How to diagnose an ingrown toenail. What are the most common causes of ingrown toenails. Which home remedies can provide relief from ingrown toenail pain. When should you seek medical treatment for an ingrown toenail. How to prevent ingrown toenails from recurring.

Understanding Ingrown Toenails: Causes and Symptoms

Ingrown toenails occur when the edge of a toenail grows into the surrounding skin, causing pain, redness, and swelling. This common condition affects approximately 20% of people at some point in their lives, with the big toe being the most susceptible.

Several factors contribute to the development of ingrown toenails:

• Toenail trauma (e.g., stubbing your toe)
• Wearing ill-fitting shoes
• Improper toenail trimming techniques
• Poor foot hygiene
• Excessive sweating (hyperhidrosis)
• Certain medications, such as epidermal growth factor receptor inhibitors

Can you identify an ingrown toenail? The primary symptoms include:

• Pain and tenderness along the nail edge
• Redness and swelling of the affected toe
• Possible infection if left untreated

Effective Home Remedies for Ingrown Toenail Relief

For mild cases of ingrown toenails, several home remedies can provide relief and promote healing:

1. Warm Water Soaks

Soaking the affected foot in warm, soapy water for up to 20 minutes can help reduce swelling and alleviate pain. Consider using Castile soap or adding Epsom salts for enhanced relief.

2. Apple Cider Vinegar Soak

While scientific evidence is limited, apple cider vinegar is believed to have antiseptic, anti-inflammatory, and pain-relieving properties. Try soaking your foot in a mixture of warm water and 1/4 cup apple cider vinegar for up to 20 minutes daily.

3. Cotton or Dental Floss Technique

Some experts recommend gently tucking small bits of cotton or waxed dental floss under the edge of the ingrown toenail to encourage proper growth. However, this method is controversial, as it may increase pain and promote bacterial growth. If you choose to try this technique, consider soaking the cotton or floss in alcohol before application to reduce the risk of infection.

4. Over-the-Counter Antiseptic Ointments

Applying an antiseptic ointment or cream can help promote healing and reduce the risk of infection. Popular options include:

• Neomycin (Neosporin)
• Bacitracin/polymyxin B (Polysporin)
• Mupirocin (Bactroban)

Apply the ointment to the affected toenail up to three times daily, following the manufacturer’s instructions. Be sure to bandage the toenail after application.

Proper Footwear and Pain Management Strategies

Addressing footwear issues and managing pain are crucial aspects of ingrown toenail treatment:

5. Wearing Appropriate Shoes and Socks

Tight shoes and socks can exacerbate ingrown toenails. Opt for footwear that provides ample space in the toe bed. During the healing process, consider wearing sandals or open-toed shoes to minimize pressure on the affected nail.

6. Over-the-Counter Pain Relievers

Acetaminophen (Tylenol) can help alleviate ingrown toenail pain. For cases involving swelling, ibuprofen (Advil) may be more effective as it addresses both pain and inflammation. Always follow the manufacturer’s dosage instructions and consult a healthcare professional if you have any concerns.

Advanced Treatment Options for Ingrown Toenails

For more severe cases or those that don’t respond to home remedies, consider the following treatment options:

7. Toe Protectors

Toe protectors provide a cushioning barrier for ingrown toenails. Available as rings or full toe coverings, some brands like Dr. Scholl’s include medicated gel to soften toenails for easier trimming.

8. Toe Braces

Toe braces are thin composite devices that hold the toe in place and protect the skin as the new nail grows. These can be effective for both treatment and prevention of ingrown toenails.

9. Oral Antibiotics

In cases of severe infection that don’t respond to other treatments, your doctor may prescribe oral antibiotics to reduce pain, swelling, and fight the infection.

