Medical Care
Paronychia does not always have to be treated by a physician. In many cases, home remedies may help decrease redness and pain. However, there are times when the redness and infection extend to the entire digit and be associated with severe pain. Further, the infection can extend into the deeper spaces of the fingertips. In such scenarios, a visit to a doctor or the Emergency room would not be a bad idea.
The treatment of pus in a fingertip usually requires a small incision to allow the fluid to drain. Pus drainage is not something that should be attempted at home, unless you have both medical personnel and sterile equipment at home.
Diagnosis
The diagnosis of a nail bed infection does not require any type of radiological study. Any physician with reasonable skills should be able to make a diagnosis of paronychia from a physical exam. It is very rare to obtain any blood work or x rays when a paronychia is suspected.
Self-Care at Home
When a paronychia first develops, one should start home remedies at once. Soak the finger in warm water 3-4 times a day. Soak the hand for at least 15-30 minutes each session. Soaking will relieve pain, redness, and swelling. There is a lot of debate about adding antibiotics or anti septic to the warm water soaks. In most cases, there is no need to do add anything. A simple soap and warm water is more than adequate.
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