of recommendations:
- if a wound or a small cut has formed on the nail plate on the leg, it should be immediately treated with a disinfectant solution, if not, you can even use vodka;
- do not allow the skin to dry out, as this is an ideal environment for the spread of panaritium;
- in case of fungal diseases, it is imperative to treat the skin and treat the underlying disease, as it can become an indirect cause of the inflammatory process;
- in the summer, you should monitor the condition of your nails and fingers, avoiding their severe diaper rash;
- you can not use other people's manicure accessories;
- any burrs are removed only with the help of specialized tongs.
Attention! Most often, such pathologies affect children under 10 years of age. Therefore, it is so important to teach your child personal hygiene and independently monitor the condition of his nails and toes.
It is important to begin treatment of the disease at its first manifestations in order to prevent dangerous destruction of tissues, bones, tendons and joints. In such cases, a decision is made on mandatory surgical intervention in order to avoid the development of gangrene.
In some cases, panaritium on the toe can become chronic. This is usually due to a significant decrease in the protective functions of the body. To prevent this during therapy, it is also desirable to take vitamin complexes for the patient.
The action of pyogenic pathogenic bacteria has been studied for a long time. An accidental violation of the upper cover of the skin is enough for bacteria to penetrate the soft tissues, and inflammation begins. With a slight damage to the upper layer of the skin, not every person will have suppuration (panaritium). It all depends on the sensitivity of the body and the condition of the person. So it is reliably known that people with severe forms of diseases of the internal organs and weakened immunity can suffer from suppuration of wounds more often than healthy people.
How to get rid of pus on toes
What are the forms of suppuration and their symptoms
Purulent inflammation on the legs may appear due to a splinter, a prick with a sharp object, abrasion, poor-quality or non-sterile pedicure. An ingrown toenail can also be the cause. Panaritium in a child is possible if he bites his nails or constantly tries to break off the hangnails. Another common cause is suppuration against the background of a fungal disease.
In the practice of medical workers, depending on the location and nature of the emerging abscess on the fingers, different forms of panaritium are considered:
Panaritium forms
From the description of the forms of panaritium, it can be seen that no matter how petty the problem may seem initially, improper self-treatment can lead to complications that no one expected. The consequences can be severe for the whole body. After all, it is likely to lose not only the mobility of the fingers (tendon panaritium). It is possible to bring the process of inflammation to blood poisoning (bone panaritium), when the body is completely affected.
If there is a suspicion of suppuration on the toe in pregnant women, you should immediately contact a specialist, since the risk of infection exists not only for the mother, but also for the fetus.
Panaritium can appear without injury, it will be enough just to rub a finger with tight shoes. Especially if some chronic diseases contribute to this. These diseases include diabetes mellitus and poor circulation in the extremities.
Alcohol foot bath
With timely access to the surgeon, treatment usually occurs traditionally. Drug therapy is carried out at the stage of the onset of the disease, when there is no pus and severe edema yet. Initially, depending on the form of the disease, the doctor may prescribe baths in warm water with furatsilin or potassium permanganate, as well as in a solution of soda and salt. Sometimes antibiotics may also be prescribed.
Alcohol baths have a good effect on subcutaneous panaritium. In the absence of time, you can apply a bandage containing alcohol. It is possible, according to the doctor's prescription, to use compresses with drugs that draw out pus, for example, Levomekol. The compress is applied at night after applying the prescribed bath.
Self-administration of antibiotics is not recommended. With suppuration with the presence of fungal diseases, antifungal drugs will be prescribed. Subcutaneous felon is characterized by suppuration caused by streptococci, therefore, antibacterial drugs may be prescribed. Recipes of traditional medicine will help in speeding up the treatment of panaritium.
But not always a sick person is prudent. The process of "treatment at home" begins, which is not always effective. For the treatment of panaritium at home from the moment of the onset of pain, surgeons recommend allocating no more than a day.
If after this time the pain does not go away, it is urgent to go to the specialists, and not tempt fate.