Recognizing Signs of Infection and Seeking Medical Attention

While many ingrown toenails can be treated at home, it’s essential to recognize signs of infection that require medical attention:

• Increased redness and warmth around the affected area
• Throbbing pain
• Pus or discharge from the nail
• Fever or chills

When should you consult a healthcare professional? Seek medical attention if:

• Home remedies fail to provide relief after several days
• You notice signs of infection
• You have diabetes or poor circulation, as these conditions can increase the risk of complications
• The pain is severe or interferes with daily activities

Surgical Interventions for Chronic Ingrown Toenails

In some cases, surgical intervention may be necessary to address chronic or severe ingrown toenails. Common procedures include:

10. Partial Nail Avulsion

This procedure involves removing the portion of the nail that is ingrown. The nail matrix may also be treated to prevent regrowth of the problematic section.

Matrixectomy

For recurrent ingrown toenails, a matrixectomy may be performed. This procedure permanently removes a portion of the nail matrix, preventing future ingrowth in that area.

How are these surgical procedures performed? Typically, they are done under local anesthesia in a doctor’s office or outpatient setting. Recovery time varies but usually ranges from a few days to a couple of weeks.

Prevention Strategies for Ingrown Toenails

Preventing ingrown toenails is often easier than treating them. Here are some effective prevention strategies:

• Trim toenails straight across, avoiding rounded edges
• Keep nails at a moderate length – not too short or too long
• Wear properly fitting shoes with adequate toe room
• Use protective footwear in high-risk environments (e.g., construction sites)
• Practice good foot hygiene, keeping feet clean and dry
• Avoid picking or tearing at your toenails

How often should you trim your toenails to prevent ingrowth? Aim to trim your toenails every 6-8 weeks, or as needed to maintain a comfortable length.

The Impact of Ingrown Toenails on Daily Life and Activities

Ingrown toenails can significantly affect one’s quality of life and ability to perform daily activities. Consider the following impacts:

• Difficulty walking or exercising comfortably
• Limitations in footwear choices
• Reduced participation in sports or physical activities
• Potential embarrassment or self-consciousness about foot appearance
• Interference with work performance, especially in jobs requiring prolonged standing or walking

How can you minimize the impact of ingrown toenails on your daily life? Prompt treatment and adherence to prevention strategies are key. Additionally, consider the following tips:

• Use cushioned insoles or orthotics to redistribute pressure on the affected toe
• Temporarily modify your exercise routine to avoid aggravating the condition
• Communicate with your employer about any necessary accommodations during healing
• Practice stress-reduction techniques, as stress can exacerbate pain perception

Understanding the Role of Genetics and Nail Structure in Ingrown Toenails

While external factors play a significant role in the development of ingrown toenails, genetic predisposition and nail structure can also contribute to the condition. Consider the following aspects:

Genetic Factors

Some individuals may be genetically predisposed to developing ingrown toenails due to inherited nail shape or structure. For example, nails that are naturally more curved or fan-shaped may be more prone to growing into the surrounding skin.

Nail Thickness and Growth Rate

The thickness and growth rate of your nails can influence your susceptibility to ingrown toenails. Thicker nails may be more difficult to trim properly, while faster-growing nails may require more frequent maintenance to prevent ingrowth.

Toe Shape and Alignment

The natural shape and alignment of your toes can affect your risk of developing ingrown toenails. For instance, toes that are naturally curved or crooked may be more prone to nail ingrowth.

How can you manage ingrown toenails if you have a genetic predisposition? While you can’t change your genetic makeup, you can take proactive measures:

• Be extra vigilant about proper nail care and trimming techniques
• Consider regular visits to a podiatrist for professional nail care
• Use specialized nail braces or correction devices as recommended by a healthcare professional
• Explore long-term solutions, such as partial permanent nail removal, for recurrent cases

The Connection Between Foot Health and Overall Well-being

Maintaining good foot health, including the prevention and proper treatment of ingrown toenails, is crucial for overall well-being. Consider the following connections:

Physical Activity and Exercise

Healthy feet are essential for maintaining an active lifestyle. Ingrown toenails can hinder physical activity, potentially leading to a more sedentary lifestyle and associated health risks.

