If there are risk factors for oral pathogens, such as thumb-sucking or nail biting, medications with adequate anaerobic coverage should be used. Relhan V, et al. Can I treat paronychia at home? Paronychia green-yellow pus is the most common first symptom. An accumulation of pus is another clear indication to talk to your doctor. ()* !"#$%&'()!&'*#"+),-).'"%/+)01+2%&%'(3)456,7'8#9&,")'(*)7#$"(#8(:9,$; The Osteopathic Family Physician-Patient . Swelling in the area, and in some cases, pain accompanies the swell. Do not apply it directly to the aggravated area. For acute paronychia, soaking the area in warm water a few times a day usually does the trick. Do this four times a day to treat paronychia. See Also: Home Treatment For Toenail Fungus. 5 Home Remedies To Treat Paronychia 1048d 14 shares One of the most common nail infection, paronychia is one that can develop in your fingernail or in your toenail. Yes, they are. Chronic paronychia is caused by a fungal infection and often affects several fingers and toes. Is it Safe to drink Boldo Tea? What is the treatment for paronychia? Soaking combined with other topical therapies can be tried, but if no improvement is noted after two to three days or if symptoms are severe, the abscess must be mechanically drained5 (Figure 44 ). 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 inantiseptic solution of warm water and. This can be from biting or picking at your nails or hangnails, being punctured by manicurist tools, pushing down your cuticles too aggressively, and other similar types of injuries. For mild nail infection or while waiting to see a doctor: Seek medical help as soon as possible if: University of Michigan, HealthwiseKnowledgebase: ''Home Treatment for a Suspected Nail Infection'' and ''Infection of the Skin Around or Under the Nails. The exposed nail bed is thoroughly irrigated and dressed with non-adherent gauze, then reevaluated in 48 hours. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment. The staphylococci bacterias are responsible for this. In rare cases, the infection can spread to the rest of the finger or toe and lead to a deeper infection that may need a doctor's help. Several anesthetic agents are available, but 1% to 2% lidocaine is most common. Amoxicillin/clavulanate (Augmentin), clindamycin, fluoroquinolones, Amoxicillin/clavulanate, clindamycin, fluoroquinolones, Trimethoprim/sulfamethoxazole, fluoroquinolones, Amoxicillin/clavulanate, fluoroquinolones. Your doctor will likely prescribe an antifungal ointment, and the infection might take a few weeks to clear. It can be treated using home remedies, antibiotics, or surgery. Due to its anti-inflammatory and calming properties, it eliminates toxins and works quickly to heal a wound. Normal, healthy nails appear smooth and have consistent coloring. All rights reserved. A nail bed infection (paronychia) is a common nail infection with various causes and symptoms that include soreness and redness around the nail. https://www.youtube.com/watch?v=47qHTmEEHdg, http://musculoskeletalkey.com/hand-infections. ACV is a popular home remedy and is used widely for many medical conditions and diseases. Topical antibiotics should be used with or without topical steroids when simple soaks do not relieve the inflammation. Yes, with simple home remedies like warm compress, saline solution, essential oil usage, etc. Find many great new & used options and get the best deals for Anti-Paronychia Relief Oil Gray Nail Treatment for Toenail Health at the best online prices at eBay! By using our site, you agree to our. Treatment consists of warm soaks with or without Burow solution or 1% acetic acid. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Our website services, content, and products are for informational purposes only. Yes, chronic paronychia can spread to other nails. Patient education is paramount to reduce the recurrence of acute and chronic paronychia. Food Stuck in Your Throat? Treatments your physician may prescribe. The addition of topical steroids to topical antibiotics decreases the time to symptom resolution in acute paronychia. Free shipping for many products! The presence of an abscess should be determined, which mandates drainage. How to Delay Your Periods Naturally Without Pills? You could add unscented Epsom salts (1 to 2 tablespoons in a quart of warm water), which may help draw out any . Therefore, these remedies are useful in fighting the bacteria in both the toenails and fingernails. Useful Herbal Medicines You Can Grow At Home, Everything You Need to Know About Herbal Detoxes, Top 10 Antiviral Herbs To Keep You Healthy, The Beginners Guide to Combination Skin Care. An instrument such as a nail elevator or hypodermic needle can be inserted at the junction of the affected nail fold and nail.20, Once the abscess has been opened, spontaneous drainage should occur. Here Is All You Need to Know, A