Unhas encravadas e roídas

Em primeiro lugar, é preciso definir a diferença entre unhas encravadas e encravadas, pois o tratamento nem sempre é o mesmo para ambas. 

*It’s important to note that we only work on open wounds after an MD has approved or recommended the client or patient to us, and doing so with success prevents painful invasive surgery.

Ingrowing nails are caused by changes in the curvature of the natural nail plate, splintering of the lateral nail plate, or changes in the nail unit skin structure. That is the root cause for ingrowing nails. Ingrown nails are caused by ignoring or not properly treating ingrowing nails. 

When it comes to ingrowing or ingrown nails, we usually think of toenail problems in the feet. When we mention toenail problems or nail problems, we turn into strange beings. ‘Cover up’ is the name of the game, with ‘denial’ being our best friend. However, when we really think about it, we see that sometimes situations occur that we have no control over.

Também tendemos a nos sentir envergonhados com qualquer tipo de infecção nos pés e, portanto, tendemos a agir muito lentamente. 

In the real world where most of us live, there comes a moment in time when you can’t reach your feet to take care of them. Or maybe life just got in the way. You find yourself suddenly living alone when your partner always took care of your feet. Or you broke your hip, and there is no way for the next 6 months you are coming anywhere close to being able to take care of your feet. Or maybe you got some kind of fungal infection at the swimming pool, and you are too embarrassed to let anyone see it…. And that’s where the story begins.

With fingernails, we tend to act sooner. However, we do not always do it in the right manner, causing a recurrence of the problem. Hangnails are a perfect example of nail plate problems in the lateral nail fold that is so common yet, somehow, we choose an inadequate solution like cutting it away with a sharp tool causing the problem to reoccur. Good maintenance of the nail unit, and regular use of cuticle oil and lotion, are important to help prevent reoccurrence.

We can temporarily help with nail unit taping – this will not solve the problem. Or we can use a nail brace or composite resin to relieve the problem.

Os motivos gerais para unhas encravadas ou encravadas são:

• Unhas cortadas incorretamente 
• Cortar ou rasgar o canto da unha
• Afinamento mecânico da placa ungueal
• Remoção mecânica da dobra lateral da unha
• Sapatos com ajuste inadequado
• Trauma
  • Changes to the Distal Phalanx
• Infecção 
• Doença
  • Líquen plano
  • Alopecia areata
  • Psoríase 
  • Diabetes 
  • Artrite
• Algumas quimioterapias 

It can be that the nail plate structure has been compromised by overfilling, causing the nail plate structure to collapse or splintering of the nail plate in the lateral nail folds (we see this more often in fingernails). It can also be that the structure of the nail plate has been compromised by an accident, or even roer a unha plate or lateral nail folds.

Cutting out the corner of an ingrowing nail may give instant relief for about 30 seconds. Then, an infection will generally be the result. When we do this, we forget that the nail plate is in continuous movement 24/7. This causes the cut edge of the nail plate to dig into the paronychium cup causing even more problems. 

O fato de não conseguir manter a mão/pé é uma complicação adicional. A educação e o treinamento adequados são essenciais para a aplicação correta de aparelhos feitos à mão ou de resina composta para corrigir placas ungueais encravadas ou em crescimento. Mas isso evitará uma cirurgia invasiva e dolorosa em oito ou dez vezes.