Ingrown toenail joke
A nail ingrown into the body is a lot of inconvenience, besides being a painful problem. There are more than two hundred treatments for this disease. In terms of the frequency of visits to surgeons, this problem ranks second after infections caused by injuries. Most often, the outer edge of the nail grows into the tissue on the big toe of the right foot in the right-hander. However, ingrowth is possible on any toe, less often hands. Treatment does not always lead to the desired result. Often only subsequent surgery leads to a cure. The disease is divided into three degrees depending on the severity:
- the first - while walking, there is a slight pain, the tissues near the roller are slightly inflamed, swollen and reddened;
- the second - with the continuation of the ingrowth of the nail plate into the soft tissues, redness and swelling increase and a purulent process (panaritium) begins;
- the third - a bloody-purulent fluid is formed, further self-medication can lead to serious consequences.
Treatment methods can be traditional, orthopedic and surgical. The orthopedic method consists in the time-delayed process of extension of the nail plate, that is, an increase in its radius. As a result, the edges of the plate rise, and, consequently, the degree of ingrowth decreases. When treating with an orthopedic method, staples (plates) are used, similar to braces to correct the curvature of the teeth. These spring-loaded staples are glued to the surface of the nail with special glue. The change of such peculiar springs occurs in a month. Requires three to four plate changes. But the repetition of ingrowth is possible after undergoing orthopedic treatment. The best way to avoid recurrence is the combined use of the surgical method and correction with staples.
It must be remembered that an untimely solution to the problem with an ingrown nail will lead to the appearance of panaritium. Further treatment will be long and painful.
The superficial panaritium of the finger can be opened without any difficulties, but you cannot do it yourself, under any circumstances. The visible part of the hearth can go deep. How to treat panaritium with surgical intervention has long been known to medicine.
Surgical treatment is performed in a clinic or hospital under local anesthesia. An incision is made on the skin, all pus is removed from the purulent sacs. Then tissues that have already become dead are removed and antibacterial drugs are administered. Periungual, cutaneous and subcutaneous felon are operated on in simpler ways, different from other forms. The subungual form of panaritium most often means the removal of the nail or part of it, under which pus has accumulated. The period of postoperative treatment takes up to seven days. At this time, the patient is dressed daily with tissue washing and the use of wound healing and antiseptic drugs.
Tendon panaritium during surgery requires dissection of soft tissues to the tendons, the color of which determines their condition. If necessary, then there is an excision and further removal of dead tendons.
Bone panaritium is a severe form of the disease, in which it is necessary to cut all tissues, remove dead ones and “clean” the bone. Further treatment may be delayed for a long time. Even with the calming of the inflammation process, an exacerbation can occur sharply. If we consider this problem in its entirety, then the conclusion suggests itself that bone panaritium will most likely lead to the removal of a finger or part of it.
Removal of the nail, which has a yellow color, thickening, exfoliating or lagging behind the bed due to suppuration, fungal disease, as well as with the subungual form of panaritium, is performed in the traditional surgical way. In the same way, it is possible to remove an ingrown nail, which is a constantly renewed cause of suppuration.
The process is painful and takes a long time to heal. If no inflammation occurs, it will take two weeks to recover. In the event of exacerbations, the healing time may take more than a month.
Laser nail removal
Nowadays, there are more modern ways to remove an ingrown nail or part of it. Among them is the radio wave method, which is more gentle compared to the surgical method. The effectiveness of the method lies in the application of high-frequency radio waves to cells that are damaged. Healthy tissues are not affected in this process. The operation is performed under local anesthesia. The duration of such a procedure is no more than 20 minutes. After healing, there are practically no postoperative traces left. The wound heals very quickly, and patients have the opportunity to leave the clinic on their own.
The use of a laser is another effective method of surgical removal of part of the nail. In this case, the dissection occurs, injuring the tissues a little, and the effect of photocoagulation makes it possible to exclude bleeding. During the operation of the laser, the spores of the fungus are destroyed and the simultaneous bactericidal treatment occurs. Healing is faster than with conventional surgery. However, compared with the radio wave method, there are thermal tissue damage.
The basics of such prevention are the right choice of shoes and careful nail care. Shoes should be loose, not pressing on the toes. Do not cut your nails short, do not cut the corners. It is necessary that the edge of the corners protrude slightly above the skin. With constant ingrown nails, a medical pedicure is required once a month.
It must be remembered that soap has always been the main means of hygiene.
When washing feet, it is advisable to use laundry soap, which, in addition to foaming properties, also has an antibacterial effect. If you get scratches or rubbed places on your legs, you need to remember the presence of iodine in the first aid kit.