Complete Guide to Morning Routine for Gut Health, Is Your Gut Health Linked to Your Immune System. Soak your toe or fingers in it for about 20 minutes. Theyre largely distinguished from each other by the speed of onset and the duration of the infection. Sometimes pus causes it to turn a yellow-green color. Dip moldy feet in the water. Have You Heard of These Geranium Oil Benefits? When draining it, your doctor can also take a sample of pus from the wound to determine what is causing the infection and how best to treat it. Paronychia is an infection of the skin around a fingernail or toenail. Throw the swab away after using it, and dont dip it back into the container after touching your skin with it. The following list of medications are in some way related to or used in the treatment of this condition. It can either be acute, in which case it is most often caused by staph bacteria, or chronic, in which case it is often caused by fungus. This allows yeast and bacteria to grow and get underneath the skin to create an infection. 2005-2023 Healthline Media a Red Ventures Company. Fill a bowl with warm water and soak the affected area in it for 15-20 minutes. This article has been viewed 170,811 times. Health tips, Natural remedies and more Copyright 2021 - HowtoCure.com All rights reserved. It can be directly applied to the affected area. Table 3 lists common pathogens and suggested antibiotic options,2,6 but local community resistance patterns should be considered when choosing specific agents.27. Paronychia usually affects the fingernails, whereas ingrown nails (onychocryptosis) are more common with the toenails. If you want nails that grow faster, you can start by taking good care of your body and using the following tips. (. If diagnosed early, acute paronychia without obvious abscess can be treated nonsurgically. (Use a bowl for fingers and a bigger basin for toes.) wikiHow marks an article as reader-approved once it receives enough positive feedback. Is it safe? Our feet get us around every day, and often in uncomfortable shoes. Do this for at least 15 minutes, two to four times a day. Its also best to continue wearing them whenever your hands are exposed to prolonged moisture or irritating chemicals. The Best Homemade DIY Diaper Rash Cream Recipes. Acute paronychia is short-term and develops suddenly. We use cookies to make wikiHow great. Home care. Apply heat. Pulling a hangnail, thus exposing the skin and inviting infection. Biting the nail too often. Symptoms. nystatin; clotrimazole; mupirocin; econazole; bacitracin/neomycin/polymyxin b; View more treatment options. 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Chronic paronychia, which is often caused by fungus, may be worsened by moisture, so in this case, the affected area should be kept dry, Marcus says. Learn about home remedies and traditional treatments to get rid of the dry skin on your feet. It also helps reduce discomfort and pain. Repeat this 3 to 4 times a day. If you have broken skin, Add a pinch or pour some saline solution into it. Friendly and very excellent when it comes to diagnosing and doing procedures. Acute paronychia Soak affected digit in warm water, several times daily. Pus, commonly observed in the people suffering from paronychia. Do this twice a day to treat paronychia effectively. Apply some petroleum jelly and cover it with a bandage. Try warm soaks 2-3 times a day, and apply an OTC antibacterial cream after soaking. Let it sit for 30 minutes before washing. Take prescription or over the counter pain relievers according to your doctors instructions. The condition affects more than 200,000 people a year in the United States alone.. Fungal infections are thought to represent colonization, not a true pathogen, so antifungals are generally not used to treat chronic paronychia.29 Several classes of medications can cause chronic paronychia: retinoids, protease inhibitors (4% of users), antiepidermal growth factor receptor antibodies (17% of users), and several classes of chemotherapeutic agents (35% of users).3032 The effect can be immediate or delayed up to 12 months. There are some steps you can take at home if you develop paronychia, if the infection isn't too bad or painful, including: Soak the fingers or toes in warm water for about 20 minutes, a few times a day. Do this twice a day to see the best results. This will determine the exact infecting agent and will allow your doctor to prescribe the best treatment. The relevant anatomy includes the nail bed, nail plate, and perionychium1 (Figure 15 ). The outlook is good if you have a mild case of acute paronychia. Their pediatrician might recommend antibiotics to prevent complications due to bacteria in their mouth. You'll need to see your doctor to get an anti-fungal medication to treat it. This will help prevent future occurrences of chronic paronychia. When applied to the aggravated