No paronychia, but pain at the edge of the big toenail

Although there is no paronychia, pain at the edge of the big toe nail is usually caused by trauma, allergies, folliculitis, or other reasons. Different treatment methods should be selected according to the specific cause. Detailed analysis is as follows:

1. Trauma

If the toe is squeezed or struck, it may damage the underlying soft tissues and possibly lead to exudate entering surrounding tissue spaces, resulting in swelling and pain. It is recommended to apply a cold towel for local cold compression, which can promote vasoconstriction of subcutaneous capillaries and prevent further worsening of symptoms. After 24 hours, applying a warm towel for heat compression can accelerate blood circulation and help reduce swelling.

2. Allergy

Pain and swelling may result from exposure to allergens or unhygienic food intake. Antihistamine medications such as cetirizine hydrochloride tablets or diphenhydramine hydrochloride injection may be used under medical guidance to alleviate allergic reactions and relieve symptoms.

3. Folliculitis

This condition is commonly associated with clogged pores or excessive sebum production, and may also cause local swelling, pain, and itching. Medications such as mupirocin cream, amoxicillin capsules, or ibuprofen sustained-release capsules may be used under medical supervision to improve symptoms.

In addition, conditions such as gouty arthritis, rheumatoid arthritis, or fasciitis could also be potential causes. It is recommended to seek evaluation at a qualified medical facility and receive symptomatic treatment under a physician's guidance.