To make bandage changes easier, gently soak the dressing in clean, warm water or saline first so it slides off without pulling. For healing, a moist environment is key. Colloidal silver gel is generally better than Betadine, as povidone-iodine can sometimes irritate new tissue and delay healing, whereas the gel keeps the wound hydrated. To speed up recovery, keep the scrape covered, apply a thin layer of petroleum jelly or the gel to prevent sticking, avoid picking any scabs, and stay well-hydrated.

The bleeding you see now is often a normal part of healing as new, healthy tissue forms. Please keep the heel clean by washing it gently with mild soap and water, and protect it with a sterile bandage. Since puncture wounds can carry hidden risks, it is best to have a healthcare provider evaluate it to ensure it is healing safely from the inside and to check if your tetanus booster is up to date. Monitor for any returning warmth, redness, or pus.

I understand why you want to keep this sensitive area clean, but it is generally not recommended to use standard Betadine (povidone-iodine) antiseptic washes on your genitals. The skin there is very delicate, and strong antiseptics can disrupt your natural pH balance and healthy bacteria, leading to irritation, dryness, or infections. Unless a doctor has specifically prescribed a povidone-iodine product for a medical reason, it is safest to clean your external genital area using just warm water or a very mild, fragrance-free soap. If you are experiencing any discomfort or unusual symptoms, please consult a healthcare provider

For daily hygiene, washing with warm water is safest. If you prefer a cleanser, use a mild, unscented, gentle soap. Please avoid using medicated products like Ketostar soap or Betadine daily; they are too harsh for this sensitive area and can cause severe irritation unless prescribed for a specific infection. For hair removal on the shaft, we strongly advise against chemical depilatory creams, as this delicate skin is highly prone to chemical burns. Safe trimming or careful shaving is much gentler. Treat this sensitive area with extra care.

Having an open, severely painful wound one month postpartum is not typical, even while using antibiotics and povidone-iodine (Betadine). Your comfort and healing are incredibly important, and you should not have to manage this level of pain. Seeking a second opinion from another OB/GYN is a very reasonable and proactive step. A fresh evaluation can ensure the wound is healing correctly, check for any underlying issues, and help find a better way to manage your pain.

Since you cleaned it with Betadine, you have taken a great first step. If your last tetanus shot was more than five to ten years ago, or if the injury occurred in a dirty environment, getting a booster is highly recommended. The trapped blood under your nail and the potential fracture should be evaluated by a healthcare professional. They can safely drain the pressure if it is causing throbbing pain and perform an X-ray to check for a break. For now, keep your foot elevated, apply ice wrapped in a cloth, and rest.