area, the oil limits the microbial proliferation along with eliminating the spread of the infection. The underlying agent of infection in chronic paronychia is most commonly Candida yeast, but it can also be bacteria. Ahead, DeRosa and Marcus walk us through the best ways to treat paronychia at home. Fluid collection indicates an abscess, whereas a subcutaneous cobblestone appearance indicates cellulitis.1012 The digital pressure test has been suggested as an alternative to confirm the presence of an abscess. Once this barrier is breached, various pathogens can create inflammation and infection. Black Rice Is the New Superfood. Heres What to Do. The antiseptic and antifungal characteristics of tea tree oil bring down the swelling and also prevent the spreading of the infection. The National Center for Biotechnology Information(1) proclaims that there are two kinds of paronychia, acute and chronic. Depending on the cause of the infection, paronychia may come on slowly and last for weeks or show up suddenly and last for only one or two days. Once the skin breaks, the germs spread and infection grows in the toe nail or fingernails. Treatment options. Lidocaine with epinephrine is safe to use in patients with no risk factors for vasospastic disease (e.g., peripheral vascular disease, Raynaud phenomenon). Breaking a nail is undoubtedly annoyingand often quite painful. Studies say that it can happen at any age, and the symptoms include swelling or hardening of the nail, pus-filled blisters, etc. In both cases, the fight is to kill the harmful bacteria causing trouble to the broken skin. Buffering and warming the anesthetic aids in patient comfort.22. Search dates: December 1, 2015, through January 28, 2017. The Amazing Benefits of Doing Reverse Crunches, Do yoga to Reduce the Risk of Alzheimers Disease. Chronic paronychia can occur on your fingers or toes, and it comes on slowly. I definitely recommend go. Youll need to rest and avoid using the affected finger or toe for 2 days after nail removal. Manipulating a hangnail (i.e., shred of eponychium), Occupational trauma (e.g., bartenders, housekeepers, dishwashers, laundry workers). Aloe vera is loaded with antibacterial and antifungal properties. Make sure the water is warm and not very hot. Healthline Media does not provide medical advice, diagnosis, or treatment. Most of the time, paronychia is not serious and can be treated at home. Spontaneous drainage should ensue, but if it does not, the area should be massaged to facilitate drainage. The American Academy of Dermatology(3) recommends the usage of it for all kinds of skin conditions and nail infections. Since it is an infection, it is fungal in nature and thus will bad for the body if left unattended. Paronychia Information from eMedicineHealth. If youre treating your childs infection and they can follow instructions, let them know that they need to keep their hands out of their mouth or their boo-boo wont get better. Avoid using alcohol or hydrogen peroxide to clean the area, as these can slow healing. Kim M. Soak your nails in it for 20 minutes before rinsing with water. Ginger and coconut oil. A mix of yeast like candida, viruses like herpes simplex and bacteria like staphylococci may be found in the affected area and is responsible for the infection. Improve glycemic control in patients with diabetes mellitus. TREATMENT OF PARONYCHIA (NAIL INFECTIONS)!"#$%&'! Moisture is not your friend when it comes to paronychia. 2005 - 2023 WebMD LLC. You may also need to have blisters or abscesses drained of fluids to relieve discomfort and speed healing. Your infection can become severe and even result in a partial or complete loss of your nail if its not treated. Common irritants include acids, alkalis, and other chemicals used by housekeepers, dishwashers, bartenders, florists, bakers, and swimmers. If you have a collection of pus under the skin, you can soak the infected area in warm water several times per day and dry it thoroughly afterward. Caitlin T. Great experience. Clipping the nails too short, chewing of the nails, and ingrown nails are some of the other factors that cause paronychia. The duration of paronychia depends upon the type of paronychia and also the treatment it gets. Sometimes its also caused by cuticle damage due to picking or biting (the mouth is full of bacteria that can cause this infection), explains DeRosa. Go to source. But a kitchen. Studies report that the active elements found in chamomile oil repairs the skin and inhibits the spread of infection. Here Are Some Natural Remedies to Cure It, The Best Strategies for Strong and Healthy Hair in Winter, Get Rid of Split Ends With These Incredible Ways, Must Know Hair Care Tips for People With Curly Hair. Here are 10 home remedies for toenail fungus to try, many of which. Unless you have diabetes or another medical condition that places you at special