Posture and Alignment

Foot problems, including those caused by ingrown toenails, can lead to changes in your gait or posture as you try to avoid pain. This can potentially cause issues in other parts of your body, such as your knees, hips, or back.

Mental Health

Chronic foot pain or recurring ingrown toenails can impact mental health, potentially leading to stress, anxiety, or depression, especially if the condition limits daily activities or social interactions.

Systemic Health Concerns

For individuals with certain health conditions, such as diabetes or peripheral arterial disease, proper foot care becomes even more critical. Ingrown toenails in these cases can lead to more severe complications if left untreated.

How can you prioritize foot health as part of your overall wellness routine? Consider these strategies:

• Incorporate foot exercises and stretches into your daily routine
• Practice regular foot self-examinations to catch potential issues early
• Invest in properly fitting, supportive footwear for various activities
• Consider periodic consultations with a podiatrist, especially if you have recurring foot issues or underlying health conditions
• Address foot pain or discomfort promptly rather than ignoring it

By understanding the broader implications of foot health and taking proactive measures to prevent and treat conditions like ingrown toenails, you can contribute significantly to your overall well-being and quality of life.

10 Remedies for Ingrown Toenails

Ingrown toenails cause pain, redness, and swelling. Home remedies and medical treatments can help relieve symptoms and prevent future infections.

Ingrown toenails are a common problem, especially for people who wear shoes that are too tight or don’t allow their feet to breathe.

Around 20 percent of people experience an ingrown toenail at some point in their lives. Symptoms of an ingrown toenail can include pain and swelling of the toe. Sometimes, the nail may become infected.

There are many treatments for ingrown toenails, ranging from home remedies to surgery. In most cases, you can treat an ingrown toenail at home with over-the-counter medication or home remedies. However, if the nail is infected or causing severe pain, you may need to see a doctor for treatment.

An ingrown toenail happens when the corner or edge of your toenail curves and grows into the surrounding skin. This may cause pain, redness, and swelling. The condition is very common in both men and women. Your big toe is most likely to be affected.

Common causes of ingrown toenails are:

• toenail trauma, such as stubbing your toe
• wearing shoes that are too tight
• cutting toenails too short
• cutting toenails at an angle
• poor foot hygiene
• excessive sweating (hyperhidrosis)
• certain medications, including epidermal growth factor receptor inhibitors

To prevent infection, it’s important to treat ingrown toenails as soon as they occur. Mild cases may require minor treatment with home remedies. Serious cases may need surgical intervention.

The following treatments can help relieve pain and promote the healing of an ingrown toenail.

Soaking the affected foot may help reduce swelling and ease the pain. You can soak your foot in warm, soapy water for up to 20 minutes at a time. Castile soap is a good option. Adding Epsom salts to the water may bring additional relief.

Apple cider vinegar is a folk remedy for almost everything these days, including ingrown toenails. It’s believed to have antiseptic, anti-inflammatory, and pain-relieving abilities, although scientific evidence is limited.

To try this remedy, prepare a basin of warm water combined with 1/4 cup apple cider vinegar. Soak the affected foot for up to 20 minutes daily. Dry your foot thoroughly after soaking.

Some experts recommend tucking small bits of cotton or waxed dental floss under the edge of an ingrown toenail to encourage proper nail growth. Not every medical group agrees.

According to the American College of Foot and Ankle Surgeons, placing cotton under your nail may increase pain and allow harmful bacteria to thrive. Soaking the cotton or floss in alcohol before application may help reduce this risk.

Using over-the-counter antiseptic ointment or cream can promote healing and help reduce the risk of infection. Apply the ointment to the affected toenail following the manufacturer’s instructions, usually up to three times daily.

These ointments can include:

• neomycin (Neosporin)
• bacitracin/polymyxin B (Polysporin)
• mupirocin (Bactroban)

Be sure to bandage the toenail after application.

Shoes and socks that are too tight can crowd your toes. Improper footwear is a leading cause of ingrown toenails. To help prevent an ingrown toenail from developing or worsening, wear shoes and socks or hosiery that fit but still leave ample space in the toe bed. During the healing process, avoid shoes or wear sandals as much as possible to limit pressure on your toenails.

