Nail groove inflammation and subungual abscess

　　Paronychia is often caused by piercing, scraping, ingrown nail, or pulling out 'inverted skin thorn' around the nail groove. Subungual abscess often occurs due to the spread of paronychia, infection caused by subungual piercing, or secondary infection due to subungual hematoma caused by finger tip compression injury. The main pathogen is Staphylococcus aureus. Some are also due to congenital developmental abnormalities, joint lesions during childhood, trauma, various metabolic diseases, and various inflammatory diseases that promote cartilage breakdown.

　　1. Purulent cellulitis of the finger tip:It is a subcutaneous suppurative infection on the palmar surface of the distal phalanx of the finger, often caused by a piercing injury. The distal palmar surface of the finger, known as the finger pulp, has a fibrous septum under the distal transverse crease of the finger, forming a closed space under the finger pulp. The finger pulp is also separated by fibrous strips into many small compartments, which are filled with fat balls. The skin here is thick, hard, lacks elasticity, and is rich in nerve receptors. Once infected, the tension of the finger pulp increases significantly, and the pain is marked. The subcutaneous tissue is directly connected to the distal phalanx of the finger, so purulent cellulitis of the finger tip is prone to develop into suppurative osteomyelitis of the distal phalanx. Purulent cellulitis of the finger tip is often caused by minor injury or piercing, and the pathogen is mostly Staphylococcus aureus.

　　2. Osteomyelitis of the finger bone:According to traditional Chinese medicine, it is a disease caused by carbuncle, malignant injury of tendons and bones. It is generally caused by infection after trauma. The most common pathogen is Gram-positive bacteria. Gram-negative bacteria can cause osteomyelitis in drug users, sickle cell anemia patients, and severe diabetes or trauma patients.

　　At the initial stage, one side of the nail groove may become red and swollen, painful, and can become suppurative in a short time. The infection can spread to the nail root and the other side of the nail groove, forming periungual inflammation, or it can spread to the subungual area, forming a subungual abscess. At this time, the pain intensifies, swelling is prominent, and yellowish-white pus can be seen under the nail. If not treated in time, it can develop into purulent cellulitis of the finger tip, even causing osteomyelitis of the finger bone, or it can become chronic paronychia, which is not easy to heal. Paronychia or subungual abscess, due to superficial infection, often has no obvious systemic symptoms.

　　1. Regularly drink royal jelly:Taking 5~10ml of royal jelly daily for 2~3 months can significantly reduce joint pain and improve mobility.

　　2. Regularly drink fresh milk:Consuming 500ml of fresh milk every day is helpful for the treatment of osteoarthritis. Because throughout the course of the disease, there is a lack of calcium, milk not only has high nutritional value but also is rich in calcium ions.

　　3. Apply ginger and scallion compress:Take fresh ginger and fresh scallion whites, mix them in a 1:3 ratio, mix them well like mud, apply them hot to the affected area, and change them every 48 hours.

　　4. External application of ginger:Cut fresh ginger slices and heat them and apply them to the knee, then grind stale wheat into powder and heat it to wrap it.

　　At the time of diagnosis, in addition to relying on its clinical manifestations, it is also necessary to rely on auxiliary examinations. The cytochemical staining of the disease sometimes shows an increase in white blood cells. X-ray examination shows no positive findings. The disease seriously affects the daily life of patients, so it should be actively prevented.

　　What foods are good for the body for paronychia and subungual cysts:

　　It is advisable to eat light, eat more vegetables and fruits, rationally match the diet, and pay attention to adequate nutrition. The diet of patients should be light and easy to digest, eat more vegetables and fruits, rationally match the diet, and pay attention to adequate nutrition. In addition, patients should also pay attention to avoiding spicy, greasy, and cold foods.

　　Early treatment can include hot water immersion or hot compress of the affected finger, applying ointment, physical therapy, elevating the affected limb, and other therapies, which are generally effective. If there is pus, it should be drained promptly. Finger root nerve block anesthesia or local anesthesia can be used; elevate the affected limb, use a rubber band to tie the base of the finger, to temporarily block the blood supply to the finger; then perform surgery. For unilateral paronychia, a longitudinal incision can be made along the posterior nail fold, the skin margin can be flipped up, the pus cavity can be cleared, and an oil gauze can be placed for drainage. A small piece of the posterior nail fold can also be removed. If the infection has spread to paronychitis around the nail or an abscess under the nail, the extent of the infection should be considered, and part of the nail or all the nails should be removed. When removing the nail or part of the nail, a flat and rounded剥离器 should be used to separate the nail side fold, the posterior nail fold, and the nail bed to avoid injury to the nail bed and nail matrix tissue. When the nail is fully free, use hemostats or needle holders along the longitudinal axis of the finger to pull out the nail shell, and check the完整性 of the pulled-out nail in detail. If there are any defects, the remaining nail fragments should be removed to avoid affecting wound healing. After nail removal, a new nail can generally cover the nail bed completely after 3 to 4 months, as long as the infection focus has not been destroyed or the nail bed or nail matrix has not been damaged during surgery, the new nail generally does not deform.