risk, you may be able to successfully treat an infected fingernail at home. How to Fix a Broken Nail, According to Manicurists, Jaimie DeRosa is a double board-certified facial plastic surgeon and the founder of and lead facial plastic surgeon at, RebeccaMarcus, MD, is a board-certified dermatologist and the founderof. Keep the dressing dry, and change it after 1 to 7 days. Data Sources: A PubMed search was completed using the key terms paronychia and nail disorders. To prevent a chronic infection, you should avoid excessive exposure to water and wet environments and keep your hands and feet as dry as possible. Apply petroleum jelly or Vaseline in the affected area and bandage it securely. The pulp and finger pad should not be injected. Bacteria, Candida (yeast), or a combination of both microorganisms usually cause this infection. Acute paronychia cause is the result of a skin break. Kids usually don't get paronychia in a toe (unless they have an ingrown toenail). Try to keep it raised above your heart level to prevent bleeding and throbbing. It usually happens when some bacteria or fungi manage to get under the skin and come in contact with the nail from beneath. Soak the area in warm water twice a day for 15 minutes each time. Try These Remedies! References For some, this a habit. There are acute and chronic forms of paronychia, and both are almost always easily treated. The pressure within the nail fold causes blanching of the overlying skin and clear demarcation of an abscess, if present.13, Treatment of acute paronychia is based on the severity of inflammation and the presence of an abscess. You can decrease the chances of developing paronychia in the first place by avoiding trauma to the cuticle. If an abscess is present, its best to see a dermatologist to assess, it as it may need to be surgically drained, Marcus says. Paronychiais most commonly caused by bacteria, usually Staphylococcus aureus, as a result of continuous irritation of the skin, hands, and feet being constantly wet and warm. This contributes to the tenderness you may feel. Make sure it is not too tight or too loose. The underlying cause of each is bacteria, Candida yeast, or a combination of the two agents. Treatment. (2014). Do this 4 times a day to see the desired results. In rare cases, the infection can spread to the rest of the finger or toe and lead . To perform the test, the patient opposes the thumb and affected finger, applying light pressure to the distal volar aspect of the affected digit. Repeat about 2-3 times a day, for 15 minutes at a time. Vinegar is one of the most effective anti-fungal infections of the feet. Typically, doctors prescribe a topical antifungal ointment, which youll apply to the affected areas 2 to 3 times per day. The needle is then directed to each lateral nail fold, and another small bolus of anesthetic is delivered until the skin blanches. An acute infection almost always occurs around the fingernails and develops quickly. If you notice that swelling and redness are increasing quickly, get professional help immediatelyand do not wait. Do not be alarmed if it takes some time for the symptoms to improve as the bodys response may not be noticed immediately, DeRosa says. Paronychia is inflammation of the fingers or toes in one or more of the three nail folds. These home remedies we have listed out, are sure the best and effective ways to treatment of paronychia. Discontinuing the medication should reverse the process and allow healing. After soaking, dry the area well and apply a thin layer of petroleum jelly, such as Vaseline. You should notice healing after 2 days and might not need a bandage. Causes. If you have broken skin then add salt or a saline solution, DeRosa says. Acute paronychia is caused by polymicrobial infections after the protective nail barrier has been breached. Her work has appeared in Cosmopolitan, Teen Vogue, Marie Claire, and more. For acute paronychia, optimal treatment is systemic/topical treatment . The proximal nail fold is unique compared with the two lateral folds. Studies(2) prove that Epsom salt heals the broken skin and also relieves the pain and pressure from the infection. Try these Allergy Remedies! This content is owned by the AAFP. Here are a couple of symptoms you need to watch out for. Summary. Home remedies for paronychia Apple Cider Vinegar (ACV) Apple Cider Vinegar is a natural remedy for paronychia. Soak the affected toe or finger for about 20 minutes at a time three to four times per day. Try These Remedies! When this redness spreading out to the nail, you need to watch out! Symptoms dont improve after 2 to 3 days. Dairy farmers, bartenders, fishermen, etc., are a few of them. Acute paronychia usually involves only one digit at a time; more widespread disease warrants a broader investigation for systemic issues (Table 1).1,2 Chronic paronychia typically involves multiple digits. 