Panaritium - probably few people know that this is the scientific name for the inflammation that forms on the toe under the nail or around it. As a result of the injury, bruise, splinters, etc., pus begins to accumulate in the subcutaneous layer. This leads to severe pain, inflammation of the entire finger and the spread of infection throughout the body.
Attention! If left untreated panaritium, it can lead to surgical intervention!
Symptoms of panaritium on the toe appear 4-10 days after skin damage. At first, there is a slight pain at the site of the lesion, which gradually increases. The coda around or under the finger turns red and tense. A strip of pus may appear through the skin.
Panaritium is an inflammation and suppuration of the deep layers of the skin on the fingers or toes as a result of infection with streptococcal and staphylococcal bacteria. The cause is an infection that enters the wound with a cut, scratch, splinter. The skin of the child is more delicate, therefore more prone to injury. To prevent the disease, it is important to treat all skin lesions with an antiseptic.
There are several methods by which panaritium can be cured at home without resorting to the help of doctors. There are many folk recipes that are simple and affordable to use, as well as medicines that can be purchased at a pharmacy without a prescription. But, let's talk about everything in more detail.
Prepare a bath for warming your finger.
- To do this, boil water, add salt (2 tablespoons) and baking soda (4 tablespoons), mix thoroughly.
- Dip your foot in the solution and hold for 15 minutes.
- Repeat every 3-4 hours.
It is desirable that the water be as hot as possible. After warming up, treat your finger with medical alcohol and wrap it with a gauze bandage soaked in vodka.
You can also make a bandage of the following composition: fir oil and Vishnevsky ointment. Mix them in a 1:2 ratio, apply the mixture to a gauze bandage or bandage, and wrap the inflamed finger. Change it twice a day.
At an early stage of infection, you can get rid of pain and purulent inflammation with a "grandmother's" recipe. Take red beets, grate on a coarse grater, mix well with sour cream (50 g) and apply a bandage on the wound.
It can be effectively used in the treatment of panaritium propolis. Thanks to such baths, pus comes out on the third day, and after a week there is a complete recovery. Add 5-10 g of propolis to hot water and lower your leg for 15 minutes. You can not wipe with a towel, as the leg should be covered with a film of propolis.
Take medical alcohol 100 ml, add 20 g of propolis and shake well. Soak a bandage in the solution and wrap your toe. It is recommended to wrap at the end with a film or food polyethylene. Such wrapping has a warming effect, which contributes to the rapid breakthrough of pus.
Propolis also draws out inflammation well, if it is crushed, melted in a water bath, then applied to a purulent finger. Wrap the site of infection with a bandage and do not remove during the day.
Finely grate onion 1 head and apply to the sore finger. Change the bandage three times a day, it helps to draw out the pus very well. Onion also effectively relieves inflammation if you boil a peeled onion in milk and apply it to your toe. Change the bandage 3-4 times a day until the pus comes out.
At home, at the initial stage of infection, baths with potassium permanganate can be used. This will require quite a bit: hot water and a few grains of potassium permanganate. The solution should be saturated, but not too concentrated. Manganese in this case acts as an antiseptic. Carry out the procedure in the morning and evening until complete recovery.
Attention! Manganese must be thoroughly dissolved.
Aloe leaf helps in the treatment of panaritium at home. Take the bottom fleshy leaf and carefully peel off the prickly skin. Pulverize the pulp until a homogeneous mass is obtained, and attach it to the inflamed finger. You can also soak a bandage in aloe juice and wrap it around the affected area.
You can prepare an alcohol tincture of calendula. Grass (2 tablespoons) insist on medical alcohol (0.200 ml) during the day. Then this tincture (0.100 ml) is added to a hot bath and the leg is lowered for 10-15 minutes.
Celandine treats well with panaritium of the toenail. Take 1 tbsp. a spoonful of celandine and pour a liter of boiling water. Brew the herb over low heat for 10-15 minutes and use for baths when it cools down a bit. It is necessary to do this procedure three times a day, until complete recovery.
Attention! When preparing celandine, gloves must be used.
Eucalyptus (available at the pharmacy), effective in the treatment of purulent inflammation. It can be used for procedures with a bath, having previously prepared a decoction from it. One liter of water will require 4 teaspoons of grass. Boil on fire for 10 minutes and when it cools down a bit, lower your foot into the bath.