Acetaminophen (Tylenol) may help relieve ingrown toenail pain. Side effects are unusual unless you take more than the daily recommended amount of 2 325 milligram (mg) tablets every 4 to 6 hours. Do not exceed 10 tablets in 24 hours and don’t take it with alcohol.

If swelling is present, ibuprofen (Advil) may be a better option because it relieves both pain and swelling. Some common side effects of ibuprofen include abdominal pain, upset stomach, and diarrhea.

Take all over-the-counter pain relievers as directed by the manufacturer or a doctor.

A toe protector provides a cushioning barrier for ingrown toenails. Toe protectors are available as rings that fit around the affected area or as a covering for the entire toe. Some brands of toe protectors, such as Dr. Scholl’s, come with a medicated gel to help soften toenails for easy trimming. Use the treatment as directed until the ingrown toenail is gone.

Toe braces are thin composite devices that hold the toe in place and shield the skin from as a new nail grows back. They help treat and prevent ingrown toenails. You can find toe braces online and in some pharmacies.

Your doctor may prescribe oral antibiotics for a severe ingrown toenail infection that doesn’t respond to other remedies and treatments. Oral antibiotics help reduce pain and swelling while also fighting infection.

Some signs of infection may include:

• increased redness
• throbbing pain
• increased swelling
• pus
• warmth in the affected toe and its surrounding area
• foul odor

Some antibiotics used to treat infected ingrown toenails are ampicillin (Omnipen), amoxicillin (Amoxil, Moxatag), and vancomycin (Vancocin).

If an ingrown toenail doesn’t improve with home remedies, partial or full removal of the nail may be necessary. Using a local anesthetic, a doctor may remove part of the nail’s border, the underlying nail bed, or part of the middle growth plate.

In severe, recurring cases, the doctor may recommend removing the entire ingrown nail. This is the last resort and a potentially painful solution that may increase your risk of infection. It also increases the risk of a misshapen toenail as it grows back.

Minor foot problems like ingrown toenails may cause serious complications in some people. See the doctor if you have an ingrown toenail and you have diabetes or another condition that causes poor circulation, or you have a compromised immune system.

You should also see a doctor if:

• pain and swelling are severe
• home remedies don’t improve the condition
• you have an allergic skin reaction to a home remedy
• you have questions about how to care for an ingrown toenail

Most ingrown toenails aren’t serious. They should improve within a week or so without causing permanent damage with the proper home care. Left untreated, ingrown toenails may cause severe pain and infection that could spread to deeper layers of skin.

It’s common for ingrown toenails to recur, especially if you don’t take steps to prevent them.

Prevention tips

• Move around carefully to avoid toenail trauma.
• Trim your toenails straight across, no shorter than the tip of your toe.
• If your job increases your risk of toenail injury, wear protective footgear.

Was this helpful?

Ingrown toenails can be painful, but they’re usually easy to treat at home. Wearing proper-fitting shoes, trimming your nails straight across, and soaking your feet can help prevent ingrown toenails.

Ingrown toenails usually heal without causing permanent damage. But, sometimes, they can lead to serious complications. See your doctor if you have an underlying condition that puts you at risk for complications, such as diabetes.

10 Remedies for Ingrown Toenails

Ingrown toenails cause pain, redness, and swelling. Home remedies and medical treatments can help relieve symptoms and prevent future infections.

Ingrown toenails are a common problem, especially for people who wear shoes that are too tight or don’t allow their feet to breathe.

Around 20 percent of people experience an ingrown toenail at some point in their lives. Symptoms of an ingrown toenail can include pain and swelling of the toe. Sometimes, the nail may become infected.

There are many treatments for ingrown toenails, ranging from home remedies to surgery. In most cases, you can treat an ingrown toenail at home with over-the-counter medication or home remedies. However, if the nail is infected or causing severe pain, you may need to see a doctor for treatment.