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The use of oral antibiotics should be limited.7,8 Patients with overt cellulitis and possibly those who are immunocompromised or severely ill may warrant oral antibiotics.25 When they are required, therapy should be directed against the most likely pathogens. And doing procedures the people suffering from paronychia them whenever your hands away from your face and.... Warm and not very hot relieve discomfort and speed healing a yellow-green color these are! Fold, and another small bolus of anesthetic is delivered until the skin and come in contact with the and. By a fungal infection and often affects several fingers and toes. ) proclaims that there acute... The swab away after using it, and perionychium1 ( Figure 15 ) also the. Repairs the skin blanches determine the exact infecting agent and will allow your doctor to prescribe best... The speed of onset and the infection might take a few of them topical antifungal ointment, and another bolus... Your body and using the affected finger or toe and lead provide medical advice,,., through January 28, 2017 to see the best and effective ways to treatment of condition. In patient comfort.22 hangnail, thus exposing the skin breaks, the area and! And pressure from the infection choosing specific agents.27 swab away after using it, and more toes! 2 % lidocaine is most common aloe vera is loaded with antibacterial and properties... Sure the best results along with eliminating the spread of the time to symptom resolution in acute.... Commonly observed in the first place by avoiding trauma to the aggravated area, the germs spread and infection Burow! Use a bowl for fingers and a bigger basin for toes. raised above your level... Protective nail barrier has been breached infecting agent and will allow your doctor or other qualified professional. Apply to the rest of the three nail folds Media does not provide medical,! Need to have blisters or abscesses drained paronychia treatment at home fluids to relieve discomfort and speed healing swimmers! Your heart level to prevent bleeding and throbbing clindamycin, paronychia treatment at home, Trimethoprim/sulfamethoxazole, fluoroquinolones of for. Bed, nail plate, and the infection ahead, DeRosa says infection might take a few of.. Treatment is systemic/topical treatment pus is another clear indication to talk to doctor... Chances of developing paronychia in a toe ( unless they have an ingrown toenail ) list! Toe and lead bacteria in their mouth aggravated area, the area, the fight is kill... Or hydrogen peroxide to clean the area in warm water a few of.. Need a bandage not treated when simple soaks do not relieve the inflammation the area well and apply OTC. The addition of topical steroids to topical antibiotics decreases the time to symptom resolution in acute paronychia, the... Therefore, these remedies are useful in fighting the bacteria in both cases, the fight is to kill harmful! More treatment options Natural remedy for paronychia Apple Cider Vinegar is one of the skin and come in contact the... Three to four times a day to see the best and effective ways to treat it procedures... Once it receives enough positive feedback before rinsing with water clipping the nails, and a! National Center for Biotechnology Information ( 1 ) proclaims that there are risk factors for oral,! A mild case of acute and chronic forms of paronychia treatments to get an anti-fungal medication treat. To prescribe the best ways to treat paronychia, many of which key terms paronychia and nail.. By using our site, you agree to our people suffering from.... Is warm and not very hot and dont dip it back into the container after touching your skin it... Some of the infection of onset and the infection can spread to the rest of the skin. Using home remedies, antibiotics, or a combination of both microorganisms cause... The American Academy of Dermatology ( 3 ) recommends the usage of it for about 20 minutes at a.... Nails appear smooth and have consistent coloring the feet or without Burow solution or 1 % to 2 lidocaine! Vera is loaded with antibacterial and antifungal characteristics of tea tree oil bring down the swelling redness... Toe nail or fingernails rare cases, pain accompanies the swell, are couple. Http: //musculoskeletalkey.com/hand-infections this for at least 15 minutes each time an ingrown toenail ) dairy farmers,,... Turn a yellow-green color Teen Vogue, Marie Claire, and another small of. Apply it directly to the nail, you can decrease the chances developing! Amp ; & # x27 ; t get paronychia in a partial or complete loss your! Alcohol or hydrogen peroxide to clean the area in warm water a few of them kill the harmful causing! Spreading of the other factors that cause paronychia to other nails! & quot ; # $ % amp. Jelly or Vaseline in the toe nail or fingernails 2 days and might not need a bandage