In the treatment of panaritium, garlic can be used. It has an antiseptic quality and draws out pus well. To do this, take a small head of garlic, peel and grate on a fine grater. Pour 50 g gruel with a glass of boiling water, and leave for 30-40 minutes. Pour this tincture into the bath and immerse the leg with the inflamed toe in it. Do not be afraid of garlic, it can burn a little, but a high effect is guaranteed. After a couple of procedures, the pus will come out.
Castor oil contributes to the rapid maturation of pus and out. Therefore, you can warm it up, moisten a cotton swab, attach it to a sore finger and wrap it with a bandage. After two hours of use, change the bandage with a tampon.
Panaritium on the leg of the baby must be treated as soon as the first symptoms of the disease appear. In this case, you can do without surgery, using conservative methods of therapy. If you suspect panaritium, you should immediately contact the surgeon. Only a qualified specialist can accurately diagnose, determine the stage of the disease and prescribe effective treatment. Otherwise, aggravation of the condition and frequent relapses at an older age are possible.
Attention! When treating panaritium in a child, it is strongly recommended to use sparing products and baths! The skin of a baby is distinguished by its tenderness and hypersensitivity, unlike an adult. The most acceptable would be the use of soda - salt bath and compress aloe or propolis.
In the complex treatment of panaritium at home, it is recommended to use drugs with antiseptic properties. For example, you can treat the affected area with a solution of Furacilin, make baths with the addition of a solution of Miramistin or Chlohexidine.
It is recommended to take anti-inflammatory antibiotics: penicillin, ampicillin (1 tablet three times a day). If purulent inflammation has a high stage of infection, then Cefriaxone or Ceftazidime is prescribed. This medicine is administered intramuscularly in the morning and evening.
It is very important to be vigilant and, if possible, prevent the occurrence of panaritium on the toe.
- when performing a pedicure, make sure that all tools are thoroughly treated with alcohol or saline;
- try not to hurt your toes when walking in open shoes - on cobblestones, gravel, thorns, etc.;
- be careful when working with sharp objects: metal chips, fragments, glass, etc., as they can injure your toes. Wear closed shoes.
Attention! If you get hurt, be sure to treat the wound with hydrogen peroxide, brilliant green or alcohol!
The inflammatory purulent process of the bones and soft tissues of the finger in medical terminology is called panaritium. Panaritium can occur on the fingers of both hands and feet. Basically, inflammation is localized in the tissues of the upper phalanx of the finger. In the absence of adequate treatment, sepsis may develop, which threatens with amputation of the finger or death.
Types of panaritium
Panaritium is a fairly common surgical pathology.
Depending on the depth of damage to the tissues of the finger, panaritium can be divided into the following types:
- cutaneous;
- subcutaneous;
- tendinous;
- articular;
- subungual;
- bone;
- pandactylitis.
Panaritium often occurs on the big toe
Advice. If you notice superficial inflammation on the finger, first of all try to localize it with Vishnevsky's ointment. You can also use the "Rescuer" balm, but it is used only in the initial stage of the disease.
Cutaneous panaritium is the safest type of disease, since it affects the surface layers of the epidermis. The causes of skin purulent inflammation can be burns of the 2nd degree, calluses, abrasions, minor injuries. The harmlessness of skin panaritium lies in the fact that, due to superficial localization, the abscess opens on its own, and the wound heals quickly without causing complications.
Schematic representation of cutaneous panaritium
Advice. If an abscess is found on the finger, one should not try to open it with improvised means. This can lead to the development of complications, up to sepsis.
The most common form is subcutaneous panaritium. The abscess in this case is located a little deeper than with the skin - in the area of subcutaneous fat. Due to the peculiarities of the structure of the subcutaneous fat, pus can easily spread inward, affecting the joints, bones, and tendons.
Schematic representation of subcutaneous panaritium
Advice. If you notice a purulent inflammation on your finger, immediately contact a surgeon to provide qualified assistance.
The tendinous form of panaritium does not often occur on its own. This type of disease is a complication of milder forms - subcutaneous or periungual panaritium.
Schematic representation of the tendon panaritium
The most complex form of pathology is articular panaritium. Purulent inflammation in this case captures the interphalangeal joint of the finger. The affected finger is not able to perform its functions, and there is no 100% chance of recovery.
Schematic representation of articular panaritium
With bone panaritium of the nail phalanx, the bone is affected up to the bone marrow. development of osteomyelitis.
