Treatment for a felon usually includes antibiotics and pain medications. In some cases, an incision and drainage procedure may be required.
Treatment for a felon includes:
- Dicloxacillin (Dycill, Dynapen)
- Erythromycin (EES, E-Mycin, Ery-Tab)
- Cephalexin (Keflex, Biocef)
- Nafcillin (Unipen)
- Trimethoprim sulfamethoxazole (Bactrim, Septra)
- Nonsteroidal anti-inflammatory medications for pain:
- Ibuprofen (Motrin, Advil, Nuprin, NeoProfen)
- Ketoprofen (Actron, Orudis, Oruvail)
- Naproxen (Anaprox, Naprosyn, Aleve)
- Celecoxib (Celebrex)
- Narcotic pain medication:
- For moderate to severe pain
- For short term use only
- Incision and drainage for the felon
Incision and drainage:
- The skin is sterilized using rubbing alcohol or an antibacterial soap.
- A local anesthetic is injected into the base of the finger to numb the fingertip.
- An incision is made with a scalpel into the felon.
- Pus is drained from the abscess.
- The abscess cavity is flushed clean.
- In some cases, a rubber drain or a strip of sterile gauze is packed inside the abscess cavity.
- The gauze or drain placed inside the abscess cavity is usually removed 24-36 hours later.
Continue to Felon Home Care
- Clark DC. Common acute hand infections. Am Fam Physician. 2003 Dec 1;68(11):2167-76. 
- Roberge RJ, Weinstein D, Thimons MM. Perionychial infections associated with sculptured nails. Am J Emerg Med. 1999 Oct;17(6):581-2.