Paronychia Fingernail Abscess Infection Treatment | Auburn Medical Group

Paronychia Fingernail Abscess Infection Treatment | Auburn Medical Group


You’re not really feeling good right now?
No, not really, one of the most painful things I’ve ever experienced Believe me it is throbbing and stinging And I haven’t slept for the last four nights
It’s a real hindrance to daily activities You know? You notice something
like a hangnail You know? And then that day it just started
getting worse. You have something called a paronychia. Somehow some bacteria got
under the space between the skin and the nail and they got into the skin there
and you have an abscess with pus and when there’s pus it needs to be drained.
All right, so this is where we put on gloves and betadine up the entire hand Ok and then I’m going to numb up this
back nerve here… Just a little sting…Just a little sting. Not too bad. You feel the medicine going in? No… No… Don’t feel anything now So I get the nerve where it goes through
on this one What I do is I try to go in right about
where the edge of the nail is. And so I look down the finger and see… You’re lining it up where it should be. Yeah and that gets us just right at the
side of the bone and to get it on the other side I don’t turn your hand around
because that would hurt to get stuck on the palm side of the finger I’m instead going to use a longer needle
to go in right where we did before Anything? Yeah Okay I’m going to be putting the medicine in as
I go down and I’m going deeper this time..You are? To hit the nerve down on the bottom
side Oh! You hit a nerve there…Sorry. Let’s give it a lot
of medicine and then we’re going to do the same thing over here Yeah we number it up from the back. You
feeling it?… Yeah Sorry It does sting as it goes in and this is
how it’s done I actually just did a literature search
on the computer and found that in February of 2016 an article was published in
a surgical rehabilitation journal that showed that in a series of cases that
they did, they found that if they use antibiotics, they had no better outcome
except in one single case and that one single case they said it wasn’t adequately
drained, so drainage is the treatment not antibiotics with all their side effects
and resistant organisms. Is it still hurting?…Not now Does it feel better than when we started? I’ll
push more gently. So I’m kind of milking it over from this side… That’s just dead white blood cells attacking that…and bacteria Does it hurt when I do this? No, not yet…Ok so if we look at it from the top,
all that yellow color that was there is disappearing Does it hurt to push down here?…No, not there…Up here?… Not too much Now I’m going to open that up more…
You’re really going to come up with that. Boy! What do you do for fun? I go fishing Fuller Lake, Sugar Pine… closer I’ve
been catching them trout over at uh Chana high school pond
over there Oh yeah at the regional park… Yeah, they
stocked it for the kids fishing Oh and they’re still in there?… Oh yeah, they
put three thousand pounds in there It’s just a small pond. Have you been there
lately? Oh it’s all tapped out now…Oh it is?…
I got, I loaded my freezer up You did? And they spiced it up with
some big ones, some three pounders. I caught two of those Oh you did? Yeah and then the regular, you know, pan-fry side. At
this point we’re not getting any more pus out, just a little bit of blood We’ll just put a dressing on it and have you
keep that on, but just letting this drain and then heal as the incision heals as
it normally would over the following days What about showers and washing your hands and getting them wet? I want you to keep it covered and
keep stuff from getting in it for, until we see it on Monday Alright, let’s see… Better already? Yep… Okay
good Thanks for joining us, we’re glad that
you joined us for this drainage of Max’s paronychia. If you like videos like this,
make sure you’re subscribed and tell friends who enjoy watching videos like
this Hopefully…Here it is… Yeah hopefully Max won’t
have to be in the next one. Until next time this is Max and myself, Dr. Mark Vaughan,
telling you to stay in good health

100 thoughts on “Paronychia Fingernail Abscess Infection Treatment | Auburn Medical Group

  1. i just did this for my boyfriend recently, but i couldnt get anything from the top, i kind of poked under the nail and it oozed out the side. the pressure release was enough for him to feel better

  2. Wow, that looks painful. I'm glad your first idea was to drain it, there's too much antibiotic resistance now. If you can fix it without antibiotics, that just makes it all the less likely there will be an even nastier bacterial strain in the future.

  3. It is great that you post these. Hopefully it helps people to not feel embarrassed about a condition and makes it so that they see a dr when they may have put it off.

  4. I had that happen on my ring finger. Tore a hangnail and it got infected. Indeed very painful. Took care of it with a needle poke.

  5. that could have been done without poking holes with all that lidocaine. a topical lidocaine would have been just as effective. ( I'm a physician)

  6. Poor guy, I know what he felt like 🙁 With me it wasn't an abscess though. Mine was psoriasis that wasn't diagnosed for 6 months – by that time, it was so infected, they thought I had MRSA, even removed my nail to no avail. Finally got to a dermatologist after 6 months and it started healing right away. I now have a permanently bent finger because I got psoriatic arthritis in the bone.

  7. Guys, isn't normal to like the feeling of shots…cause I like how you can feel the slow stab of a thin pointy needle. But I don't like the sight of it.
    (^v^)

  8. The patient handles pain incredibly well! Wow, most would be cussing and yelling. The needles looked painful. I bet it would be nice if we all reacted as well as he.

  9. Love the explanations, and you do a great job, your camera guy in this video though, an excellent door,lol

  10. I got this when I was in 3rd grade. My after school program made me soak it in hot water then they took a needle and popped it. It felt loads better when it was gone but I don't think schools would allow that now.

