An abscess on the finger near the nail - felon: how to treat? Panaritium of a finger on a hand: treatment, types, symptoms, causes

Causes, symptoms and types of panaritium. Treatment of panaritium is conservative, surgical, at home.

Panaritium is the medical name for the problem, which is popularly called "hair", it means a purulent abscess on the finger or toe. Due to the structure of the phalanx of the finger, the disease itself causes the person suffering. Its complications are also dangerous, because in some particularly complex cases, panaritium requires amputation. Fortunately, most often an abscess can be safely cured by the methods of traditional and traditional medicine.

Causes of abscess on the finger near the fingernail

Panaritium is an inflammation of the ligaments, tendons, cartilage, bones, less often the soft tissues of the finger, in which pus is produced. Usually, pathology occurs on the first phalanx of the finger closer to the nail.
The structural features of the fingers determine the favorable conditions for the occurrence of a purulent process. The phalanges of the fingers are connected to the metacarpal part of the hand with a powerful ligamentous apparatus.

Ligaments and tendons, providing the necessary mobility of the fingers, intertwine, forming something similar to cells in which adipose tissue is present. If an infection gets under the skin of the phalanx of the finger, the inflammatory process does not spread horizontally, to the neighboring phalanges or wrist, but vertically, inward.

IMPORTANT: With panaritium, a purulent inflammatory process spreads very quickly to bone tissue

The cause of panaritium is an infection that enters the tissues of the digital phalanx through damage:

  • wounds
  • punctures
  • abrasions
  • splinters
  • burrs

IMPORTANT: An abscess under the epidermis on the finger can occur due to injuries sustained during inaccurate manipulations during manicure. It is necessary to ensure that the master carefully disinfects not only the tools, but also the skin of his own hands and the client’s hands, then the disease can be avoided

Panaprizia provoke pyogenic bacteria.

Abscess provoke pyogenic bacteria:

  • staphylococci
  • streptococci
  • enterococci
  • gonococci
  • several types of bacteria at the same time

Predispose to the development of an abscess:

  • diabetes
  • anemia
  • avitaminosis
  • hand injuries in which blood circulation and finger innervation are impaired
  • immunodeficiency associated with any acute or chronic disease
  • the presence of another infection in the body
The development of a purulent process is facilitated by an infection that has entered the skin.

Usually, doctors observe two scenarios of panaritium development:

  • in case of superficial injury, if disinfection measures were not taken or insufficiently taken, the infection from the soft tissues moved deeper into the joints, ligaments and bones
  • the wound was deep, directly pyogenic bacteria were introduced into the bone and joint-ligamentous apparatus
With panaritium, pus begins to accumulate on the finger under the skin.

VIDEO: Live Healthy! Panaritium finger

Causes of abscess on the finger near the toenail

Panaritium on the toe is also not uncommon.

  1. Most often, pathology occurs in the warm season, when a person wears open shoes, and the risk of injury is increased
  2. Infection under the epidermal layer may be introduced during pedicure

IMPORTANT: The development of a purulent process is facilitated by wearing tight, synthetic shoes that prevents the skin from breathing, compresses blood vessels and nerve endings on the toes

Abscess near the toenail.

An abscess on a child’s finger near the nail: reasons

Children, especially small ones, are at risk for panaritium.

  1. Among children, the habit of sucking fingers, biting nails, breaking off barbs is common
  2. Children are active, therefore there is a high risk of getting soft tissue damage or a deeper injury.
  3. Often injuries of fingers and toes in babies occur in the playground, in the sandbox, for example. And there is a hotbed of infection
  4. Children do not always carefully follow the rules of personal hygiene and simply forget to wash their hands
  5. The immune system in children has not yet been strengthened, it suffers from vitamin deficiencies, frequent viral diseases, so there is a high probability of the development of a purulent process, it proceeds quickly, spreads deeply and often entails complications

IMPORTANT: Parents should monitor the safety of the child during the walk, make sure that he thoroughly and with soap wash his hands. If skin lesions on fingers are detected, it is necessary to treat them with disinfectants (brilliant green, hydrogen peroxide, chlorhexidine). If there is a suspicion of a developing abscess, show the child to the doctor immediately

An abscess on a child’s finger.

