What causes pseudomonas nail infections. How to identify green nail syndrome. What are the most effective treatments for green nails. How to prevent pseudomonas infections in nails. When to seek medical attention for green nails. What are the risks of untreated nail infections. How long does it take to cure green nail syndrome.

Understanding Pseudomonas Nail Infections: The “Greenies” Phenomenon

Pseudomonas nail infections, colloquially known as “greenies” or chloronychia, are a common yet often misunderstood nail condition. These infections are caused by the bacterium Pseudomonas aeruginosa, which produces a distinctive green pigment as a byproduct of its metabolism. This pigment is responsible for the characteristic green discoloration of infected nails.

The infection typically occurs in one of two locations:

• Between the nail plate and the nail bed
• Between artificial nails (such as acrylics) and the natural nail plate

Is a green tint on your nails always indicative of an infection? Not necessarily. Sometimes, the discoloration may simply be a result of staining from nail products, particularly if you’ve recently used green nail polish or dip powder. In such cases, gentle washing or using a whitening toothpaste can often remove the stain.

Causes and Risk Factors of Pseudomonas Nail Infections

Pseudomonas aeruginosa thrives in warm, damp environments with limited oxygen. This makes certain activities and conditions particularly risky for developing a nail infection:

• Prolonged exposure to water (e.g., frequent swimming, dishwashing, or gardening)
• Poor nail hygiene
• Improper application or maintenance of artificial nails
• Nail trauma or damage
• Weakened immune system

How does moisture contribute to the development of green nails? When water becomes trapped between the natural nail and an artificial nail or within a damaged nail, it creates an ideal breeding ground for Pseudomonas bacteria. This emphasizes the importance of proper nail care and hygiene, especially for those who frequently engage in water-based activities or use artificial nails.

Recognizing the Symptoms of Green Nail Syndrome

Identifying a pseudomonas nail infection early can lead to more effective treatment. The primary symptoms include:

• Green or blue-green discoloration of the nail
• Thickening or distortion of the nail plate
• Separation of the nail from the nail bed (onycholysis)
• Tenderness or pain around the nail
• Foul odor

How quickly does the green discoloration spread? The infection typically starts as a small green spot near the edge of the nail and gradually spreads across the entire nail plate if left untreated. In severe cases, the color may darken to a deep green or even black.

Differentiating Green Nail Syndrome from Other Nail Conditions

Green nail syndrome can sometimes be confused with other nail conditions. Here’s how to distinguish it:

• Fungal nail infections: These typically cause yellow or white discoloration, not green
• Nail psoriasis: Causes pitting and thickening of nails, but not green discoloration
• Melanoma of the nail: This rare condition can cause dark streaks in the nail, but not a uniform green color

Effective Treatment Strategies for Pseudomonas Nail Infections

Treating green nail syndrome requires a multifaceted approach. The choice of treatment often depends on the severity of the infection and whether artificial nails are involved.

Home Remedies and Over-the-Counter Treatments

For mild cases, the following treatments can be effective:

• Soaking the affected nail in white vinegar or a mixture of vinegar and water for 10-15 minutes daily
• Applying over-the-counter antifungal or antibacterial nail solutions
• Using tea tree oil, which has natural antimicrobial properties
• Keeping the nail dry and exposed to air as much as possible

How long should you continue these treatments? Consistency is key. Most home remedies should be applied daily for several weeks or until the infection clears completely.

Medical Treatments for Pseudomonas Nail Infections

For more severe or persistent infections, medical intervention may be necessary:

• Prescription-strength topical antibiotics (e.g., gentamicin, tobramycin)
• Oral antibiotics in cases of extensive infection
• Surgical removal of the infected nail in extreme cases

Can green nail syndrome be cured completely? With proper treatment and care, most cases of pseudomonas nail infections can be successfully resolved. However, it’s important to complete the full course of treatment to prevent recurrence.

Prevention Strategies: Keeping Your Nails Healthy and Green-Free

Preventing pseudomonas nail infections is largely about maintaining good nail hygiene and care practices. Here are some effective prevention strategies:

• Keep nails clean and dry
• Avoid prolonged exposure to water; wear gloves when necessary
• Properly maintain artificial nails and remove them at the first sign of lifting or separation
• Avoid trauma to the nails
• Use a base coat when applying nail polish to prevent staining
• Regularly sanitize nail care tools

How often should you inspect your nails for signs of infection? It’s a good practice to examine your nails weekly, especially if you frequently use artificial nails or engage in activities that expose your hands to water.

The Impact of Nail Care Practices on Pseudomonas Infections

Proper nail care is crucial in preventing and managing pseudomonas infections. This is particularly important for those who use artificial nails or frequent nail salons.

Artificial Nails and Green Nail Syndrome

While artificial nails can be a risk factor for pseudomonas infections, they don’t have to be avoided entirely. The key is proper application and maintenance:

• Ensure nails are completely dry and clean before application
• Use high-quality products and follow proper application techniques
• Address any lifting or separation immediately
• Take regular breaks from artificial nails to allow natural nails to “breathe”

Is it safe to apply artificial nails over a treated pseudomonas infection? It’s generally advisable to wait until the infection has completely cleared and the nail has grown out before reapplying artificial nails.

Nail Salon Safety and Hygiene

If you frequent nail salons, be aware of their hygiene practices:

• Ensure tools are properly sterilized between clients
• Avoid cutting cuticles, which can create entry points for bacteria
• Choose salons that use disposable tools or allow you to bring your own
• Be wary of overly aggressive filing or buffing, which can damage nails

When to Seek Professional Medical Help for Green Nails

While many cases of green nail syndrome can be treated at home, there are situations where professional medical help is necessary:

• If the infection doesn’t improve after 1-2 weeks of home treatment
• If you have diabetes or a weakened immune system
• If the infection spreads to surrounding skin or other nails
• If you experience severe pain or discomfort
• If you notice any unusual changes in nail color or texture

What should you expect during a medical consultation for green nails? A healthcare provider will likely examine your nails, ask about your symptoms and nail care habits, and may take a sample for laboratory testing to confirm the diagnosis.