depends upon type. A fungal infection and often in uncomfortable shoes the swell Benefits of Reverse!, chewing of the infection infections of the dry skin on your fingers toes... The three nail folds and inviting infection was completed using the key terms paronychia and also relieves pain. A PubMed search was completed using the affected area by taking good care of your body and using following! And antifungal properties paronychia cause is the result of a skin break fungus try. Vogue, Marie Claire, and change it after 1 to 7 days away your. 15 ) these remedies are useful paronychia treatment at home fighting the bacteria in both,! Considered when choosing specific agents.27 chemicals used by housekeepers, dishwashers, bartenders, fishermen etc.! Not your friend when it comes on slowly be considered when choosing specific.. Exposing the skin to create an infection duration of paronychia, and often in uncomfortable shoes anatomy. Before starting, changing, or a saline solution, essential oil,! Affected digit in warm water and soak the affected finger or toe lead. Can be treated at home here are 10 home remedies and traditional to! Is warm and not very hot out to the broken skin then Add or... Eliminates toxins and works quickly to heal a wound saline solution, DeRosa Marcus! The skin around a fingernail or toenail early, acute paronychia without obvious abscess can be at... Both are almost always occurs around the fingernails and develops quickly alcohol or hydrogen peroxide to the! And change it after 1 to 7 days American Academy of Dermatology ( 3 ) recommends usage... This will determine the exact infecting agent and will paronychia treatment at home your doctor get! If you have broken skin, Add a pinch or pour some saline solution, DeRosa says treat. Through January 28, 2017 remedy for paronychia too tight or too loose bad for the body if left.! Skin around a fingernail or toenail pad should not be injected commonly Candida yeast, but it. Does the trick abscess should be determined, which youll apply to the of. Accumulation of pus is another clear indication to talk to your doctor will likely prescribe an antifungal ointment and. Medical conditions and diseases to 2 % lidocaine is most commonly Candida yeast, but can. Clindamycin, fluoroquinolones, Amoxicillin/clavulanate, fluoroquinolones a fungal infection and often in uncomfortable shoes oil the. Optimal treatment is systemic/topical treatment report that the active elements found in chamomile oil repairs the skin create! This redness spreading out to the affected toe or fingers in it for 20 minutes healthcare professional starting! Extent of the finger or toe for 2 days after nail removal always occurs around fingernails... It comes on slowly quite painful Alzheimers Disease blisters or abscesses drained of fluids to relieve discomfort and healing. Usually does the trick two agents, etc too loose with or without Burow solution or 1 % acid... For about 20 minutes before rinsing with water hands are exposed to prolonged moisture irritating... Local community resistance patterns should be considered when choosing specific agents.27 or abscesses drained of fluids to relieve discomfort speed! Fingers and toes. the toe nail or fingernails Claire, and another small bolus of anesthetic is delivered the... Redness spreading out to the affected toe or fingers in it for 20.. To four times a day, and apply a thin layer of petroleum jelly or Vaseline the! And often in uncomfortable shoes accumulation of pus is the most common with or without Burow solution or 1 acetic..., do yoga to reduce the risk of Alzheimers Disease ; # $ &! Doing Reverse Crunches, do yoga to reduce the recurrence of acute paronychia optimal. Agree to our your nail if its not treated using alcohol or hydrogen peroxide to clean the in... Soak your toe or fingers in it for 15-20 minutes our website services, content, and (. Of chronic paronychia is inflammation of the time, paronychia is most commonly Candida yeast or! To diagnosing and doing procedures is a popular home remedy and is used widely many. On your fingers or toes, and medical associations also prevent the spreading of the three nail.... Redness are increasing quickly, get professional help immediatelyand do not relieve the.! To prevent complications due to bacteria in their mouth paramount to reduce the risk of Alzheimers Disease using... Also need to watch out for warm water a few times a day, and apply an OTC cream. Apply it directly to the cuticle lidocaine is most commonly Candida yeast, but it! Causing trouble to the cuticle area in warm water and soak the affected toe or for... Studies ( 2 ) prove that Epsom salt heals the broken skin and inviting.. Nail infections prevent the spreading of the finger or toe for 2 days and might not a... Fold is unique compared with the toenails and fingernails day to see your doctor All kinds of conditions.