An abscess on a finger near the nail in a newborn: causes

Usually, panaritium in children in the first weeks of life occurs due to:

  • intrauterine infection
  • violations of the integrity of the skin during parental manicure
  • ingrown marigold

The newborn’s immune system is too weak to rely on and try to treat an abscess on its own. The baby must be shown to the doctor.

IMPORTANT: There are frequent cases when the felon in a newborn is treated with antibiotics in a hospital

Views of panaritium

Doctors classify an abscess of the phalanx of the finger according to two main criteria:

  1. The nature of the pathological discharge. According to this classification, panaritium can be serous (edematous) or purulent)
  2. The nature of the tissue affected by the purulent process. This classification is complex and multi-stage.
Types of panaritium.

So, allocate:

  1. Panaritium superficial - cutaneous and periungual. With a skin abscess, vesicles with pus appear on the skin of the finger, which accumulates under the epidermal layer. A synonym for the periungual panaritium is the paronychia, in which the periungual fester is suppurating
  2. Deep panaritium - subungual, subcutaneous, bone, articular, tendon or mixed (several tissues are involved in the purulent process, for example, ligaments and tendons). These types of diseases can be primary and secondary. They are more severe, require serious, sometimes surgical treatment, without it entail serious consequences up to disability (with tendon abscess) and even death

Symptoms of Finger Panaritium

Panaritium in any form most often starts acutely:

  1. The patient feels pain, twitching and throbbing at the site of localization of inflammation
  2. The skin of the phalanx of the fingers redden, swell, swell
  3. The skin at the site of inflammation is glossy
  4. Local temperature at the abscess site may rise
  5. With surface panaritium, abscesses are visible on the skin
  6. The patient's body temperature may increase, he may feel general weakness, chills, headache and body aches
  7. Finger movements are significantly limited, it sometimes becomes insensitive
Symptoms of panaritium are pain, severe swelling and redness of the skin on the finger.

IMPORTANT: With deep felon, pain has a tendency to increase. If the pain can still be tolerated on the first day, it becomes unbearable on the second, and a feeling of fullness joins in it (as the abscess deepens). The patient cannot sleep and loses working capacity

Diagnosis of panaritium, as a rule, is not difficult. With superficial views, the doctor needs an external examination of the patient’s finger. If there is suspicion of a purulent process more deeply, they do an x-ray. In inflammation, the results of a clinical blood test also say.

Complications of Panaritium

Pandactylitis is a possible complication of an abscess on the finger.

If purulent inflammation of the soft tissues and bone-ligamentous apparatus of the finger is not treated:

  • it will spread to the blood vessels and lymph nodes (lymphadenitis)
  • there will be necrosis of the ligaments and tendons, the functionality of the finger will be lost
  • possible development of osteomyelitis (destruction of bone tissue)
  • there will be pandactylitis, in which all the tissues of the finger become involved in the purulent process (with pandactylitis, there is practically no hope for conservative treatment, it often becomes necessary to amputate the finger)
  • penetrating the bloodstream, the infection will spread throughout the body, sepsis will develop

Antibiotics for panaritium finger

If there is a suspicion of panaritium, it is better to consult a doctor immediately.

IMPORTANT: In the first couple of days from the start of the purulent process, it is possible to cure it with conservative methods - ointments with antiseptics and antibiotics, oral antibiotics, physiotherapy. With each subsequent day, these chances fall, there is a need for surgery

Having seen pus under the skin of a finger or an abscess, some people themselves “prescribe” antibiotics for themselves. This is very wrong.

  1. Firstly, antibacterial drugs are powerful drugs with tons of contraindications and side effects.
  2. Secondly, in most cases panaritium is provoked by staphylococcus, which is simply not sensitive to most antibiotics
Ointment with antibiotic Levomekol.

Antibiotics for purulent inflammation of the tissues of the finger are prescribed by a doctor. Ideally, inoculation is needed to identify an infectious agent. But often there is no time for it. Therefore:

  1. At the first signs of superficial panaritium, Levomekol is prescribed - an antibacterial ointment for external use
  2. Later and in more severe cases of the disease, antibiotics are taken orally or injected intramuscularly
With panaritium, antibiotics are also prescribed orally.

Usually, these are broad-spectrum drugs:

  1. Ceftriaxone
  2. Ciprofloxacin
  3. Levofloxacin
  4. Amoxiclav
  5. Josamycin

Surgical treatment of panaritium

If drug therapy does not help the patient, or he went to the doctor too late, there is a need for surgical intervention, during which an abscess is opened.