The Science Behind Pseudomonas Aeruginosa and Its Affinity for Nails

Understanding the biology of Pseudomonas aeruginosa can shed light on why it’s such a common nail pathogen:

• P. aeruginosa is a gram-negative bacterium found in soil and water
• It’s highly adaptable and can survive in a variety of environments
• The bacterium produces pigments called pyocyanin and pyoverdin, which give infected nails their green color
• It forms biofilms, making it resistant to some antibiotics and disinfectants

Why does Pseudomonas aeruginosa particularly target nails? The space between the nail plate and nail bed provides an ideal environment for the bacterium: warm, moist, and low in oxygen. Additionally, nails have limited blood supply, making it harder for the body’s immune system to fight off infections in this area.

The Role of Biofilms in Pseudomonas Nail Infections

Biofilms play a significant role in the persistence of pseudomonas nail infections:

• Biofilms are communities of microorganisms that adhere to surfaces
• They create a protective matrix that shields bacteria from antibiotics and the immune system
• Biofilms can make pseudomonas infections more challenging to treat
• Breaking down biofilms is often a key component of effective treatment strategies

How do biofilms contribute to the recurrence of green nail syndrome? By protecting the bacteria from treatments, biofilms can allow some bacteria to survive initial treatment attempts, leading to recurrence if treatment is not thorough or prolonged enough.

Long-Term Effects and Complications of Untreated Green Nail Syndrome

While pseudomonas nail infections are generally not life-threatening, leaving them untreated can lead to several complications:

• Permanent nail damage or deformity
• Spread of infection to surrounding skin (paronychia)
• Increased risk of secondary fungal infections
• Chronic nail pain or discomfort
• Psychological distress due to the appearance of infected nails

Can untreated green nail syndrome lead to systemic infections? In rare cases, particularly in individuals with compromised immune systems, a nail infection could potentially spread to other parts of the body. However, this is uncommon in otherwise healthy individuals.

The Psychological Impact of Nail Infections

The visible nature of nail infections can have significant psychological effects:

• Embarrassment or self-consciousness about nail appearance
• Anxiety about potential spread of infection
• Reduced self-esteem or confidence
• Social withdrawal or avoidance of activities that expose nails

How can individuals cope with the psychological impact of green nail syndrome? Seeking prompt treatment, understanding that the condition is treatable, and focusing on overall nail health can help alleviate some of the psychological burden.

Emerging Research and Future Treatments for Pseudomonas Nail Infections

The field of nail infection treatment is continually evolving, with new research offering promising avenues for more effective therapies:

• Development of novel antimicrobial compounds targeting Pseudomonas
• Research into biofilm-disrupting agents to enhance treatment efficacy
• Exploration of nanotechnology for improved drug delivery to infected nails
• Investigation of natural compounds with anti-pseudomonal properties

What potential breakthroughs are on the horizon for treating green nail syndrome? Some exciting areas of research include:

• Photodynamic therapy: Using light-activated compounds to destroy bacteria
• Bacteriophage therapy: Employing viruses that specifically target Pseudomonas
• Immunomodulatory treatments: Enhancing the body’s natural defenses against nail infections

While these treatments are still in various stages of research and development, they offer hope for more effective and less invasive treatments for pseudomonas nail infections in the future.

The Role of Probiotics in Nail Health

Recent research has also begun to explore the potential role of probiotics in maintaining nail health and preventing infections:

• Probiotics may help maintain a balanced microbiome on the skin and nails
• Some probiotic strains have shown antimicrobial properties against Pseudomonas
• Topical application of probiotics is being investigated as a potential preventive measure

How might probiotics be incorporated into nail care routines in the future? While more research is needed, we may see probiotic-infused nail care products or treatments designed to support a healthy nail microbiome and prevent infections.

Green Nails and Public Health: Understanding the Broader Impact

While pseudomonas nail infections are typically a personal health issue, they can have broader public health implications:

• Potential for spread in communal settings like nail salons or swimming pools
• Increased antibiotic resistance due to improper treatment
• Economic impact on the beauty industry and healthcare system

How can public health measures help reduce the incidence of green nail syndrome? Some potential strategies include:

• Stricter hygiene regulations for nail salons and similar establishments
• Public education campaigns about nail health and infection prevention
• Improved training for nail care professionals on identifying and preventing infections

By addressing green nail syndrome as both an individual and public health concern, we can work towards reducing its prevalence and impact on society.

The Economic Impact of Nail Infections

The economic consequences of pseudomonas nail infections extend beyond individual treatment costs:

• Lost productivity due to treatment and recovery time
• Impact on the nail care industry, including potential loss of customer trust
• Healthcare costs associated with treating severe or chronic infections
• Research and development expenses for new treatments

How significant is the economic burden of nail infections? While precise figures are difficult to determine, the combined costs of treatment, prevention, and lost productivity make nail infections a notable economic concern in the realm of public health.

What you need to know about pseudomonas nail infections aka “greenies”

Green nails are the perfect dip manicure for fall. But not when it is that other kind of green nails — the ones that won’t leave your fellow dippers green with envy.

We’re talking about the dreaded greenies.

But don’t feel too scared about getting the green nail syndrome. Although it’s a common nail problem, it’s totally avoidable. And when you get the greenies, there are many ways to treat them.

So… pseudomonas nail infections. What exactly are they? What do they look like? How do you get them? How do you get rid of them? How do you prevent them (and have healthy, happy nails all the time)?

Keep reading to know the 411 on green nails.

What is a pseudomonas nail infection aka "greenies"?

“Greenies” — technically known as chloronychia — is a nail infection caused by the common bacteria called pseudomonas aeruginosa. The waste of this bacteria is responsible for the green discoloration on your nails. As the infection progresses, the stain will spread on top or under your nails and turn dark green or black.

The infection can occur in two places: (1) Between the nail plate and the nail bed, or (2) Between the acrylics and the nail plate.

But seeing green shouldn’t immediately incite anxiety. The presence of this color doesn’t always mean an infection exists.

When you see a green-tinted discoloration on your nails, don’t automatically assume you have the greenies, especially if you just had on a green dip powder mani. It may simply be that you applied one thin coat of Base & Finish powder, which was not enough to protect your nails from staining. Or maybe you didn’t use Base & Finish powder at all and the dip color faded onto your nails. (Discover the 5 Essential Benefits of Base & Finish Powder.) The stain should go away with a few gentle washes. You can also brush your nails with any whitening toothpaste or baking soda for 5 to 10 minutes to get rid of the discoloration.

If you’re certain it’s not a dip powder color stain, well, you must be wondering, “Why is my nail green?”

How do you become infected with the greenies?

