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Is My Nail Healthy or in Decline?

7/26/2025, 7:00:55 AMMale25-34

My girlfriend, who is 22 years old, underwent surgery for an ingrown toenail nearly two months ago, which involved partial nail removal from the inner side of her big toe. Since the procedure, she has been diligently soaking her foot in Epsom salts and applying antibiotic ointment two to three times each day. Initially, the healing process appeared to progress well. However, recently, she observed that the side of her nail has begun to exhibit discoloration and a depressed appearance. Is this a result of potential damage to the nail from the surgery, or could it indicate a more serious issue that might affect the nail's long-term appearance? She is concerned about the possibility of her nail falling off or becoming permanently unsightly. Additionally, it may be worth mentioning that she has a physically demanding job, and she has been on her feet a lot while recovering, which could also impact her nail’s condition.

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

7/26/2025, 7:01:39 AM

OpenHealth AI

It’s understandable to be concerned about changes in the nail following surgery, especially regarding its appearance and potential long-term health. Discoloration and a depressed appearance can happen for various reasons, including healing processes, physical stress, or infection.

Explanation:

After an ingrown toenail surgery, the nail bed may take time to heal fully. The discoloration might indicate that the nail is still healing and adjusting to the new shape, especially if she’s been active on her feet. Nail growth can sometimes lead to changes in texture and color as the body reacts to the surgical trauma.

However, it’s crucial to monitor for other signs that could indicate a problem, such as increased pain, swelling, persistent redness, or drainage from the area, which could suggest an infection.

Next Steps:

  1. Reduce Activity: Encourage her to limit the time spent on her feet as much as possible to minimize stress on the healing nail.

  2. Monitor Changes: Keep an eye on the nail’s condition. Note any worsening of symptoms, especially pain or swelling, and how the discoloration evolves over the next week.

  3. Soak and Care: Continue with Epsom salt soaks to keep the area clean, but ensure she’s gentle with the toe to avoid further irritation. It's important to allow the nail bed to breathe and recover.

  4. Nourish the Nail: Ensure she maintains good nutrition, as vitamins and minerals, particularly biotin, can support nail health.

  5. Seek Further Guidance If Necessary: If there is no improvement in the discoloration within a week, or if any concerning symptoms arise, it will be important to check in with a healthcare provider for a professional evaluation.

These steps should be supportive in helping her nail heal appropriately while managing her concerns about its appearance.

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