  11. I had one of these once, I was a kid, slammed my fingernail in the door. wouldn't let my mom pop it cause it hurt. (she's a nurse) so she took me in,freeze spray, and then pop! the nail then fell off and a new one grew on.

  12. i never went to a doctor for this. I never even wait that long to drain it out myself. but that's just me.

  13. Very interesting. However, what did you say regarding this patient's yellow nails? Was that nail fungus or psoriasis? — his nails looked very unhealthy. is there a treatment plan for such poor unhealthy nails as he had?

  14. I'm completely addicted to YouTube medical videos (I've learned so much more this way than just reading) and I can't believe I just found your channel today.

  15. Don't know if it's the camera angle but it looks like he has some clubbing of the fingernails. I had an amazing teacher years who had some really pronounced clubbing. At the time I thought he just had unusual nails. It wasn't until I went to nursing school I learned it is associated with scleroderma. Now I often think of him and wonder if he had scleroderma and if so if he still with us. This video made me think of that great teacher. I've worked with a scleroderma patient and it's a very sad thing to watch happen to anyone.

  16. My finger just was drained by a docto . Can I put ointment antibiotics. Also can I cover it with bandages or pads

  17. Hi I've just discovered your channel. Liking the clear explanations and complete respect for the patient. Very impressed.

  18. I had a paronychia once. Except it was on my toenail. So my dad typically got runners foot and all kinds of things. So him being a dad just told me "burn a needle or knife and drain it" and then once it was only blood we just put some alcohol wipes in it (which in my opinion hurt even more then draining it) and wrapped it. Luckily, it doesn't irritate me as much anymore even though I still have to go and get a small procedure for it. So yeah.

  19. Why not do a nerve block at the wrist that would cover it if you have a ingrown toe nail they block the whole foot

  20. Kudos to you Doctor Max. Your videos are both fascinating and educational. I really appreciate your bedside manner, they way you explain what you are doing, and your obvious concern for the patient's well being.

  21. I've had that before it hurts so bad and my doctor gave me these pills and drained it then it cleared up within 2 weeks.

  22. In China, when doctors find that patients suffer from paronychia, again and again, some docs would choose to remove all the tissues on the specific side of the finger nail.( works on me XD)

  23. Did my own paronychia drainage with a surgical needle. No painkillers or anaesthesia. Its dead skin so it doesn't hurt!

  24. He's not whistling Dixie about shots in the palm of the hand. I have to have Cortisone injections for Arthritis in my fingers. The Doctor who gives them even said that the one at the base of my thumb was as painful an injection as he gave. He was right.

  25. I am recovering from Paronychia that was on both sides of the nail & spread from the bottom of the nail to the first knuckle. It started draining and my doctor gave me Keflex. This has been one of the most painful things I have ever endured. @Auburn Medical Group: Is it normal for the abscessed area to peel away, leaving red, tender skin underneath?

  26. Being a machinist, I get a finger smashed about 4 times a year on average. I always wait for about 5 days, I figure after 5 days, it should be done swelling. Then I use a sterile needle and lance it myself. Drain it, use antibiotic ointment and dress it. Keep it clean keep it dry. Never had any get farther infected. I don't understand why someone would wait so long before going to the Dr. If you can't lance it by yourself, don't wait, go to the Dr. as soon as you can.

  27. OOch I had a tiny one and it really hurt. I​ run every day and something like that really effects me. I lanced it and drained the pus and it feels great now and is almost heald in 2 day 🙂 so will run again on Monday

  28. I had a similar infection on a middle finger. It was ridiculously painful. I thought it was fungus. First Dr. treated me for a "wart." 3x. Then it started to look like your finger and I couldn't bear it any longer. Went in the 4th time, saw a different Dr who said it was eczema and treated the infection triggered by the freezing treatments to remove the "wart." It throbbed and hurt in hot or cold water. It was awful.

  29. I got paronychia when I was grade 4 and it got really worse when I accidentally pop it out it's really painful

  30. The worst pain I ever experienced was a paronychia that a doctor treated without doing a digital nerve block or numbing of ANY kind and just went straight in with a scalpel and dug around the wound. And then it turned out to be MRSA it was a fun night.

  31. I used to get these everytime I had a hangnail, but I figured out to treat it before it got this bad. The last one I had I tried to drain the pus and some popped out each time I worked on it but it kept coming back each time. It wasn’t until I used twisers to prop up the nail a little and clean that bacteria out that I was able to get it to heal right. Oh and I was using alcohol pads to clean it and I’d drip some down til I felt the burn. I wouldn’t say this doesn’t hurt – it does. Alcohol just burns a sec or two but the thing that hurt the most was using the twisers to prop up the nail a bit. I felt I had no choice – go to the ER – sit a 100 hours before they see you or work on it myself. I also used neosporin to cover it good before putting a bandaid on for anyone who might decide to do this too. Just know going in – this is going to hurt before it gets better. Key thing – you will know you got it within the first 24 hours. It will continue to hurt – throb and then grow eventually into how this poor guys finger looked. When my first and second time failed – I kept at it. I knew it was a hang nail that caused it and follow its route and it went right down the side of the nail. I had gotten the side groove except for directly under the nail and thats what led me to propping up that nail tip til I could squeeze some alcohol down there. I love alcohol pads they make my wounds feel better almost right away. Hope this helps soneone out 🙂

  32. If that is one of the most painful things he has experienced, he has a a very nice life in regards to pain. Glad that’s all he’s had pain wise though because pain sucks. He is such a nice guy so I’m doubly glad that’s one of his most painful things!

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