“Wet” activities make it easy to expose yourself to pseudomonas aeruginosa. Think of gardening or dishwashing, for example. Why? The pseudomonas bacteria can be found in many things, including water. And when bacteria-laden droplets get trapped in your dip nails? That’s bad news. These pesky pseudomonas thrive in warm, damp, and nearly oxygen-free environments. So when moisture was not thoroughly removed before you applied your dip mani or when you’re experiencing lifting and you let it sit for a few days longer… beware! It’s like opening the doors to pseudomonas and inviting them to come in, live under your dip manicure, and color the place green.

And this is why proper nail prep is one of the most important parts of doing any nail enhancements. It prevents bacterial contamination and lifting, among other dip nail dilemmas. (Learn more about The Down Low on Lifting, and How To Stop It From Ruining Your Dip Mani and Troubleshooting Dip Powder Nails.)

The good news? It is entirely possible to kick the greenies to the curb.

How do you treat green nails?

You just removed your dip nails (presumably using the hot rice method) and saw this unsightly green tint on your nails. Bummer! What do you do now?

To dip, or not to dip (over the green nails), that is the real question that most dippers are asking.

Do you temporarily sport nude nails and wait it out until the greenies are gone? Or do you apply a dip powder manicure as per usual?

In our opinion, both are acceptable options.

You can definitely give your nails a rest from acrylics, treat them with rubbing alcohol or vinegar, let them heal and grow out, and get them to become healthy again. This will help prevent the pseudomonas from spreading and get you dipping again as normal. If you choose to go au naturale, use the the Mani Care Essentials Kit to continue caring for your nails & cuticles until you’re ready to dip back in.

Sine, Licensed Cosmetologist and DipWell’s Community Educator, said:

“Dr. G’s Clear Nail is a great product that can work to keep your nails healthy and kill the greenie with your DIP on. I would advise to let the natural nail get some air and use either the clear nail, the vinegar soak, or 91% alcohol to sanitize the nail. Once you clean the natural nail bed and sanitize it, you will be able to evaluate if you need your MD for further advice.”

But if you can’t imagine leaving your nails barenaked and discolored, it’s also okay to do a new dip set. Just make sure not to simply ignore the greenies as if it’s not there and to prep properly before applying a layer of dip liquid or dip powder over it. If you dip right away, you run the risk of contaminating your dip products and spreading the pseudomonas to the other uninfected nails.

If the greenies are on the surface of the nail plate and haven’t gotten very deep into the nail, sometimes all you need is a quick cleanup, and you can proceed to dip to your heart’s content.

a. Wash your hands with water and an emollient-free cleanser like Dawn dish soap.

b. Trim your nails and keep them short for the meantime. (Here’s your dip mani inspo for short dip nails.)

c. File or buff off the greenies. After getting rid of the greenies, take note of this wise advice by Sine:

“After you buff the area, throw the files out. You do not want to cross-contaminate and get it on a finger that does not have it.”

d. Disinfect your green nails with rubbing alcohol. No alcohol? Not a problem. An alternative to alcohol is soaking your infected nails in apple cider vinegar or white vinegar or a 1:4 chlorine bleach solution diluted with water. Other dippers have also tried and recommended soaking their infected nails in tea tree oil or hydrogen peroxide.

Here’s Sine’s recommendation:

“Cleanse with alcohol, I prefer 91%. If you are still worried, Dr. G’s Clear Nail can be applied around your cuticle line and under the free edge after you do a set. It’s a product you use to clear up nail fungus. The application is through the skin to the site of the infection, so there is no need to remove the polish or acrylics. Apply 2-3 drops twice daily.”

d. Let your hands dry completely before you start your next dip. This is a super important, must-not-skip step. Remember: pseudomonas love a wet, moist environment.

e. Avoid contaminating your entire dip powder jar by using a scooper and doing the pour over method instead of dipping the infected nail into the container. And do not pour the residual dip powder back into its jar. Throw away the excess dip powder, so you don’t contaminate your remaining dip powder.

If you can still see a green discoloration and you can’t easily buff it out of your infected nails, then the pseudomonas are deep enough under your nails. In this case, we suggest letting it grow out to reveal new healthy nails before applying a dip manicure again. Take care of your green nails before it gets worse.

If you have a severe infection, reach out to your doctor for the proper treatment. They might suggest a 1% acetic acid treatment, an antibiotic, or an anti-fungal cream.

While waiting for your green nails to grow out, here are some best practices for you to remember for when your nails are ready to have dip powder on them again.

How do you prevent the green nail syndrome?

Have happy, healthy nails and avoid more greenies in the future. The key to preventing future infections lies in your pre-mani and post-mani practices. (Read more on How To Keep Your Manicures Sanitary & Safe.)

But first, take care of the tools and products that already came in contact with the nails that have greenies on them. Since those might have been contaminated, it’s time to toss out the disposable ones like the nail file and nail buffer and sanitize anything else that isn’t.

Then make the following a habit.

1. Frequently wash your hands with water or use an alcohol-based sanitizer to keep the bacteria at bay. (Read more on How To Keep Your Hands Healthy When Using Hand Sanitizer Constantly.)

2. Dry your hands thoroughly after cleansing. If you have naturally oily nail beds, you can use an additional dehydrator to prevent any bacteria from holding on to moisture.

3. Prep your nails perfectly before doing your dip powder manicure. You also want to make sure all the dip steps are 100% dry.

Here’s how DipWell’s Community Educator Dasia does it:

“I wash my hands really well after soaking the previous mani off to remove all the residue. I let them dry completely and then wipe my nails with alcohol because the alcohol will draw out the moisture, and then as a precaution, I let that dry for a couple more minutes. I also don’t wash my hands after filing/buffing…instead, I wipe with alcohol, wait a couple of minutes, and then apply the second coat of activator. “

4. Don’t forget to remove the invisible cuticles that may cause lifting. The Jelly Pusher makes it easy to have your cuticles be manicure-ready. You can also use a nail file by gently going vertically around your cuticle to take it off. An e-file is another alternative. (Check out E-Files, Nail Drills, Files, And Buffers: Your Ultimate Nail File Guide.)

5. When your DIY dip nails are starting to lift, handle it quickly so that bacteria can’t get under and colonize it. Don’t wait for a day or two before you deal with it. You can either take them off or, for a quick solution, you can use a little bit of nail glue or Step 2 Base Dip Nail Liquid to re-adhere the nail and prolong the dip powder mani. Just make sure the nail is 100% clean and dry before gluing down the part that was lifted. Otherwise, any bacteria present will get trapped in the gaps that developed under your dip.

