Tuesday, May 5, 2020

Onychocryptosis Symptoms and Treatment Sample on Involuted Nails

Question: Discuss about the Onychocryptosis Symptoms and Treatment. Answer: Introduction: Onychocryptosis or ingrown nail is a medical condition characterized by the growth of the edges of toe nails occur into the skin causing severe pain and discomfort (Vanessa 2005). The most likely affected areas of this condition include the nail on both sides of toe and outer edge of big toe (Vanessa 2005). This condition is mainly caused due to the improper trimming of the nails (as the edge of nail can excavate the skin) and wearing shoes of improper fitting (due to compression of toes) (Health Spark n.d.). Other causes of onychocryptosis include injuries near the nail and fungal infections of nail (Health Spark n.d.). Onychocryptosis can be managed either by taking the conservative measures (in initial stages) or by surgical treatment (if the condition gets worse). The conservative methods include toe taping, nail splinting, split tape-strap method, nail wiring, dental floss, angle correction, using artificial acrylic nail and cotton wick insertion (Amira 2016). The surgical methods of this condition include total matrix excision, complete nail evulsion, Vandenbos technique, partial matrix excision and wedge matrix excision (Amira 2016). Subungual Heloma Durum Subungal heloma is a condition wherein there is development of corns under the nail plate; thereby, causing pain by detaching the nail plate (Senior Foot Care 2015). The developing corns are located in the grooves found at the sides of nail, particularly in the regions where the skin tissues interact with the nails with the movement of food (Senior Foot Care 2015). It is also usually caused as a result of the pressure that builds up when a person is wearing improper foot wears (Kiran 2014). The treatment of this condition is done by cutting back the nail in such a manner that the corn gets exposed or to completely remove the nail (Senior Foot Care 2015). The corn can then be removed from the grooves with the help of a scalpel. Another approach is to destroy the tissue of corns by using a caustic agent (silver nitrate) as this can help in preventing the cutting of nail in future (Senior Foot Care 2015). There might be a need of visiting the doctor after treatment to prevent the recurrence of the condition. Involution Involution is a nail condition in which the sides of the nail curl towards each other and can penetrate into the skin of the nail sides; thereby leading to a painful experience (The Foot Care Clinic 2014). This condition can eventually develop into the ingrown toe nails as the sides of nail penetrate the skin. It is also referred to as curved nails. The major causes of this condition include improper cutting of nails and improper fitting shoes (Podantics n.d.). To treat this condition, partial nail avulsion can be done wherein the sides of the nails are removed permanently in order to make the nail flatter. This helps in preventing the involution of the nail and its curving and also makes it easier to manage the nail (The Foot Care Clinic 2014). It is also recommended to wear proper foot wears so that there is no pressure on the nails. References: Ngan, V. (2005). Ingrown Toenails. [online] Available through: https://www.dermnetnz.org/topics/ingrown-toenails/ [Accessed 25 Jan 2016]. Health Sparks. (n.d.). Onychocryptosis Symptoms and Treatment. [online] Available through: https://www.healthsparks.org/onychocryptosis-symptoms-and-treatment/ [Accessed 25 Jan 2016]. Elbendary, A. M. (2016). Ingrown Nail Treatment Management. [online] Available through: https://emedicine.medscape.com/article/909807-treatment [Accessed 25 Jan 2016]. Senior Foot Care. (2015). Subungual Corn (Heloma). [online] Available through: https://www.seniorfootcare.com.au/subungual-corn-heloma/ [Accessed 25 Jan 2016]. Panesar, K. (2014). Corns and Calluses: Overview of Common Keratotic Lesion. [online] Available through: https://www.uspharmacist.com/article/corns-and-calluses-overview-of-common-keratotic-lesions [Accessed 26 Jan 2016]. Podantics. com. (n.d.). Nail Problems of the Feet. [online] Available through: https://www.podantics.com.au/nail-problems.html [Accessed 26 Jan 2016]. The Foot Care Clinic. (2014). Involuted Nails. [online] Available through: https://thefootcareclinic.blogspot.in/2014/04/involuted-nails.html [Accessed 26 J

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