My husband is in extreme pain with his thumb. It is swollen and tender. Even Tramadol,which I happened to have on hand, has not helped. Neither has ibuprofen, and even with a sleeping pill, he is not able to sleep. We suspect that it is some kind of nail fungus, as it is most tender near the nail and on the side of his thumb. He has tried soaking it a few times in epsom salts and hot water, which has helped a little but not much. It is a weekend, and we re not sure if we should go to the emergency room or not, or what to do. He s had it for almost 10 days, and we kept thinking it would just go away on its own. He just had a physical on Thursday, and the doctor did not seem that concerned, and so did not provide him with a prescription for anything. But since then, it has gotten worse. Any advice? Thanks.