Chirurgische Praxis Alstertal Heegbarg 14 22391 Hamburg Tel: +49 (0) 40 602 30 06

 Paronychia- Panaritium – ingrown Nail

Handsurgery und Surgical Practice Alstertal Hamburg Poppenbüttel – Tel: +49 40 602 30 06 Handsurgeon Dr. Stefan Peters


Our most common disease. Paronychia is a bacterial infection in the Nail pouch.

By ineffective or wrong nail care and many other causes bacteria fall into the gap nail / nail pocket. Once the bacterias are in the pouch, extinction is sometimes difficult. Often the infection is spreading, there is a painful putrid  swelling of Toes/ finger. However, even when this problem first appears trivial, it can lead to a bacterial infection of the bone, which is located directly under the nail bed. In our view, the problem of ingrown / inflamed nail is often underestimated.


Ointments, baths and other  can applicated some days; we experience almost daily  patients who come   weeks after frustrate Treatment in our practice, with spread infection. Why? Because they fear, the surgeon “will operate without hesitation.” Indeed:, only by a small, painless incision performed under local anesthesia nail part removal and Cleaning can solve this problem quickly, safely and comfortable.

However,if there is an option, to cure without operation, we will suggest this as well. The decision regarding the date from which wait is useless and the infection worsens, becomes chronic, is our most often decisions to be taken.


Operation room

in local (Oberst) anesthesia removal of a small nail part. chronic infected tissue will be removed. The whole procedure needs less than 5 minutes and is (due to the anesthesia) absolutely pain free.

What’s next

When surgical treatment is done, recovery within 2-5 days will happen. Some patients will need, if the problem reoccurs, a permanent Nail Plastic (Emmet procedure).


Disclaimer Info Pages

 Dear Patient, this page is made to inform you and provides essential information about medical issues.

We have published this page in good faith and based on our years of experience and  latest scientific findings.

Of course, a guarantee for  correctness and completeness can not be given in the rapidly-developing field of medicine. Even other doctors may disagree. 

However, we are convinced: You will be informed  useful and responsible. Nevertheless, we encourage you to gather information  also from different sources.


  • Dr. med. Stefan Peters
    Trauma Surgery
    General Surgeon

    Dr. med. Stephan Berg
    General Surgeon
    Trauma Surgery

  • Hours of Service

    8:30–11:30 + 16:00–17:30
    8:30–11:30 + 16:00–17:30
    8:30–11:30 + 16:00–17:30

    fresh accidents
    (the same day):

    Monday to Friday 8:00–18:00 clock

    … and by appointment.