Important! This type of pathology cannot be cured without serious consequences for the function of the finger.
Schematic representation of the bone form panaritium
One of the most severe forms of panaritium is pandactylitis. A purulent process with such a complication extends to all tissues of the finger: skin, joints, tendons, bones.
Important! Pandactylitis can lead to such serious consequences as sepsis (blood poisoning), the transition of the abscess to the foot or lower leg, and even death.
It is not at all difficult to determine panaritium, it is more difficult to distinguish the type of pathology.
The main symptom of panaritium on the toe is pain. In the first days, the pain is not severe, moderate, increases with pressure on the lesion or when walking. At first, the pain is aching in nature, but on the third day it becomes pulsating.
Note. Old surgeons highlight a very important symptom - "the symptom of the first sleepless night." If the patient suffers from pain in the finger throughout the night, he should immediately contact the surgeon, since with a 100% probability there is a purulent focus in the finger, which requires urgent treatment.
In addition to pain, the patient has swelling and redness of the finger, malaise, weakness. Often the patient's body temperature rises above 38 degrees. The affected finger becomes immobile and ceases to perform its functions. Walking with support on the affected leg is very difficult.
The first symptom of panaritium will be pain in the finger
Causes of panaritium
The reason for the development of panaritium is the penetration of infection into the skin and deeper tissues of the finger through violations of the skin - abrasions, abrasions, wounds, scratches, etc. The causative agents of purulent inflammation can be a wide variety of pathogens, subject to a decrease in local immunity.
Contribute to the development of pathology and violations of tissue trophism, characteristic of such diseases as varicose veins of the legs, diabetes mellitus, etc.
If the diagnosis of panaritium was made on time, then the treatment of this pathology can be carried out using conservative methods. With advanced forms of panaritium, unfortunately, it is impossible to do without surgical intervention.
With a skin or subcutaneous form of panaritium on the big toe, treatment begins with the use of baths with the addition of potassium permanganate.
Important! The temperature of the water should be at room temperature: it is strictly forbidden to warm the abscesses!
A leg with a sore toe is immersed in prepared water for about 7 minutes. The procedure must be carried out daily until the inflammation disappears.
For a better effect, after a therapeutic bath, you can put a compress on your finger with a special ointment designed to draw out pus. The list of such ointments includes Levomekol, Vishnevsky ointment, Dioxidine ointment. It is better to carry out the procedure at night. The bandage must be applied tightly enough so that the ointment fits well to the lesion.
Treatment with a bath with the addition of potassium permanganate is effective for skin and subcutaneous forms of the disease.
Antibacterial therapy is needed if the infection is staphylococcal or streptococcal. If purulent inflammation is caused by a fungal infection, antifungal drugs are prescribed.
Advice. Don't try to take antibiotics on your own. The prescription of the drug should be carried out by a qualified doctor.
How to treat periungual panaritium on the legs, the doctor will tell you. If this process affects only the skin or subcutaneous tissue, the methods described above can be applied. Other types of panaritium, from subungual to pandactylitis, require surgical intervention.
If conservative treatment does not lead to recovery within three days, the abscess on the toe must be opened. This is done by the surgeon on an outpatient basis under local anesthesia.
Treatment of subungual panaritium is accompanied by the removal of the nail plate, followed by the use of antibacterial ointments.
Articular and bone forms of pathology are treated in a surgical hospital. After removal of dead tissue, mobility in the finger joint is most often not fully restored.
Important! With pandactylitis, a finger is amputated, otherwise a far-reaching purulent-necrotic process will lead to the need for amputation of the leg or even death.
There are many traditional medicine recipes that contribute to the rapid cure of panaritium. However, such methods should be used with caution, only for cutaneous and subcutaneous forms of pathology, and only with the approval of a doctor.
- Onion treatment is one of the most effective recipes for panaritium. It is necessary to take the onion head, peel it and bake it in the oven. If it is impossible to bake the onion in the oven, it can be boiled in milk. As a result, the onion head should become soft. Then the bow must be applied to the abscess and firmly tied with a bandage. The bandage should be changed every 5 hours. Onions contribute to the rapid maturation of the abscess and the release of its contents to the outside.
Treatment of panaritium with onions is a well-known method
It is not so easy to cure panaritium, especially when the deep tissues of the finger are affected, so do not self-medicate, but consult a surgeon.
