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Cuts, Scrapes & Puncture Wounds

First aid for puncture wounds includes cleaning the area well and keeping the foot elevated for several days (depending on the severity of the puncture wound). Especially if the puncture wound occurred through tennis shoes, an evaluation by a healthcare professional should be sought. Additionally, diabetics, the elderly, those persons taking drugs that can suppress the immune system (such as cortisone-related medications), or any particularly deep puncture wound should be seen by a healthcare professional. This is particularly true if it was difficult to remove the nail, indicating that it may have penetrated the bone. Most puncture wounds do not become infected, but if redness and swelling persist, see your health care professional.

Puncture wounds commonly occur when someone steps on a nail. It is a good idea to wear shoes to minimize the risk of a puncture wound, especially if you have diabetes or loss of sensation in the feet for any reason.

Will I need a tetanus shot?

Most people in the United States have been immunized against tetanus (lockjaw). If you have been immunized, you will need a booster shot if you have not had one in over five years. If you have never had a tetanus shot, or if your series is incomplete (fewer than 3 shots), you might need tetanus immunoglobulin, a medication that can prevent lockjaw.

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