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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Trauma To Big Toe, Separated From Nail Bed. Should I Trim This Down Or Can It Grow Back Normally?

I have trauma to my big toe and it turned very purple. Now, it has separated from the nail bed completely on one side but remains attached at the cuticle and on one side. I would say 50% is detached. Should I trim this down or can it grow back normally without trimming all the way down to where it s still attached? I have no pain from this but have noticed a terrible smell. I have started using anti fungal spray which seems to have corrected this. Also, would it be good to soak the foot in warm water and epsom salt?
Sun, 22 Jul 2012
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General & Family Physician 's  Response
Hi,

Welcome to HealthcareMagic forum.

Until you have part of nail attached to the nail bed, I would say the nail would grow back with no major intervention.

However the biggest challenge to you will be to prevent infection. It's good that you noticed infection early and corrected it with antifungal spray, however if there are any suspicious signs such as pain, swelling, discharge and so on left, I would suggest you to visit your local physician. A course of antibiotic / antifungal might be needed.

Epsom salt in warm water is reported to be useful in treating a nail infection. You may try it, however you make sure you dry up and remove any moisture out.

Watch the progress of the nail and seek early medical help if something is unusual.

Hope this helps.

Regards
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Trauma To Big Toe, Separated From Nail Bed. Should I Trim This Down Or Can It Grow Back Normally?

Hi, Welcome to HealthcareMagic forum. Until you have part of nail attached to the nail bed, I would say the nail would grow back with no major intervention. However the biggest challenge to you will be to prevent infection. It s good that you noticed infection early and corrected it with antifungal spray, however if there are any suspicious signs such as pain, swelling, discharge and so on left, I would suggest you to visit your local physician. A course of antibiotic / antifungal might be needed. Epsom salt in warm water is reported to be useful in treating a nail infection. You may try it, however you make sure you dry up and remove any moisture out. Watch the progress of the nail and seek early medical help if something is unusual. Hope this helps. Regards