PARONYCHIA (NAIL INFECTION) – OVERVIEW, SYMPTOMS, CAUSES AND TREATMENT

ABSTRACT

Paronychia is a disease of the proximal and lateral toenails and fingernail folds that can occur regularly or after an injury or procedure. It is one of the most common diseases of the hand, and it is important to know how to treat it correctly. Nails are, in many cases, thought of as immaterial and an indication of beauty. Notwithstanding, they play a significant role in the human body. More often than not, they are underestimated, assisting us with digging, opening, scratching, picking, throwing, and holding our fingers and toes. Although nails fill some needs, they can without much of a stretch become tainted and harmed. Assuming that they are left untreated, these diseases can harm the nails and the skin. In this article, we will discuss Paronychia, a nail infection, and how to treat it with Ayurveda.

Paronychia

INTRODUCTION

Paronychia is a disease of the nails or toes. This can happen alone or after an injury or manipulation. Paronychia is one of the infectious diseases of the hands. Paronychia causes infection in the affected area due to disruption of the protective barrier between the nail and the nail fold. Painful paronychia is usually limited to one nail; However, many screws come into play when using drugs. There are two types:

  • Acute: Painful and purulent, lasting longer than six weeks; usually caused by bacteria, especially staphylococci.
  • Chronic: Usually of mechanical or chemical origin, sometimes of infectious aetiology such as fungal infections, especially Candida species. Risk factors include occupation (dishwasher, bartender, cleaner), and certain medications.

CAUSES

The most widely recognized reasons for Paronychia are as follows:

  • Bacterial infections such as Streptococci and Staphylococci
  • Fungal infections such as Candida
  • Viral infections such as the herpes simplex infection
  • Gnawing or biting the nails
  • Nail treatments and pedicures
  • Ingrown nails
  • Picking at nails

CAUSATIVE ORGANISMS FREQUENTLY WIND UP ENTERING THE SKIN THROUGH:

  • Ingrown nails
  • Trauma to the cuticle
  • Cuts
  • Irritation from chemicals

PATHOPHYSIOLOGY

Paronychia is caused by damage to the nail and its protective layer, called the cuticle. Injuries (such as manicures and pedicures), infections (including bacteria, viruses, and fungi), abnormalities, and inflammatory diseases (such as psoriasis) are predisposing factors. Bacteria can enter the moist nail crevice and cause colonisation of the area. The most common paronychia is caused by trauma, nail-biting, excessive nailing, and artificial nails and may involve a foreign object. The most common bacteria is Staphylococcus aureus. Streptococci and Pseudomonas are often seen in chronic infections. Less common pathogens include gram-negative bacteria, dermatophytes, the herpes simplex virus, and yeast. Children are seriously injured by nail-biting and thumb-sucking habits that directly cause oral diseases, including aerobic bacteria (Staphylococcus aureus, Streptococcus, Eikenella corrodens) and anaerobic bacteria (Fusobacterium, Peptostreptococcus, Porphyrella).

SYMPTOMS

Some of the common symptoms are as follows:

  • Redness of the skin around the nail
  • Tenderness
  • Pus Blisters
  • Altered nail texture
  • Detached nail

DIAGNOSIS

  • Medical history
  • Physical examination
  • Sample of pus from the infection
  • Swab for Gram stain, culture, and sensitivity
  • X-ray
  • Biopsy of skin or bone

DIFFERENTIAL DIAGNOSIS

  • Felon
  • Cellulitis
  • Herpetic whitlow
  • Onychomycosis
  • Nail Psoriasis
  • Squamous cell carcinoma

RISK FACTORS

Some people are at higher risk of developing paronychia, for example:

  • Those who work in jobs that require constantly wet hands, including cleaners, fishermen, farmers, and bartenders
  • Unhealthy people
  • Diabetics
  • People with other skin conditions, such as dermatitis
  • Weak immune system

TREATMENT

Treatment for paronychia depends on the cause and severity of the disease. The most commonly used treatments are:

  • Antibiotics for bacterial infections
  • Antifungal for fungal infection
  • Pus drainage in cases of abscess
  • Surgical removal of a part of the nail (in severe cases)

PREVENTIVE MEASURES

Individuals can diminish their risk of developing nail contamination by:

  • Moisturizing after washing the hands
  • Trying not to chew or bite the nails
  • Taking consideration while cutting the nails
  • Keeping the hands and nails clean
  • Try not to immerse your hands in water for a long time
  • Keeping away from contact with aggravations or irritants
  • Keeping the nails short

AYURVEDIC OVERVIEW OF PARONYCHIA

According to Acharya Sushruta (Su. Ni. 13/19,20)

In Ayurveda, nails are considered material from bones (Asthi Dhatu) and are developed during Tritiya Avastha Paak (the third digestive phase). Ayurveda refers to paronychia as “Kunakha or Chippa”. Kunakha means Ku (evil) and Nakha (nails). This is why it is known as a condition that causes nails to deteriorate. Ayurveda considers this state a pitta-dominant state and a tridosha state. Washermen, hospital workers, and cleaners are victims of this problem. Ayurveda mentions various herbs and oils that help treat paronychia. The Ayurvedic treatment of paronychia is based on the following lines and principles:

  • Shothara (Anti-inflammatory)
  • Pittahar (non-septic)
  • Shoolhara (anti-inflammatory)

SOME AYURVEDIC HERBS THAT HELP IN PARONYCHIA

1. MANJISTHA

Manjistha (Rubia cordifolia), mentioned in classical Ayurvedic texts, is a good herb for all skin types. It has antioxidant, antibacterial, and anti-inflammatory properties. It is a natural blood purifier that prevents acne infections and heals wounds. Its taste is bitter-sweet, and it is considered “Varnya” (good for the skin) in Ayurveda.