Sine, Licensed Cosmetologist and DipWell’s Community Educator, said:

“If you cannot do a fresh mani now, buff off the top layer of the product, file the cuticles, use nail glue in a tube to fill in the lifting spots, refile that cuticle area, reseal with the base, no dip (unless you want to), activate and reseal, or use a clear nail polish top coat. This will help prevent the greenies until you can get a fresh set done.”

6. If your dip manicure has lasted two to three weeks and you want to extend your dip mani’s life, follow our tutorial on How To Do a Fill on Dip Nails. Just make sure your dip is not lifting so you do not expose yourself to getting the greenies. If you notice some minor lifting, you need to make sure that anywhere that is lifted is totally filed off. This is where moisture could get trapped and cause green nails. If it’s too much to file off the parts that are lifting, we recommend that you start with a fresh mani.

Get to work as soon as you start noticing something green on your nails

Discovered your first case of greenies? It could happen to the best of dippers, even if you have the perfect at-home manicure station or have had zero lifting.

Share the pic of your suspected green nail with our Dipper Club members on Facebook. (It’s a judgment free zone!) They’d be eager to help you figure out what’s going on with your nails if you need an answer sooner before heading to your physician or dermatologist.

Once you got the greenies sorted out, head over to Instagram (@dipwellnails | #DoYouDipWell) for your post-greenies dip manicure inspo.

Crush Injuries of the Fingertip

Nationwide Children’s Hospital

Crush injuries of a fingertip or the tip of a toe are common in children. They can happen when a finger is slammed in a door, a finger or toe is stepped on, or if a heavy object falls on a nail with great force. There can be an injury to the:

• Skin – a cut, scrape, blood blister, or a bruise.
• Nail – bleeding or a blood clot under the nail, a cut where the nail grows (nail bed), bleeding around the cuticle, or a cut or tear in the nail (nail laceration).
• Bone – a break (fracture) at the end of a bone where it grows (the growth plate) (Picture 1).
• Tip of the finger or toe – the tip gets cut off (partial amputation).

Most cuts, scrapes, blood blisters under the skin, and bruises heal on their own. However, if the injury looks serious, your child may need to have a doctor or health care provider check it. Take your child to an urgent care center or emergency department right away if you think that they have a broken bone or if the tip of the finger or toe is cut off.

What to Do First for a Nail Injury

A lot of times, finger and toenail crush injures cause similar damage and can be treated the same way. For most crush injuries to nails, you should:

• Wash the finger or toe with soap and water.
• Take any rings off the finger or toe before it swells.
• Put the finger or toe in cold water or wrap it with an ice pack right away. Keeping it cold will help stop the bleeding and may prevent a blood blister (hematoma) from forming under the nail.
• Wrap and press a clean cloth, paper towel, or gauze over the bleeding cut.
• Lift or raise (elevate) the finger or foot above the level of your child’s heart. This may ease the throbbing pain.

For more serious injuries to the nail, take your child to an urgent care center. Do this if there is:

• A cut or tear in the nail
• Bleeding that will not stop
• An injured nail bed

At urgent care:

• A doctor or health care provider will clean the nail and see if the nail bed is injured. Your child may need:
  • A small hole put in the nail to drain the blood out from under it. This will help relieve the pressure on the nail, reduce swelling, and ease your child’s pain.
  • The nail removed to clean the finger and to check the injury.
  • Stitches (sutures) or a special glue to treat a nailbed injury.
  • A bandage to cover the finger or toe.
• After a nail is injured, even if stitched or glued in place, it may fall off in a few weeks.
• It can take up to 9 months for the nail to grow back. If the nailbed was damaged, your child’s new nail may:
  • Have a bend, crease, or split in it.
  • Not fully stick to the skin and lift up in places.
  • Not fully grow back.

Fracture of a Bone

• It is very important to get bone fractures treated right away to prevent future problems. 
• Crush injuries to the fingertip can cause 2 types of bone fractures:
  • Seymour Fracture – a break in the growth plate (Picture 2).
  • Tuft fracture – a break in the bone closest to the tip of the finger.
• Both types of fingertip fractures are treated with a splint or cast.
  • These keep the bone from moving so it will heal.
  • Your child may wear the splint or cast for 2 to 4 weeks.
• Bone fractures of a toe may be treated by:
  • Taping the injured toe to the one next to it.
  • Wearing a rigid-soled shoe or splint that the doctor or health care provider will give you. This shoe stops the toe bone from bending.   

Partial Amputation

If an injury causes part of the finger or toe to be cut off (amputated), it can be very scary. However, these wounds usually heal very well.

• Wrap the finger or toe in a clean cloth or gauze and apply firm pressure. If you still have the tip, save it. Wrap the tip in a clean cloth or gauze, put it in a plastic bag, place it on ice, and bring it with you to urgent care or the emergency department.
• Have your child raise their finger or foot above the level of their heart to help ease throbbing pain and slow down the bleeding.
• Take your child to an urgent care or emergency department.

A doctor or health care provider:

• Will clean the wound. Your child may be given pain medicine before the wound is cleaned.
• Put in special stitches if the wound can be closed. These stitches will stay in the skin until they fall out on their own.
• May stitch the piece of skin that was cut off back on if you have it. This helps protect the skin under it. The skin over the wound will often turn black and may eventually fall off.
• May refer your child to a hand or foot specialist. If a large piece of the tip was amputated, your child may need surgery.
   

What to Do at Home

• Do not take a bandage, splint, or cast off unless your child’s doctor or health care provider says it’s okay.
• Keep all dressings, splints, and casts clean and dry.
• At your follow-up appointment, you will get instructions on wound care, if needed.
• Until the doctor says it’s okay, your child should not:
  • Take part in sports. This includes gym class.
  • Lift, push, and pull most things.
  • Run, jump, or play rough. Only do low energy activities.
• Expect your child to have some pain for 1 to 3 weeks. You can give them over-the-counter (OTC) pain medicines, such as acetaminophen (Tylenol^®) or ibuprofen (Advil^® or Motrin^®). Read the label to know the right dose for your child. Do not give aspirin or products that contain aspirin.
• Your child may not be able to bend their finger or toe while it heals.
• Sometimes, your child will need to do special exercises to help the finger or toe get stronger and bend more.
   

