Infection of the nail bed, or paronchyia, is the most common type of infection in the hand, typically beginning in the tissue along the side of the nail. It occurs when bacteria enter the area through an opening or irritated spot on the skin, which can occur as a result of trauma, nail biting, finger sucking or even from exposure to harsh chemicals including dish soap. Infections cause symptoms like pain and tenderness, redness and swelling around the nail, and sometimes pus leakage. Left untreated, a nail bed infection can spread to the rest of the finger and into the hand and arm.
Depending on how far the infection has spread, antibiotics may be needed to prevent further spread and “jump-start” healing. If an abscess has formed, it will most likely need to be drained in a simple in-office procedure using a local anesthetic. In some cases, the nail or a portion of the nail may need to be removed. Mild infections can be treated more conservatively, including soaking the nail throughout the day.
Fingernails typically grow in a predictable manner, with smooth, clear surfaces. But sometimes, the nail growth pattern can change. Some changes such as increased brittleness or vertical ridges may be caused by age; others, such as white spots, may be caused by injury to the nail or medication. But some nail growth abnormalities can indicate an underlying medical conditions, such as wart growth, infection, systemic diseases like heart, kidney or liver disease, psoriasis and even cancer. If you have a nail growth abnormality, the best way to know what's causing it is to have it evaluated as soon as possible so you can get quick and appropriate treatment.
Dr. Feldman accepts most major insurance providers. For questions regarding your specific plan, please call your insurance provider.
"Warm, personable, extremely smart and at the top of his game, don't waste your time looking for anyone else and just go to Dr Feldman."
"Dr. Feldman and his staff are awesome. Dr. F did a tendonitis release on my wrist in 2013 and I had great results afterwards. "