Nerve irritation
 

Hi
My wound is not healed properly after ingrown toenail surgery which is causing swelling. Which is causing nerve irritating and burning pain. Surgery was on big toe 4 months back . I had phenol burn reaction which burned my right side of toe.
Is there any thing I can do to reduce inflammation and swelling. And heal the wound and nerve. Thanks

are you soaking in epsom salt baths?

This would improve circulation and perhaps help. Magnesium is helpful for restoring blood circulation in the periphery.

However phenol is very damaging. There may be permanent damage from it if it burned you so badly.

I had a boulder rock fall on my rt. big toe almost 15 yrs ago.
It broke the toe in two places. To this day I have pain and tingling when I flex my toe. Also just recently the nail fell of again...since the injury. Sometimes injuries from surgery and/or trauma are forever I am afraid to say.

Thanks mrs d.
If there is permanent damage would that produce burning pain? Also toe is very tender and sore . Is it because of nerve ? I m sorry for questions. Doc is just telling me to be patient. Which obviously I m not good at. ;)

Healing nerves takes time. You need to improve the circulation to bring in the healing nutrients. So epsom salts soaks are an easy non invasive way to do that.

The nerves in the periphery are of 4 types. One is a fast nerve that attaches to tendons, to tell the brain where the foot is when in motion. The other 3 have one unmyelinated C fibers which are very slow, and 2 others that have some myelin (myelin = insulation)

Neuroscience For Kids - conduction velocity

The yellow in the above link is the myelin on that nerve type.

When you move around PN can become less felt, as the nerves with myelin cover up the signals from the C fibers and the other two partially myelinated ones. Typical PN discomforts come when the patient is still.

There are people who have Morton's Neuromas removed who continue to have pain, anyway. They show up on this message board now and then.

Nerves are meant to signal things, and sometimes they continue after surgeries or traumas. That is just the way it can be.
I'd avoid ANY invasive procedure for now. Also use some Vit C
daily for a couple of months, 500-1000mg a day, to see it improves. There are studies from Europe about Vit C prevent RSD changes in feet and hands.

Thanks.
Doc has ruled out rsd as He thinks toe takes time to heal and due to phenol burn it is taking time.
I went to 4 docs and 3 of them ruled out rsd . One said possible rsd but I made a mistake of telling him my pain levels too high which is certainly not the case. 3/4 is the pain level that too when I walk too much.
Some times I get confused on whether it's burning pain or just toe being too sore. Also I don't have any problems moving my toe. There is swelling and redness. No color or temp change.

If you are brave, here is a step by step photo sequence of how an
ingrown toenail is fixed using phenol:

A Doctor's Notes on Ingrown Toenail Surgery - Health - NAILS Magazine

Ingrown Toenail Removal - American Family Physician

If you suspect an infection, (there would be warmth and redness if infection were present), then soaking in Epsom salts would open up the tissues' small blood vessels to let in the white blood cells to finish it off.

You should try this and also keep your foot elevated as much as possible as this helps to clear minor infections in the foot as well.

Thanks. I will try that .
I didn't watch the videos .too scary. Wondering if phenol burn would cause 2nd degree burn.

Phenol in that concentration mentioned on that first link is 89% and at that high % kills tissue. (that is what happens to the root of your toenail.... obliterated).

89% is highly dangerous. So yes, it can destroy normal tissues if misused.