What are the methods to reduce swelling from paronychia?

Nov 13, 2024 Source: Cainiu Health

Dr. Liu Wenmin

Introduction

In general, patients with paronychia can reduce swelling through proper cleaning, local disinfection, cold compresses, topical medications, or surgical treatment. It is recommended to seek timely medical attention, identify the underlying cause, and receive appropriate treatment under the guidance of a healthcare professional. Regularly clean the nail fold area in daily life and keep it dry and clean. Also, avoid having nails that are too long and ingrown into the nail fold; trim nails straight across to maintain a parallel edge.

In general, patients with paronychia can reduce swelling through appropriate cleaning, local disinfection, cold compresses, topical medications, or surgical treatment. It is recommended to seek timely medical attention, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific measures are as follows:

1. Appropriate Cleaning

The affected area around the nail fold can be washed with mild soap and water. After washing, it should be thoroughly dried to keep the skin dry and prevent bacterial growth, which helps alleviate swelling.

2. Local Disinfection

Hydrogen peroxide, povidone-iodine, or other antiseptics can be used to alternately soak the affected area, helping control inflammation and reduce the risk of infection. After soaking, gently pat dry with sterile gauze, avoiding friction or pressure.

3. Cold Compress

A clean towel can be used to wrap an ice pack for cold application on the affected area. Apply for 15–20 minutes per session, several times daily. This helps stimulate local vasoconstriction, reducing swelling and pain.

4. Topical Medications

Under a doctor's guidance, antibiotic ointments such as erythromycin ointment, mupirocin ointment, or fusidic acid sodium ointment may be applied. These ointments have anti-inflammatory, antipruritic, and antibacterial properties that help control inflammation and promote resolution of swelling.

5. Surgical Treatment

If paronychia is severe and accompanied by abscess formation, incision and drainage surgery may be required as directed by a physician. This procedure involves surgically opening the infected area to drain accumulated pus, blood, and necrotic tissue, thereby reducing local pressure, relieving pain, and promoting inflammation resolution and wound healing. However, this may be associated with symptoms such as pain and bleeding.

Routine care includes regularly cleaning the nail fold area and keeping it dry and clean. Additionally, avoid having nails too long or ingrown into the nail fold. Trim nails straight across and maintain an appropriate length to help prevent paronychia.

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