An ingrown toenail happens when the corner or edge of your toenail curves and grows into the surrounding skin. This may cause pain, redness, and swelling. The condition is very common in both men and women. Your big toe is most likely to be affected.

Common causes of ingrown toenails are:

• toenail trauma, such as stubbing your toe
• wearing shoes that are too tight
• cutting toenails too short
• cutting toenails at an angle
• poor foot hygiene
• excessive sweating (hyperhidrosis)
• certain medications, including epidermal growth factor receptor inhibitors

To prevent infection, it’s important to treat ingrown toenails as soon as they occur. Mild cases may require minor treatment with home remedies. Serious cases may need surgical intervention.

The following treatments can help relieve pain and promote the healing of an ingrown toenail.

Soaking the affected foot may help reduce swelling and ease the pain. You can soak your foot in warm, soapy water for up to 20 minutes at a time. Castile soap is a good option. Adding Epsom salts to the water may bring additional relief.

Apple cider vinegar is a folk remedy for almost everything these days, including ingrown toenails. It’s believed to have antiseptic, anti-inflammatory, and pain-relieving abilities, although scientific evidence is limited.

To try this remedy, prepare a basin of warm water combined with 1/4 cup apple cider vinegar. Soak the affected foot for up to 20 minutes daily. Dry your foot thoroughly after soaking.

Some experts recommend tucking small bits of cotton or waxed dental floss under the edge of an ingrown toenail to encourage proper nail growth. Not every medical group agrees.

According to the American College of Foot and Ankle Surgeons, placing cotton under your nail may increase pain and allow harmful bacteria to thrive. Soaking the cotton or floss in alcohol before application may help reduce this risk.

Using over-the-counter antiseptic ointment or cream can promote healing and help reduce the risk of infection. Apply the ointment to the affected toenail following the manufacturer’s instructions, usually up to three times daily.

These ointments can include:

• neomycin (Neosporin)
• bacitracin/polymyxin B (Polysporin)
• mupirocin (Bactroban)

Be sure to bandage the toenail after application.

Shoes and socks that are too tight can crowd your toes. Improper footwear is a leading cause of ingrown toenails. To help prevent an ingrown toenail from developing or worsening, wear shoes and socks or hosiery that fit but still leave ample space in the toe bed. During the healing process, avoid shoes or wear sandals as much as possible to limit pressure on your toenails.

Acetaminophen (Tylenol) may help relieve ingrown toenail pain. Side effects are unusual unless you take more than the daily recommended amount of 2 325 milligram (mg) tablets every 4 to 6 hours. Do not exceed 10 tablets in 24 hours and don’t take it with alcohol.

If swelling is present, ibuprofen (Advil) may be a better option because it relieves both pain and swelling. Some common side effects of ibuprofen include abdominal pain, upset stomach, and diarrhea.

Take all over-the-counter pain relievers as directed by the manufacturer or a doctor.

A toe protector provides a cushioning barrier for ingrown toenails. Toe protectors are available as rings that fit around the affected area or as a covering for the entire toe. Some brands of toe protectors, such as Dr. Scholl’s, come with a medicated gel to help soften toenails for easy trimming. Use the treatment as directed until the ingrown toenail is gone.

Toe braces are thin composite devices that hold the toe in place and shield the skin from as a new nail grows back. They help treat and prevent ingrown toenails. You can find toe braces online and in some pharmacies.

Your doctor may prescribe oral antibiotics for a severe ingrown toenail infection that doesn’t respond to other remedies and treatments. Oral antibiotics help reduce pain and swelling while also fighting infection.

Some signs of infection may include:

• increased redness
• throbbing pain
• increased swelling
• pus
• warmth in the affected toe and its surrounding area
• foul odor

Some antibiotics used to treat infected ingrown toenails are ampicillin (Omnipen), amoxicillin (Amoxil, Moxatag), and vancomycin (Vancocin).

