A case study of ingrowing toe - complete nail avulsion following apamarg kshara application

Summary of article contents:

Ingrown toe nail is common problem presenting to the surgeon. A wide range of conservative and surgical methods are available for the treatment of Ingrown toe nail like, simple incision & drainage of the abscess, the partial nail excision (wedge resection), nail avulsion and radical excision (Zaddik’s procedure) of the nail. But the surgical treatment only is associated withhigh recurrence rate. The aim of present study is to use of Apamargkshara after complete nail avulsion and see the response of the treatment in order to develop some local guidelines in our scenario. In this study we document a case of ingrown toenail of the great toe, which had developed a granulation mass and enveloped the nail. We describe here the chemical cauterization of the nail matrix with Apamargkshara after complete avulsion of nail, a treatment that had good results. Keywords: In growing toe, nail avulsion, chemical cauterization, Apamargkshara. How to cite this URL: Ashish Pareek Et Al: A Case Study Of Ingrowing Toe - Complete Nail Avulsion Following Apamarg Kshara Application. International Ayurvedic medical Journal {online} 2016 {cited 2016 July} Available from:http://www.iamj.in/posts/images/upload/3263_3266.pdf A CASE STUDY OF INGROWING TOE - COMPLETE NAIL AVULSION FOLLOWING APAMARG KSHARA APPLICATION Ashish pareek 1 Narinder Singh 2 , Sanjay Kumar 3 1 Assistant Prof. Dept. of Shalya Tantra , 3 Assistant Prof. Dept. of Panchakarma; 1,3 S.S.S.B. Ayurveda College & Hospital, Renwal, Jaipur, Rajasthan, Inida 2 AssistantProf. P.G. Dept. of Shalya Tantra , NIA Jaipur, Rajasthan, Inida INTRODUCTION In growing toe nail is a painful condition of foot in which the edge of a nail, usually the great toe nail, grows into the surrounding soft tissue (paronychium) causing inflammation and subsequent infection 1 Itcan occur at any age but common in young people, immune compromised status and peripheral vascular disease 2 The usual presentation is pain in the affected nail with progression to drainage, infection, and difficulty in walking. It results insignificant morbidity which has economic impact, secondary to decreased mobility and work absenteeism. A staging system has been developed to grade the severity of ingrown toenails 3 Stage 1 is characterized by erythema, slightedema, and pain, particularly with pressure. Stage 2 consists of the same symptoms but of greater severity; the wound may become locally infected and start to drain. Stage 3, all signs and symptoms are amplified, and there is associated formation of granulation tissue and lateral nail fold hypertrophy A wide range of conservative andsurgical methods are available for the treatment of Ingrown toe nail. These options include simple incision & drainage of the abscess, the partial nail excision (wedge resection), nail avulsion and radical excision(Zaddik’s procedure) of thenail. But thesurgical treatment only is associated with Case Report International Ayurvedic Medical Journal ISSN:2320 5091 ABSTRACT Ingrown toe nail is common problem presenting to the surgeon. A wide range of conservative and surgical methods are available for the treatment of Ingrown toe nail like, simple incision & drainage of the abscess, the partial nail excision (wedge resection), nail avulsion and radical excision (Zaddik’s procedure) of the nail. But the surgical treatment only is associated withhigh recurrence rate. The aim of present study is to use of Apamargkshara after complete nail avulsion and see the response of the treatment in order to develop some local guidelines in our scenario. In this study we document a case of ingrown toenail of the great toe, which had developed a granulation mass and enveloped the nail. We describe here the chemical cauterization of the nail matrix with Apamargkshara after complete avulsion of nail, a treatment that had good results. Keywords: In growing toe, nail avulsion, chemical cauterization, Apamargkshara. How to cite this URL: Ashish Pareek Et Al: A Case Study Of Ingrowing Toe - Complete Nail Avulsion Following Apamarg Kshara Application. International Ayurvedic medical Journal {online} 2016 {cited 2016 July} Available from:http://www.iamj.in/posts/images/upload/3263_3266.pdf A CASE STUDY OF INGROWING TOE - COMPLETE NAIL AVULSION FOLLOWING APAMARG KSHARA APPLICATION Ashish pareek 1 Narinder Singh 2 , Sanjay Kumar 3 1 Assistant Prof. Dept. of Shalya Tantra , 3 Assistant Prof. Dept. of Panchakarma; 1,3 S.S.S.B. Ayurveda College & Hospital, Renwal, Jaipur, Rajasthan, Inida 2 AssistantProf. P.G. Dept. of Shalya Tantra , NIA Jaipur, Rajasthan, Inida INTRODUCTION In growing toe nail is a painful condition of foot in which the edge of a nail, usually the great toe nail, grows into the surrounding soft tissue (paronychium) causing inflammation and subsequent infection 1 Itcan occur at any age but common in young people, immune compromised status and peripheral vascular disease 2 The usual presentation is pain in the affected nail with progression to drainage, infection, and difficulty in walking. It results insignificant morbidity which has economic impact, secondary to decreased mobility and work absenteeism. A staging system has been developed to grade the severity of ingrown toenails 3 Stage 1 is characterized by erythema, slightedema, and pain, particularly with pressure. Stage 2 consists of the same symptoms but of greater severity; the wound may become locally infected and start to drain. Stage 3, all signs and symptoms are amplified, and there is associated formation of granulation tissue and lateral nail fold hypertrophy A wide range of conservative andsurgical methods are available for the treatment of Ingrown toe nail. These options include simple incision & drainage of the abscess, the partial nail excision (wedge resection), nail avulsion and radical excision(Zaddik’s procedure) of thenail. But thesurgical treatment only is associated with Case Report International Ayurvedic Medical Journal ISSN:2320 5091 ABSTRACT Ingrown toe nail is common problem presenting to the surgeon. A wide range of conservative and surgical methods are available for the treatment of Ingrown toe nail like, simple incision & drainage of the abscess, the partial nail excision (wedge resection), nail avulsion and radical excision (Zaddik’s procedure) of the nail. But the surgical treatment only is associated withhigh recurrence rate. The aim of present study is to use of Apamargkshara after complete nail avulsion and see the response of the treatment in order to develop some local guidelines in our scenario. In this study we document a case of ingrown toenail of the great toe, which had developed a granulation mass and enveloped the nail. We describe here the chemical cauterization of the nail matrix with Apamargkshara after complete avulsion of nail, a treatment that had good results. Keywords: In growing toe, nail avulsion, chemical cauterization, Apamargkshara