What should I do if the toenail on my big toe has been torn off?
May 15, 2023
Source: Cainiu Health
Dr. Liu Wan
Introduction
The toenail of the big toe can be treated with conservative management, medication, or surgical intervention when it has been torn off. If the big toenail is accidentally detached due to external trauma, the area connecting the nail to the underlying skin and tissue may be damaged, leading to symptoms such as bleeding and severe pain. At this point, patients need to use medications to prevent bacterial infection of the wound site.
If the toenail of the big toe has been torn off, general treatment, medication, or surgical intervention may be considered. The specific approaches are as follows:
1. General Treatment
If the toenail of the big toe is partially or fully detached but symptoms are mild and there is no significant bleeding, it is recommended to disinfect the affected area with povidone-iodine or hydrogen peroxide solution under medical guidance, followed by covering it with sterile gauze.
2. Medication
A forcibly torn-off toenail due to external trauma may damage the tissue connecting the nail to the underlying skin, leading to symptoms such as bleeding and severe pain. In such cases, medications should be used to prevent bacterial infection at the wound site. Examples include cefixime dispersible tablets or ampicillin sodium for injection.
3. Surgical Treatment
If the wound is large or accompanied by tissue erosion, prompt medical attention at a qualified healthcare facility is necessary for proper debridement. In some cases, surgical wound closure (suture) may also be required. During the postoperative recovery period, the surgical site should be kept dry and away from water.
It is advisable to maintain a light diet in daily life and avoid spicy, raw, cold, greasy, or other irritating foods. Keep a regular lifestyle, change dressings regularly, and seek timely medical care if signs of infection occur.