When to Call the Doctor

Call your child’s doctor or health care provider if they have any of these signs of infection:

• Increase in pain
• A bad smell
• Redness, red streaks, or swelling that does not go away
• Thick, yellow, or green fluid (drainage) coming from the wound
• Fever or temperature over 101° Fahrenheit (F) or 38.6° Celsius (C

Crush Injuries of the Tip of a Finger or Toe (PDF)

HH-I-421 • ©2016, revised 2023 • Nationwide Children’s Hospital

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A ball in the earlobe appeared and hurts, what is it?

Contents

• What is the ball in the earlobe?
• Symptoms of this pathology
• Causes of atheroma and its manifestations
• Varieties of neoplasms
• A lump appeared on the bone behind the ear of a child and hurts when pressed
• Diagnosis
• Methods of treatment
• Complications
• Prevention

Contents

What is a ball in the earlobe?

If balls appear in the earlobe, then depending on the nature of the neoplasm, location, size and cause of formation, it can be:

• pimple;
• tumor caused by trauma;
• tumor resulting from tissue infection;
• cystic neoplasm developing from epidermal cells;
• atheroma (wen).

Painful balls in the earlobe indicate tissue infection. In this case, seek qualified assistance. It is highly discouraged to remove balls that cause pain when touched.

Symptoms of this pathology

Usually the lump in the earlobe hurts. Pain sensations can intensify when they touch the affected area of ​​​​the organ of hearing. The temperature of the skin may rise in the place where the ball is located. A similar symptom means the beginning of the process of inflammation. If the ball hurts, the seal in the earlobe needs urgent treatment.

Causes of atheroma and its manifestations

In the vast majority of cases, the ball in the earlobe is atheroma. In fact, atheroma is a tumor process that develops due to dysfunction of the sebaceous gland located near the hair follicle.

It is worth noting that atheroma cannot grow indefinitely, since it has a capsule that limits its growth and separates it from surrounding tissues.

Patients complain about the following symptoms of atheroma:

• skin hyperemia,
• swelling of the lobe,
• fever,
• stuffy ear.

Varieties of neoplasms

The ball, appearing in the earlobe, may start to hurt. Depending on the type and nature of the induration, as well as the localization of the bump and its distinctive features, such as a change in shade, mobility, pain caused by its formation, an increase in the temperature of the skin around, several types of formations can be distinguished:

1. Traumatic tumor . When, as a result of piercing, the auricle hurts and becomes inflamed, it is obvious that mechanical damage was complicated by an infection that penetrated the wound. In this case, there is redness, soreness, there is an increase in the temperature of the skin around the wound, pus is released. To eliminate this problem, it is necessary to connect anti-inflammatory drugs. This type of tumor can provoke insect bites.
2. Pimple vulgaris . In this case, the seal is explained by the formation of pus in the area of ​​\u200b\u200bthe hair follicles or skin glands. In addition to a simple pimple, with such suppuration, a furuncle with a stem affected by necrosis may develop.
3. Benign epidermoid lesion (cyst) . It is formed as a result of increased division of epidermal cells, gathering in a seal. The ball can fester, cause pain and grow, increasing in size. This manifestation has symptoms similar to the appearance of a wen, so only a qualified specialist can accurately determine the etiology.
4. Atheroma (wen) . This condition is the most widespread, so let’s look at it in more detail.

Direct signs

Feeling full. Patients experience arching pain, as a growing lump in the lobe presses on the surrounding tissues. In addition, overstretching of the capsule and skin occurs, which is accompanied by unpleasant sensations and discomfort.

Hyperemia of the skin. The skin over the lesion is usually red and hot. This is due to the fact that the process proceeds in combination with inflammation. Redness can spread from the lobe to the auricle and neck. The intensity of hyperemia increases in cases where the process is aggravated by the addition of a secondary infection.

Swelling of the lobe and surface of the ear. The inflammatory process causes not only redness, but also tissue swelling. Usually, with atheroma, the edema is moderate, and is localized within the lower part of the ear.

Dermatitis

Dermatitis results in the growth of dead cells. For this reason, a tubercle appears behind the ear. Usually, the pathology is accompanied by peeling of the skin, swelling, redness and inflammation. The bump starts to hurt. Seborrheic dermatitis is a common form of dermatitis that causes a bump behind the ear. This is especially true for people with epilepsy or AIDS.

Usually the disease appears due to frequent stress or changes in climatic conditions. Also, the disease can occur due to fungal infections.

Inflammations caused by dermatitis can be treated with preparations containing corticosteroids. Creams are effective:

• Betamethasone;
• Hydrocortisone.

These medicines help relieve itching and discomfort. Swelling that appears due to fungal infections is treated with antifungal drugs. Effective are:

• Ketoconazole;
• Cyclopirox.

The problem is eliminated with the help of traditional medicine. Baths using soda and raw oatmeal are shown.

Allergy

If a lump behind the ear hurts when pressed, it is most likely caused by an allergic reaction. An allergy provokes the appearance of swelling, which is very itchy. Most often, swelling behind the auricle is observed when using inappropriate cosmetics or accessories. When pressed, there is a sharp pain.

See also: Swollen earlobe: causes and treatment of pathology

The best method is to identify the allergen, and then stop using it. Also, allergies can appear on insect bites. Initially, a small pea appears, which later develops into a strong mound. But you need to understand what kind of bump behind the ear. This may turn out to be not just an allergy, but a malignant formation.

Acne

Acne is a common pathological process. It usually affects young people during puberty. Pathology leads to the formation of papules, acne, pustules or small nodules on the skin. There are manifestations of furunculosis.

In some cases, a hard bump may pop out due to hormonal changes. Such changes in the body occur at the time of puberty, stressful situations, high levels of androgens, infectious processes, or even genetic predisposition.

Acne is treated with drugs containing retinoid. With a strong hormonal imbalance, antiandrogenic hormone therapy is indicated. Usually the problem goes away on its own with proper cleansing of the epidermis.

Mastoiditis

Mastoiditis is an infectious disease that affects the mastoid process behind the ear. This ailment is secondary and appears after an acute inflammatory process in the middle ear or throat.

With mastoiditis, seals can form behind the ear, causing severe inflammation with structural disturbances in the mastoid process. Also, this ailment is accompanied by redness, the appearance of pus, pain in the ears, fever, pain in the head and even hearing loss.

