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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Ways To Manage Swollen Toes After An Injury

my 10 year old son had a heavy kitchen chair fall directly on his big toe last night. the nailbed pretty quickly became black & blue. this morning the black & blue had filled the entire nailbed & the toe was swollen. this afternoon the toe is red & warm to the touch mostly around the nailbed area/top 1/2 of the toe. worried about an infection or pressure build up...? is there anything we should do or just watch it? it s very painful to walk & just at rest hurts/throbs he says
Fri, 27 Dec 2019
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General Surgeon 's  Response
Hello,

* As there is blue nail bed and red, swollen toe, underlying hematoma formation with cellulitis changes are evident on clinical grounds.

* Though ice application and foot elevation will help over a period of time with the analgesic tablet as ibuprofen with paracetamol, I would suggest a Doc visit for additional prescription of antibiotics to resolve it faster and prevent secondary bacterial infection.

* If the doc thinks, he or she may advise you for the need of x-ray after clinical examination of a range of movements, as there may be associated underlying hairline crack or another injury along with the nail bed injury.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Ways To Manage Swollen Toes After An Injury

Hello, * As there is blue nail bed and red, swollen toe, underlying hematoma formation with cellulitis changes are evident on clinical grounds. * Though ice application and foot elevation will help over a period of time with the analgesic tablet as ibuprofen with paracetamol, I would suggest a Doc visit for additional prescription of antibiotics to resolve it faster and prevent secondary bacterial infection. * If the doc thinks, he or she may advise you for the need of x-ray after clinical examination of a range of movements, as there may be associated underlying hairline crack or another injury along with the nail bed injury. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel, General Surgeon