Paronychia Treatment

1. Protect Nail

  • Do not remove any part of the nail.
  • If an artificial nail is on an infected finger, remove it.

2. Reduce Pain and Swelling

For mild nail infection or while waiting to see a doctor:

  • Soak the affected foot or hand 3 to 4 times daily for 20 minutes in warm water. You can add hydrogen peroxide (half of the solution).
  • Apply an over-the-counter antibiotic ointment and bandage. An oral antibiotic will likely be prescribed.

3. When to See a Doctor

Seek medical help as soon as possible if:

  • Symptoms don’t improve after 2 to 3 days.
  • A pus-filled abscess pocket forms on the side or base of the nail.
  • The person has a fever and red streaks around the nail, nail discoloration, or joint or muscle pain.

4. Follow Up

If you seek medical help:

  • The doctor may sample pus or fluid and prescribe an oral antibiotic. In chronic cases of paronychia, your doctor may prescribe an anti-fungal topical.
  • If a pus-filled abscess pocket develops, a doctor may need to drain it.
WebMD Medical Reference Reviewed by Sabrina Felson, MD on October 22, 2017

Sources

SOURCES:

University of Michigan, HealthwiseKnowledgebase: ''Home Treatment for a Suspected Nail Infection'' and ''Infection of the Skin Around or Under the Nails.''

American Academy of Family Physicians: ''Paronychia.''

Johns Hopkins ABX Guide: "Paronychia."

Paronychia Information from eMedicineHealth.

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