2. GUDUCHI

Guduchi (Tinospora cordifolia) is one of the most widely used Ayurvedic herbs because it is an immune booster. Besides being immune, it has cooling properties and balances Pitta dosha, helping to reduce skin irritation, and inflammation and promote healthy skin. Its vipaka is sweet (digested taste) and helps reduce itching and redness.

3. NEEM

Neem (Azadirachta indica) is a herb that is effective in the treatment of skin diseases. It has anti-inflammatory and healing properties. Contains Nimbin, which prevents skin problems like acne and pimples. The herb has a bitter taste and is known in Ayurveda as Kandu Ghana, which means medicine that helps reduce itching and skin inflammation.

4. KHADIR

Khadir (Acacia catechu) is an Ayurvedic herb mentioned in the Charak Samhita, one of the oldest Ayurvedic classical books. It has antibacterial and antifungal properties. It inhibits the growth of bacteria and fungi and is therefore considered the best remedy for paronychia.

HERBAL REMEDIES FOR PARONYCHIA BY PLANET AYURVEDA

Planet Ayurveda is a GMP-certified company that produces 100% vegan products designed by MD Ayurveda doctors. All the formulations have standardised extracts of natural herbs. None of the Ayurvedic formulas contains food additives, starches, additives, yeasts, or added flavours. Here are the following Planet Ayurveda formulations that can help treat paronychia:

  1. Kaishore Guggul
  2. Septrin Tablet
  3. Jatyadi Oil
Herbal Remedies For Paronychia By Planet Ayurveda

PRODUCT DESCRIPTION

1. KAISHORE GUGGUL

Kaishore guggul is a polyherbal formulation that is made up of various Ayurvedic herbs such as Guggul (Commiphora mukul), Guduchi (Tinospora cordifolia), Goskhur (Emblica officinalis), Vidanga (Emelia ribes), and many more. Guggul helps in fighting the disease, reducing inflammation, and healing skin wounds.

Dosage: 1-2 tablets, two or three times a day.

2. SEPTRIN TABLET

Septrin tablets are polyherbal formulations made up of Haldi (Curcuma longa), Guggul (Commiphora mukul), Tulsi (Ocimum sanctum), Pippali (Piper longum), etc. It manages the three doshas: Kapha, Pitta, and Vata. All these herbs are anti-bacterial, anti-inflammatory, and have healing properties, which make this combination good for the treatment of paronychia.

Dosage: 1-2 tablets, one or two times a day.

3. JATYADI OIL

Planet Ayurveda’s Jatyadi Oil is an oil-based formulation of many Ayurvedic herbs that helps treat skin conditions that are made up of Chameli (Jasminum officinale), Mulethi (Glycyrrhiza glabra), Turmeric (Curcuma longa), Manjistha (Rubia cordifolia), and many more. All of these drugs have anti-inflammatory and skin-healing properties. Jatyadi oil is mixed with Dashang Lepa and Kushta rakshasa oil and applied to the affected area.

Application: Locally applied over the affected nails.

CONCLUSION

Although nails may seem like an insignificant part of the human body, they affect the overall health of our body, so keeping them healthy is very important. Paronychia can cause problems if left untreated, so it’s important to treat paronychia. Although traditional medicine can cure paronychia, it is best to find natural Ayurvedic medicine for paronychia that can help cure the problem permanently. Planet Ayurveda gives you herbal remedies that can treat paronychia.

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Dr. Vikram Chauhan (MD - Ayurveda) is a Globally Renowned Ayurveda Physician with Expertise of more than 25 Years. He is the CEO & Founder of Planet Ayurveda Private Limited, a leading Ayurveda Brand, Manufacturing, and Export Company with a Chain of Clinics and Branches in the US, Europe, Africa, Southeast Asia, India, and other parts of the World. He is also an Ayurveda Author who has written Books on Ayurveda, translated into Many European Languages. One of his Books is "Ayurveda – God’s Manual for Healing". He is on a Mission to Spread Ayurveda All Over the Planet through all the Possible Mediums. With his Vast Experience in Herbs and their Applied Uses, he is successfully treating Numerous Patients suffering from Various Ailments with the help of the Purest Herbal Supplements, Diet, and Lifestyle, according to the Principles of Ayurveda. For More Details, visit www.PlanetAyurveda.com