Great work on the paclitaxel! Iβm on it at present. I have had minor PN and no nail changes maybe helped by doing cold therapy to both feet and hands, but no sign of any swelling. I do know that nail effects are part of paclitaxel damage, these can include nail colour changes like nicotine staining or darker, nail tenderness, swelling under nail, breakage and splitting, and separating from the nail bed sometimes completely and therefore falling off. Usually all recovers and helps if keep nails short, avoid soaking hands eg wear gloves and if nail sore cover to protect from any knocks. Donβt wear tight or rubbing shoes. Perhaps it is worth mention the swelling to your Onco tomorrow? All the best for your ongoing treatment xx