Postoperative instructions: nail surgery

—Nail Surgery

You have two alternatives for postoperative care. Use topical Amerigel cream or do Epsom salt soaks and then apply a topical antibiotic. We recommend using the cream as it is effective and a lot more convenient. It also shortens the healing time for most people. Amerigel works as an astringent to diminish the drainage and also has antibacterial properties.

Some discomfort is normal. Take whatever you ordinarily would for mild pain e.g. Tylenol. Call if you feel you need something stronger.

You can expect a watery drainage that looks like blister fluid from the nail bed for 2 1/2 – 4 weeks. There should be relatively little pain and only mild redness. If you suspect there is an infection (pain, redness, swelling or increased drainage) call to be seen immediately.

Amerigel cream—Leave the dressing on tonight. Tomorrow morning, remove the dressing and apply a small amount of Amerigel cream to the nail bed. Cover with a bandaid. Apply the cream twice daily until healed.

or:

Soaks—Leave the dressing on tonight. Tomorrow morning, remove the dressing and soak the toe in a solution of Epsom salt or Domeboro powder solution (the Epsom salts are cheaper but many people report that the Domeboro is more soothing). Mix 3 tablespoons of salt per pint of warm—not hot—water. Soak for 15 – 20 minutes then apply a topical antibiotic (triple antibiotic is available without a prescription) and cover with a bandaid. Repeat twice daily for the first week then once daily until healed.