Ingrown Toenail
Foot & Ankle Care of Colorado
When a toenail becomes ingrown, it means that it curves and grows into the skin, typically at the sides of the nail. This inward growth can irritate the surrounding skin, leading to symptoms such as pain, redness, swelling, and warmth in the affected toe.
If the ingrown nail breaks the skin, bacteria can enter and cause an infection. Signs of infection may include drainage from the affected area and a foul odor. It’s important to note that even if the toe does not currently exhibit pain or signs of inflammation, a nail that continues to curve downward into the skin has the potential to develop an infection over time.
Managing ingrown toenails involves careful attention to foot hygiene, proper nail trimming techniques, and wearing appropriate footwear. In cases where infection is present or the ingrown toenail is persistent and painful, seeking medical attention from a healthcare provider or a podiatrist is recommended for appropriate treatment, which may include nail trimming, antibiotics for infection, or, in severe cases, surgical removal of the ingrown portion of the nail.
Causes of Ingrown Toenails
- Heredity. In many people, the tendency for ingrown toenails is inherited.
- Trauma. Sometimes an ingrown toenail is the result of trauma, such as stubbing your toe, having an object fall on your toe or engaging in activities that involve repeated pressure on the toes, such as kicking or running.
- Improper trimming. The most common cause of ingrown toenails is cutting your nails too short. This encourages the skin next to the nail to fold over the nail.
- Improperly sized footwear. Ingrown toenails can result from wearing socks and shoes that are tight or short.
- Nail conditions. Ingrown toenails can be caused by nail problems, such as fungal infections or losing a nail due to trauma.
Ingrown Toenail Symptoms
Ingrown toenail symptoms include:
- Pain and tenderness
- Inflamed skin
- Swelling
- Infection
Preventing Ingrown Toenails
Many cases of ingrown toenails may be prevented by:
Proper trimming. Cut toenails in a fairly straight line, and do not cut them too short. You should be able to get your fingernail under the sides and end of the nail.
Well-fitting shoes and socks. Do not wear shoes that are short or tight in the toe area. Avoid shoes that are loose because they too cause pressure on the toes, especially when running or walking briskly.
Home Treatments
If you do not have an infection or any of the above medical conditions, you can soak your foot in room-temperature water (adding Epsom salt may be recommended by your doctor) and gently massage the side of the nail fold to help reduce the inflammation.
Avoid attempting “bathroom surgery.” Repeated cutting of the nail can cause the condition to worsen over time. If your symptoms fail to improve, it is time to see a foot and ankle surgeon.
What You Should Know About Home Treatment
- Do not cut a notch in the nail. Contrary to what some people believe, this does not reduce the tendency for the nail to curve downward.
- Do not repeatedly trim nail borders. Repeated trimming does not change the way the nail grows and can make the condition worse.
- Do not place cotton under the nail. Not only does this not relieve the pain, it provides a place for harmful bacteria to grow, resulting in infection.
- Over-the-counter medications are ineffective. Topical medications may mask the pain, but they do not correct the underlying problem.
Physician Treatments
After examining the toe, the foot and ankle surgeon will select the treatment best suited for you. If an infection is present, an oral antibiotic may be prescribed.
Sometimes a minor surgical procedure, often performed in the office, will ease the pain and remove the offending nail. After applying a local anesthetic, the doctor removes part of the nail’s side border. Some nails may become ingrown again, requiring removal of the nail root.
Following the nail procedure, a light bandage will be applied. Most people experience very little pain after surgery and may resume normal activity the next day. If your surgeon has prescribed an oral antibiotic, be sure to take all the medication, even if your symptoms have improved.
