Hi,
Members do not see these Ads. Sign Up.
I've a nervous female patient who is in her 20s. She's fit and healthy.
She had an ingrown toenail on the lateral aspect of her hallux, it was infected with erythema to the pnf. The patient didn't want any antibiotics so instead I managed to clear the nail spike and the infection with dressings.
However for a 6 weeks now the toe itself is ok but there is a ball of hypergranulation tissue on the distal sulci which is what she is finding painful. I have treatedby packing with kaltostat to keep the nail away and dry out the hypergran, this helped a bit but it's still there. I have tried applying 95% silver nitrate twice which again has helped but still there. All along the patient has been seperating the 2nd toe to limit any external compression.
Due to the rate of growth on her nail it is needing cut back weekly (through self treatment) to keep the nail away. She is not wanting to have a PNA even though I have thoroughly discussed it with her. I believe that as I previously conservatively treated and sorted her other hallux that was quite badly ingrown, she is holding out that it will be fine for this one. The other one however did not have the hypergran that this one has!
Can anyone please give me some ideas on anything else to try?
Jenni
Tags:
Loading...
- Similar Threads - Problem Hypergranulation Tissue
-
- Replies:
- 0
- Views:
- 614
-
- Replies:
- 0
- Views:
- 428
-
- Replies:
- 0
- Views:
- 492
-
- Replies:
- 1
- Views:
- 922
-
- Replies:
- 0
- Views:
- 892
-
- Replies:
- 1
- Views:
- 899
-
- Replies:
- 0
- Views:
- 1,231