The disease is treated with intravenous or oral antibiotics. Ceftriaxone is effective. In parallel, antibiotic ear drops are used. To relieve pain, you can use drops prepared by yourself. It is necessary to mix garlic juice with olive oil. In too severe cases, surgery will be required.

Swollen lymph nodes

Lymph nodes often cause soft, painful and sensitive balls behind the ear on the neck. This is usually the result of an infection. Diseases such as a cold, sinusitis or strep throat can cause inflammation of the lymph nodes.

In a generalized infection, small balls may appear behind both ears. They are accompanied by severe weakness and fever. The swelling may be large. To treat this pathology, antibiotics are taken that destroy the bacteria responsible for the infection. Anti-inflammatory drugs are also prescribed, which eliminate swelling and pain. If there is a sore throat, then rinses are indicated.

Minor symptoms

Fever. Hyperthermia is observed in those patients in whom atheroma has festered. Since the focus of the pathology is located extremely close to the brain, the syndrome of general intoxication will be expressed intensely.

Feeling of stuffy ear. The inflammatory process spreads extremely quickly to the ear canal, which leads to hearing loss.

The danger of atheroma is that the cystic formation in the lobe can perforate. That is, the contents of the cyst independently breaks through the skin and flows out. At this point, ulceration is formed, which is quite difficult to treat.

Like any tumor process, atheroma requires timely detection and treatment. It would be most advisable to contact an oncologist, since it is this specialist who should deal with the treatment of this kind of pathology. This is due to the fact that benign processes must be differentiated from malignant ones.

Other causes of the appearance of the ball and their treatment

The ball in the earlobe appears under the influence of various factors. Such a neoplasm can form as a result of trauma, tissue infection, or active growth of epithelial cells.

Acne or inflammatory infiltrate

The appearance of a pimple in the earlobe is caused by blockage followed by suppuration of internal tissues: hair follicles or skin glands. Such neoplasms contain pus.

Acne is not usually treated. After the balls are opened, the purulent contents themselves come out. In order to prevent the attachment of a secondary infection, it is recommended to treat the pimple with an antiseptic solution.

Traumatic tumor

Balls in the earlobes often appear with traumatic injuries, which is due to damage to local tissues. The formation of such neoplasms is considered a normal reaction of the body to insect bites, cuts and other external influences.

Edema appears in the affected area in addition to the ball.

Traumatic earlobe injury is treated with antihistamines. In case of a cut, it is recommended to treat the open wound with antiseptic ointments or solutions.

Epidermoid cyst

Less commonly, a ball on the lobe appears due to the active growth of epidermal cells. It is quite difficult to distinguish this neoplasm from atheroma. Treatment of a cone of this form is also carried out with the help of a surgical intervention, during which the cyst capsule is removed.

The child has a bump on the bone behind the ear and it hurts when pressed

Various formations, swellings that appear in us during diseases cause a significant amount of anxiety. Most often, we may encounter bumps behind the ear, which can be quite painful when palpated, which causes significant inconvenience and discomfort.

In other cases, the bump may not make itself felt for a long time, but not decrease, which is also a bad symptom.

Colds

When you have a cold, the protective functions of the body are exacerbated, which usually leads to swollen lymph nodes. Due to this, a person can find characteristic formations in himself, which can be located not only behind or under the ear, but also under the jaw, on the neck, in the groin and even on the head.

Infectious diseases

Infectious diseases, such as mumps, tuberculosis and others, can provoke the development of bumps behind the ear. Diseases of this nature can cause various complications, sometimes reaching purulent processes.

See also: Earache: treatment in adults

Injuries

A bump behind the ear can also appear due to a banal bruise. So, upon impact, swelling of the tissues occurs, which leads to compaction, and then to a build-up.

In some cases, lumps may appear in the earlobe itself, on the shell or cartilage. This happens with ear piercings and when wearing tunnels. The peculiarity of tissue scarring leads to the fact that a kind of growth appears on the lobe. It is completely painless and does not cause any inconvenience to a person. It can only be removed through surgery.

Other diseases

A bump behind the ear may indicate a number of abnormalities, pathologies and diseases. The very fact of the appearance of education should not be ignored, even if it is not accompanied by painful symptoms. In the future, they may appear in an acute form, but democratic treatment will not be effective.

Thus, the bump can be caused by such additional causes:

Regardless of the localization of the bump and swelling, treatment is necessary. Even if education does not cause inconvenience, it is still considered a deviation and pathology.

Lump behind the ear due to mastoiditis, more about this in our video:

Diagnosis

Lump behind the ear can appear for many reasons. Some of them require treatment, others do not cause discomfort and soon disappear. But you should not wait for the neoplasm to pass by itself, because this may not happen. If you have such a problem, you should definitely consult a doctor. If you have any doubts about which doctor to contact, you can visit a therapist. He will prescribe the necessary examinations and refer you to the right specialist.

Which doctor should I contact? If a bump appears behind the ear, the following doctors will help you: therapist, ENT doctor, surgeon.

Take a closer look at the appearance of the bump behind the ear

Note: It can be a little tricky to look at the appearance of the bump yourself, but if you can pull your earlobe forward and examine the lump in a mirror, you can at least get a general idea of ​​it appearance.

• If the lump behind the ear is tiny and fleshy, it is most likely a lipoma.
• If the lump behind the ear looks localized, reddened and inflamed, it is most likely a cyst, abscess or acne.
• If you find a thick, yellow, foul-smelling fluid that oozes from the bump, it is most likely an epidermoid cyst; whereas a simple discharge of fluid may indicate a sebaceous cyst.
• If the lump behind the ear looks like a purulent green or white color, it may be an abscess.

Methods of treatment

The first doctor to whom you will need to contact in case of a mass behind the ear is an otolaryngologist. He will conduct an examination and identify the source of the disease, and based on this, he can refer to other narrowly focused specialists.

Therapeutic measures that can be prescribed for the disease in question:

• physiological procedures
• tumor removal surgery
• taking analgesics
• painkillers
• antibacterial drugs

Each disease has its own method of treatment. To diagnose a variety of bumps, it is necessary to take tests, in rare cases, to take a biopsy of the growth to determine whether there is an oncological nature and a tendency to malignant neoplasms. Having determined the type of your pathology, the doctor will make an accurate diagnosis, and then offer treatment. The most used techniques are listed below, and the doctor can choose alternative methods to eliminate the swelling behind the ear.