In order to avoid the development of panaritium, the resulting finger wound must be treated immediately. If there is a foreign object in the wound, it is urgently removed and the damaged area is treated with hydrogen peroxide. The wound must be protected from external infections by sealing it with a bactericidal plaster or a sterile napkin.
When performing a pedicure, avoid injury to the epithelium. Before the procedure, you need to disinfect the skin with alcohol and immerse the instruments in ethyl alcohol for 5-10 minutes. If, nevertheless, damage to the skin has formed, the wound is treated with alcohol and covered with a bactericidal plaster. The prevention of panaritium on the toe is to wear comfortable shoes that have the right size, do not rub or squeeze the foot.
Panaritium is an inflammatory process that can develop on the toe of both the toe and the hand. Inflammation is caused by bacteria. Usually these are staphylococci or streptococci, but anaerobic microflora can also join, causing putrefactive fusion of finger tissues.
The occurrence of a panaritium on the leg is associated with a microtrauma, a splinter, improper pedicure or shearing of hangnails, when an infection from shoes, earth, and clothing gets into the wound.
Types of panaritium on the leg
There are several types of it, depending on which tissues are inflamed and where the pus managed to get. That's it:
Subcutaneous;
Articular;
Tendinous;
Bone;
Articular panaritium.
Separate forms are paronychia (when pus is in the periungual roller), subungual felon (accumulation of pus under the nail), as well as such a situation when pus melts all tissues - from skin to bone (this is called pandactylitis).
Manifestations of panaritium on the leg
The difference between panaritiums and other purulent diseases is that this disease is characterized by a fairly rapid spread of pus to neighboring areas and tissues. This is due to the structure of the hands and feet: there is subcutaneous fat under the skin, tendons and muscles pass under it. The peculiarity of these places is that the tendons of the muscles that move the fingers are enclosed in special cases of connective tissue and surrounded by loose fatty tissue: pus, getting into such a layer, easily spreads both in length and in thickness.
Panaritium manifests itself as swelling, redness and pain in the finger area of varying severity. The pain is of a throbbing nature, it intensifies at night, has a tendency to increase. Surgeons even have a rule for the first sleepless night, which means that if a person could not fall asleep due to pain in his finger, it's time to operate.
With the spread of the purulent process, the general condition of the patient worsens: weakness appears, body temperature rises, and the pulse quickens. It becomes more and more painful to move your finger or step on it while walking, swelling and redness become more noticeable and more pronounced.
Panaritium: how to treat
The treatment of panaritium on the leg is almost always surgical - under local (with a common process - under general) anesthesia, the abscess is opened, dead tissue is removed, then the wound is drained and 1-2 sutures are applied to it, or sutures are not applied at all. The wound is washed with solutions of peroxide, chlorhexidine, furacillin. Antibiotics are given orally or intramuscularly (intravenously).
How to treat panaritium at home?
If the abscess is visible under the skin, swelling and redness of a small size, there has not been a sleepless night yet, you can try the following method: alternate 2 types of compress during the day:
1) Dressings with hypertonic sodium chloride solution: you can take a ready-made 10% solution in a pharmacy or prepare it yourself by dissolving a tablespoon of salt in a glass of water. Apply and hold the compress until it dries, 2-3 times a day.
2) Compress with dimexide: dilute dimexide with boiled water at the rate of 1:4, moisten sterile gauze with this solution, put on the finger, top with polyethylene, top layer with a bandage or cotton fabric. The best option would be to pour an antibiotic solution on top of the gauze (for example, penicillin diluted with saline - 5 ml per 1 bottle), and then just apply cellophane and gauze.
When treating panaritium, one rule must be remembered: the abscess must not be heated in any case in order to prevent the process from spreading to the underlying and adjacent tissues.
Panaritium is a complex inflammatory process that occurs in the tissues near the finger. Panaritium on the toe occurs if the place has received small, sometimes inconspicuous damage: burns, scratches, not cured in time.
Often the cause of panaritium is the penetration of pathogenic microbes under the skin, causing an inflammatory process. Streptococci and staphylococci, penetrating under the skin, begin to multiply actively, pus becomes their reproduction products. For the penetration of bacteria, favorable conditions are often created by a person, for example, untreated cracks and wounds on the legs become a gateway for the penetration of microbes inside.
The risk group includes children, they are unable to independently pay due attention to their own health and hygiene.
