What are the treatment options for paronychia?

Paronychia affects the fold of skin next to a nail. The area may become red, swollen, tender and warm, sometimes with pus. An acute episode can follow nail biting, a cut, manicure trauma or a splinter. Repeated irritation from water, chemicals or picking can contribute to persistent inflammation. A clinician checks the nail fold, nail plate and fingertip to decide whether infection or another skin condition is driving the problem.

For mild early inflammation, warm water soaks, gentle drying and avoiding further trauma may be advised. If bacterial infection is suspected, a clinician may prescribe topical or oral antibiotics; do not share leftover medicine or squeeze the area. When a tender pocket of pus is present, abscess drainage may release it and relieve pressure. Keep the finger clean and protected, avoid biting or cutting the cuticle, and use gloves for wet or chemical work.

Seek prompt medical care if redness is spreading, pain is worsening, pus is increasing, the fingertip is very swollen or you cannot bend the finger normally. Fever, red streaks up the hand or feeling unwell need urgent assessment. People with diabetes, poor circulation or reduced immunity should arrange care early.

Ask whether the infection needs antibiotics, whether drainage is needed, how to dress the area, and how to prevent recurrence if water exposure or nail trauma is part of your routine.