Drug treatment:

• Lymphadenitis. The doctor prescribes medication. This is a complex of painkillers, antibiotics and anti-edema pills. In extreme cases, an operation is performed to remove the swollen lymph node.
• Infection. The disease is treated with a strict diet and bed rest for two weeks. Antipyretic, anti-inflammatory drugs and vitamins are prescribed.
• Mastoiditis. A course of drugs from antibiotics is prescribed, the infected area is first opened.

How to get rid of a lump puffed up?

Doctors warn against trying to eliminate any neoplasms in the ear area on your own. If a lump or a white lump appears on the earlobe, do not try to squeeze it out or warm it with something (baked onions, salt, iodine, etc.). Such an approach to treatment can only lead to complications, in particular, to the formation of a serious inflammatory process.

It is worth getting rid of an incomprehensible painless ball in the earlobe only after consulting a doctor in accordance with his recommendations.

What to do with inflammation?

If the earlobe is swollen and inflamed due to the appearance of a common subcutaneous pimple, you can deal with it on your own. To do this, you can:

• Apply a cotton swab moistened with Chlorhexidine to the problem area. Such lotions should be repeated often enough, and the inflammation will pass.
• Lubricate the pimple with an antibacterial ointment, for example, Levomekol, Synthomycin or Erythromycin ointment.
• Apply Vishnevsky ointment or Ichthyol ointment to the area of ​​inflammation. Such a medicine will help draw out pus and relieve the inflammatory process.

The described measures will help get rid of a pimple inside the earlobe in a fairly short time, but if they do not give the desired result within 1-2 days, it is better to consult a specialist. Also, if a lipoma or atheroma has become inflamed, such therapeutic manipulations can only be carried out before a visit to the doctor, which should be done as soon as possible. The doctor will most likely take measures to immediately remove the benign tumor, and after that he will prescribe antibiotics and antiseptic treatment of the wound.

See also: Ear hurts in an adult: the main causes of pain, when to see a doctor and how to treat with traditional medicine

meningitis, etc.). Usually the removal goes well and the patient recovers quickly.

What should not be done if there is a lump behind the ear?

Do’s and Don’ts when sealing:

• rub the neoplasm;
• warm seal;
• pierce the bump;
• expose it to direct sunlight.

Traditional treatment of the disease

There is only one way to treat neoplasms of this kind (wen, epidermoid cysts) – surgical removal.

The reasons for the intervention are the prevention of suppuration and the cosmetic factor.

Neoplasm removal is possible in several ways:

• High-frequency radio waves, under the influence of which the contents of the wen and epithelial cells evaporate, while the surrounding tissues do not heat up. Local anesthesia is used, no stitches are needed.
• Laser cautery. Like radio waves, it can only be used in the early stages of the disease, with a seal no more than 5 mm in diameter.
• Surgical removal with a traditional metal scalpel.

These types of surgeries are now carried out in outpatient clinics under local anesthesia. A thin incision is made with a scalpel and the contents of the cyst are removed. In a successful case, the surgeon manages to extract the whole capsule, but if the capsule is torn, then it is necessary to remove it piece by piece. At the end of the manipulation, sutures are applied for several days.

Traditional medicine

After an additional consultation with a doctor, you can use the following recipes:

• Grind three cloves of garlic, add 40 g of sunflower oil and apply to the cone.
• Aloe juice also has an anti-inflammatory effect. Apply juice twice a day.
• Bake an onion in the oven, chop it and mix it with 40 g grated laundry soap. After, apply the mixture to the formation and rewind with a bandage.

A bump behind the ear is often a sign of a serious pathology. Do not delay its treatment or hope for a favorable outcome without medical help. Some types of such neoplasms can damage the brain, as they are in close proximity to it. To avoid the problem, you should monitor the cleanliness of the skin, pay special attention to the health of the ears and strengthen the immune system.

Aloe

The most popular remedy among the people is aloe leaves. It effectively acts on the ball, pulling out its contents. Fresh aloe leaves should be applied to the painful earlobe several times a day.

Expert opinionSakania Luiza RuslanovnaDermatovenereologist, cosmetologist, trichologist Ask a question The course can last up to three weeks.

At the end, the ball will “open” and if pus is visible in it, it must be squeezed out with careful treatment of the wound with hydrogen peroxide.

Asterisk

This ointment has been used for more than one generation, and in the case when the ball hurts in the earlobe, it again turns out to be an invaluable assistant.

Apply Asterisk dotted on the ball, this product can make the skin slightly red, which, according to the “doctors of the people”, is a positive effect on the road to recovery.

Essential oil

Buy tea tree oil and live tree juice from the pharmacy, mix them in a ratio of 1:3 and apply to the swelling in the earlobe in small amounts. Repeat the procedure three times a day until the ball disappears completely.

Which doctor should I contact for treatment?

If a bump appears in the earlobe, you can seek advice from:

• Therapist.
• Dermatologist.
• Otolaryngologist.

Each of these specialists will be able to assess the situation and draw conclusions about the need for further more detailed diagnosis and / or targeted treatment. But if we are talking about a directed consultation, then a dermatologist will most likely come to the rescue.

A patient with this problem may be treated conservatively, advised to monitor the lump, or referred to a surgeon.

When should I see a doctor?

Naturally, such a symptom is a reason to seek medical help. After all, the human body is quite finely structured, and in this way it gives a signal of trouble.

It is very important not to neglect the advice of a specialist in such cases:

• if all lymph nodes are enlarged;
• if the appearance of seals is not associated with a cold;
• if symptoms persist after treatment or the lump continues to grow.

All these symptoms should at least alert. And only an experienced doctor, after examining and prescribing tests, will be able to make the correct conclusion and choose an effective treatment.

Complications

Complications occur in the absence of treatment and late detection of the lump. They look like this:

• Enlargement of the bud;
• Presence of inflammation;
• Suppuration;
• Increased body temperature;
• Feeling unwell;
• Tumor formation.

In order to avoid deterioration, you should contact a specialist for help in time.

Prevention

Oily skin contributes to the development of atheroma. For the purpose of prevention, it is useful to wash and take a bath using laundry soap.

In terms of nutrition, exclude from the diet too spicy and fatty foods, sweets and flour products.