Foot hygiene
Types of panaritium and prevention
Panaritium on the thumb is a large bubble, where pus and cloudy liquid begin to accumulate. A throbbing, unpleasant pain appears in the area of the thumb, sometimes it is extremely strong, it prevents a person from sleeping peacefully. The site of the wound necessarily swells, reaches a large size, the skin shines and takes the form of a flask.
The disease does not go away on its own, contrary to popular belief. On the contrary, inflammation intensifies:
- The pus that has accumulated near the periungual plate begins to penetrate deep into the tissues, getting under the nail, deep into the tendons of the leg.
- A person is able to lose motor ability, will not be able to move his finger freely, movements will become clumsy, they are extremely difficult.
- When the process begins to affect the tissues, the disease gradually develops pandactylitis. Treatment becomes ineffective, in extreme cases it is necessary to amputate a finger or limb.
Panacea of the legs
Consider the main types of panaritium:
- Cutaneous panaritium develops on the back of the finger. Under the top layer of the skin, pus begins to accumulate, a large bubble forms, sometimes filled with bloody contents. Pain means a mild degree that can be treated at home. Burning in addition to pain is a signal to consult a doctor.
- Periungual panaritium often occurs if women unsuccessfully perform a pedicure procedure. It is required to immediately treat the wounds that have arisen after cutting the burrs around the finger with alcohol or hydrogen peroxide.
- Subungual panaritium occurs when an inflammatory process occurs under the nail plate. Often the cause is a splinter that gets under the nail. The item should be removed immediately, pour a disinfectant under the plate.
The main types of panaritium from the possible ones are listed. Do not start the process, it is advisable to contact a qualified physician. To treat the disease at home and folk methods is carried out in the initial stages in the absence of medical assistance.
Treatment takes place depending on the stage of the disease. Consider the methods applicable for treatment.
Warming up the legs
Foot baths
Do not exclude treatment with folk methods. Sometimes the methods are effective, but the prescription of the doctor is important, allowing the methods to be applied in practice. Some doctors advise starting treatment with the application of various herbs that relieve the inflammatory process. The method will be effective if the disease is at an early stage. In difficult cases, treatment is carried out exclusively by a doctor.
Folk methods are applicable at home, you do not need to see a doctor, provided that the panaritium has not begun to rot. If a person feels that the inflammatory process on the leg does not torment the first night, go to the doctor for treatment.
It is worth contacting the hospital when the disease occurs with an increase in temperature. The doctor will prescribe an urgent operation to open the abscess. If the abscess is small, the operation is performed in a hospital, recovery is carried out at home.
The operation takes a few minutes, the patient does not feel pain. It is extremely dangerous to perform an autopsy on your own at home, there is a risk of infection or poor cleaning of pus.
Launched forms of panaritium, with damage to the periungual plate, fiber and nail roller, are treated exclusively with the Kenevel operation. The skin with inflammation is incised along the entire inflammation, sometimes the length reaches a centimeter. Treatment is required to completely expose the corner of the nail, where a mass of pus accumulates. The purulent substrate and dead tissue under the nail plate are removed.
After the operation, treatment is required to heal the wound and restore the nail plate. It is simply impossible to perform the operation at home, there is a risk of losing a toe due to complications.
First of all, you should take care of hygiene, legs and hands should be washed more often. It is important to avoid dry skin by avoiding cracking. If these occur, immediate treatment is required. Through any wound, even small ones, microorganisms are able to penetrate.
Consider the rules on how to avoid panaritium:
- If you go to the garden, try to take care of protecting your toes.
- Make sure that your feet are always clean, any dirt near the toe will cause infection.
- Try to apply a cream that softens the skin of the legs before going to bed, it is important to apply the cream near each finger, including the place near the nail plate.
- Avoid using someone else's pedicure set. It is advisable to do the procedure at home.
- Pedicure should be done carefully, trying not to damage the skin of the finger. Burrs are removed carefully using a special oil.
- If you get an injury, treat it immediately so that the inflammatory process does not happen.
Remember, it is advisable to entrust the treatment to a professional doctor, denying the risk of getting a complication and the chance to treat panaritium for a long time, to undergo a rehabilitation course. Remember, health is in your hands, delay in treatment increases the possibility of making it long and painful, in the early stages of a complex and unnecessary operation, it is quite possible to avoid.
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