  1. As a rule, such an operation is performed under local anesthesia.
  2. The doctor makes an incision over the abscess
  3. It cleanses pus and removes dead tissue.
  4. If the abscess is located near or under the nail plate, you must remove it
    The wound is treated with an antiseptic solution.
  5. An antibiotic is injected into the wound
  6. After the operation, the patient is in the hospital for dressings, he is shown a course of antibiotics. The doctor also prescribes wound healing aids.
Surgical treatment of panaritium.

VIDEO: Panaricius Treatment of a purulent wound

Ointment with abscess of a finger near the nail

Ointments are widely used to treat an abscess on the finger.

  1. In order to kill pathogens and, accordingly, remove swelling and inflammation, Levomekol, Vishnevsky ointment, Ichthyol ointment are used
  2. To reduce pain and speed up the healing process, Diclofenac ointment can be prescribed
  3. If there is a fungus, ointments such as Lamisil are prescribed
Remedies for an abscess on the finger - Ichthyol ointment and Vishnevsky ointment.

Dimexide for panaritium

Dimexide is a remedy that, with panaritium:

  • fighting infection
  • relieves inflammation
  • promotes wound healing

Apply it in the form of a compress.

Dimexide for panaritium is used for compresses.

RECIPE: compress with dimexide with an abscess on the finger

  1. From the moment the first symptoms of panaritium appear, the procedure must be carried out three times a day
  2. Before applying the compress, the sore finger must be steamed in a soda bath (how to prepare it below)
  3. 1 tbsp. a spoonful of dimexide should be diluted in 4 tbsp. tablespoons of boiled water
  4. Soak four cheesecloth folded in a solution and apply it to the inflamed area
  5. Wear a compress for 15 minutes

Panaritium treatment at home on hand

It is possible to treat purulent inflammation of the tissues of the phalanx of the finger at home. What the patient should remember:

  • he must strictly follow all the recommendations given to him by the doctor
  • alternative methods, no matter how effective they may seem, will never replace the traditional treatment with medicines
  • with a worsening of well-being (finger pain intensifies, swelling increases, temperature rises, etc.), the patient should contact the medical institution again
  • with purulent inflammation, in no case should you warm your finger (bath water should be at a temperature of up to 37 degrees)

Treatment of panaritium folk remedies

Baths, lotions, compresses with folk remedies for the treatment of panaritium have proven themselves very well. Here are some recipes that are easy to put into practice.

RECIPE: Soda bath

Soda bath with an abscess on the finger.
  1. For the bath, prepare a solution at the rate of 2 tbsp. tablespoons of soda per 500 ml of water
  2. Three times a day, the patient for a quarter of an hour immerses the sick finger in the bath
  3. After the procedure, you can treat the abscess with an ointment prescribed by a doctor

RECIPE: Beets with sour cream

Beets with sour cream for a compress.
  1. Beets with sour cream pull pus well
  2. Half a beet tinder on a fine grater
  3. Add to it 1 tbsp. a spoonful of oily sour cream
  4. Put the mixture on an abscess, make a bandage from a bandage
  5. Leave a compress for the night

RECIPE: Baked onion with honey

Baked onions with honey help relieve inflammation.
  1. Half the onion baked in the oven
  2. It will be soft, it is easy to push it into gruel
  3. 1 teaspoon of honey is added to the onion gruel
  4. Apply the mixture under a bandage for 4 hours
  5. Take a break, repeat the procedure again

RECIPE: Aloe juice and olive oil

With panaritium, aloe juice with olive oil helps.
  1. Cut a fresh bottom leaf of 5-7 cm from the aloe plant
  2. Crush it into gruel
  3. Add 1 teaspoon of olive oil
  4. Moisten the bandage in the resulting liquid mixture and apply it to the finger for 1 hour

RECIPE: Laundry soap and egg

To cure an abscess on the finger, grated soap is mixed with egg white and used for a compress.
  1. A quarter of the bar of laundry soap
  2. Add beaten egg protein
  3. Apply the mixture on a boil in a thick layer
  4. Wear a bandage day

Watch the video: Infections Of The Finger - Everything You Need To Know - Dr. Nabil Ebraheim (November 2019).