If you have bacterial paronychia, soaking your nail in hot water 2 or 3 times a day helps reduce swelling and pain.

Your doctor may prescribe antibiotics. In severe cases, your doctor may cut and drain the sore with a sharp instrument. Part of the nail may need to be removed.

If you have fungal paronychia, your doctor may prescribe antifungal medicine. Keep your hands dry and apply a skin-drying substance, such as Castellani's paint.

Paronychia usually responds well to treatment. However, fungal infections may last for several months.

Complications are rare, but may include:

• Abscess
• Permanent changes in the shape of the nail
• Spread of infection to tendons, bones, or bloodstream

Call your health care provider if:

• Paronychia symptoms continue despite treatment
• Symptoms worsen or new symptoms develop, such as:
  • Chills
  • Development of red streaks along the skin
  • Fever
  • General ill feeling
  • Joint pain
  • Local spread of symptoms
  • Muscle pain