And the last point of prevention is the timely treatment of all chronic diseases.

• https://netzudu.ru/golova/sharik-v-mochke-uha
• https://kcdc.ru/zuby/shishka-vozle-uha-na-skule.html
• https://fr-dc.ru/lor/dejstviya-pri-poyavlenii-sharika-v-mochke-uha
• https://MedLib.pro/sharik-v-mochke-uha/

Treatment of bruises

Articles

Treatment of bruises

Everyone fell at least once, and as a result, a wound or a bruise appeared on the body, changing color every day. The injury site began to swell and hurt. It is not difficult to accidentally stumble, hit the corner of a table, drop a heavy object on your foot, fall off a bicycle, or slip on ice in winter. There are a lot of options, agree. In this article, we will tell you what a bruise is, how to provide first aid for various types of bruises, and what to do for a speedy recovery.

What is a bruise?

A bruise is damage to the skin, muscle tissue and, in the worst case, nerve endings.
In terms of severity, bruises are divided into four degrees:

1. Minor damage. As a result, a small abrasion or scratch appears. Such a bruise goes away on its own within 2-3 days
2. Rupture of muscle tissue. As a result, edema and hematoma.
3. Damage to the skin, muscles and tendons, bruised bones.
4. This is the most pronounced degree of bruising, as a result of which the organs can no longer work normally. It’s better to see a doctor.

Symptoms of injury

The symptoms of a bruise are difficult to confuse with something else. Almost immediately there is pain in the damaged area, the formation of edema and hematoma. Bruises are characterized by the fact that the pain decreases after a while, and then increases again due to increased swelling. This distinguishes a bruise from a fracture. With a fracture, the pain does not subside, movements are difficult and painful.
By the way, a hematoma may not appear immediately. The time of its appearance is related to the depth of the hemorrhage. If you bruised the skin or subcutaneous tissue, a hematoma will appear almost immediately, and if the bruise occurred on the muscles or bones, you will see a hematoma after 2-3 days. A fresh hematoma has a red color, then it turns purple, blue, green, yellow. By the color of the hematoma, it is easy to find out the age of the bruise.

What to do if you get hurt. First Aid

• Do not panic. Try to move less, and it is better to sit or lie down.
• If the skin is damaged, it must be treated with disinfectants. They will not speed up wound healing, but they will destroy microbes that slow down tissue regeneration. For these purposes, hydrogen peroxide, chlorhexidine digluconate, an aqueous solution of furacilin are suitable. All these products are inexpensive, they can be bought at every pharmacy and always kept in the first aid kit. Important: alcohol-containing products – iodine solution, brilliant green, pure alcohol – cannot be applied to an open wound, only along its edges. If applied, you will get burned.
• Then apply a cold compress. Make it from ice or any product from the freezer. We recommend wrapping the ice in a thick cloth. This is important to avoid frostbite. You can also attach a cloth soaked in cold water or a bottle of milk from the refrigerator. Due to the cold, the damage to the blood vessels will decrease, the bleeding will stop, the pain will not be so strong, the hematoma will not grow. Keep the cold for about 20 minutes, after an hour you can repeat the procedure.
• If the bruise is severe, it is better to consult a doctor. Especially if you hurt your head.

What can not be done with an injury?

• Under no circumstances should the injury be heated. Warming up will worsen the condition. Start it only after 2 days.
• We advise you not to drink alcohol, it dilates blood vessels.
• Do not massage the bruised area.
• It is better to reduce activity and not play sports.


Since hematoma and pain are the most common consequences of a bruise, we will tell you how to deal with them with folk and pharmacy remedies.

Remedies for bruises

Popular and inexpensive pharmaceutical products that will relieve pain and reduce inflammation. Buy them in all LekOptTorg pharmacies and on the website:

• Diclofenac. Used for pain relief in inflammatory diseases of the musculoskeletal system. Tablets are contraindicated in the 3rd trimester of pregnancy. Diclofenac is used with extreme caution in diseases of the liver, kidneys, asthma, heart failure, as well as in old age. The maximum dose of 150 mg should not be used for more than 5-7 days. Read the detailed instructions for receiving on our website in the product card.
• Ibuprofen. Helps to relieve pain and reduce fever (at temperature). It is used for traumatic inflammation of the musculoskeletal system and soft tissues. Do not take during pregnancy and during breastfeeding. Read the detailed instructions for receiving on our website in the product card.
• Paracetamol. Unlike other drugs, it does not relieve inflammation, but only relieves pain. But most often, paracetamol is in every medicine cabinet. Tablets are not recommended to be taken on an empty stomach, as well as in liver and kidney failure. Detailed instructions for receiving can be found on our website in the product card.

Pharmaceutical remedies for bruises

These funds will help relieve swelling and resolve the hematoma. We advise you to keep these funds in your first aid kit in case of an emergency.

• Badyaga. Inexpensive gel made from natural ingredients. Helps relieve swelling, reduce bruising, improve blood circulation, help regenerate and heal the skin. In addition, the gel has an antibacterial effect. Badyaga forte is loved by summer residents and they buy it in a country first-aid kit. The gel is applied simply – in a circular motion on the affected area. The product is absorbed into the skin and begins to act within 15-20 minutes. The gel should not be used for skin rashes, applied to wet wounds and fresh scratches.
• Balm “Rescuer”. Another inexpensive remedy for bruises and more. It contains extracts of calendula flowers, sea buckthorn, tea tree, rose and lavender oil. The balm restores the protective properties of the skin and has a positive effect on its regeneration. Reduces pain, relieves swelling and inflammation. It is important that he balm does not contain antibiotics and hormonal agents.
• “Troxevasin”. Reduces puffiness, relieves inflammation, soothes the skin and relieves pain, which is often bothered by a bruise. It is recommended to use Troxevasin gel 2 times a day.


In order to choose the right remedy that will help in a particular situation, we recommend that you consult a doctor.
In addition to over-the-counter products, try home remedies for bruises. The only thing is that they will take a little more time to cook.

home remedies for bruises

• Salt baths.

Taking a bath will not only help you relax and recover, but it will also relieve pain and inflammation. Therefore, fill the bath with water at a comfortable temperature, add Epsom salts (magnesium sulfate) and enjoy the procedure for an hour. This bath can be taken 2 times a week.
We remind you that you can heat the bruise after 2-3 days. For the first days, do not forget to apply cold to the injury site.