If an ingrown toenail doesn’t improve with home remedies, partial or full removal of the nail may be necessary. Using a local anesthetic, a doctor may remove part of the nail’s border, the underlying nail bed, or part of the middle growth plate.

In severe, recurring cases, the doctor may recommend removing the entire ingrown nail. This is the last resort and a potentially painful solution that may increase your risk of infection. It also increases the risk of a misshapen toenail as it grows back.

Minor foot problems like ingrown toenails may cause serious complications in some people. See the doctor if you have an ingrown toenail and you have diabetes or another condition that causes poor circulation, or you have a compromised immune system.

You should also see a doctor if:

• pain and swelling are severe
• home remedies don’t improve the condition
• you have an allergic skin reaction to a home remedy
• you have questions about how to care for an ingrown toenail

Most ingrown toenails aren’t serious. They should improve within a week or so without causing permanent damage with the proper home care. Left untreated, ingrown toenails may cause severe pain and infection that could spread to deeper layers of skin.

It’s common for ingrown toenails to recur, especially if you don’t take steps to prevent them.

Prevention tips

• Move around carefully to avoid toenail trauma.
• Trim your toenails straight across, no shorter than the tip of your toe.
• If your job increases your risk of toenail injury, wear protective footgear.

Was this helpful?

Ingrown toenails can be painful, but they’re usually easy to treat at home. Wearing proper-fitting shoes, trimming your nails straight across, and soaking your feet can help prevent ingrown toenails.

Ingrown toenails usually heal without causing permanent damage. But, sometimes, they can lead to serious complications. See your doctor if you have an underlying condition that puts you at risk for complications, such as diabetes.

causes and prevention of ingrown nails

04/02/2021Updated 04/28/2021

Onychocryptosis or ingrown toenail is one of the most common problems faced by podologists. Among R+ Medical Network patients who turn to a podiatrist with this issue, a large percentage are also adolescents.

We at R+ care about all patients, not only by helping to get rid of an acute problem, but also by actively teaching preventive methods to prevent serious diseases.

In our work we use modern methods and materials that allow us to effectively deal with the problem of ingrown nails. We note right away that this process is quite lengthy, requires the direct participation of a medical specialist and the patient, compliance with the rules for caring for the nail plate and hygiene.

What is onychocryptosis or ingrown toenail?

This condition consists of an ingrowth of the nail into the distal or lateral ridge. Often, the process is accompanied by pain sensations of varying severity, inflammation, swelling and redness of damaged tissues, suppuration.

If the problem is not dealt with professionally, there will always be a relapse and aggravation of the situation.

In order to avoid ingrown toenails, nail care must be strictly adhered to. If for a number of reasons you yourself cannot cut your nails correctly, we recommend that you regularly visit a podiatrist for a medical pedicure.

What are the causes of ingrown nails?

Among the main sources of the problem are medical, anatomical factors, as well as care errors.

Ingrown nails can be caused by:

• improper cutting of nails, violation of the pedicure rules. You can cut the nail too deeply or, conversely, not enough, deform it;
• fungal infection affecting the nail plate (onychomycosis). Due to the fungus, the nail can exfoliate, break, acquire an irregular shape;
• flat feet, valgus foot or valgus structure of the fingers, other anatomical features of the structure. If your fingers are too close together, have a large length, this can also affect the nail, causing it to deform as it grows;
• injuries. If the nail plate was previously damaged, this may be the cause of its abnormal growth and damage to the periungual area;
• diseases of the endocrine system. In such cases, soft tissues are more susceptible to injury, wounds heal for a long time, and pathological processes quickly spread and worsen. For people suffering from diabetes, for example, it is extremely important to follow the rules of foot care. It is best to contact a podiatrist who will professionally do a medical pedicure;
• excess weight – causes excessive pressure on the feet and deformation of the nail plate, as a result. Such patients should unload the periungual folds by properly trimming the nails. Again, regular visits to the podiatrist are the best option;
• wrong shoes. A very common cause of ingrown nails. For example, for women, narrow shoes (classic shoes with a narrow toe) are an actual problem. And in recent years, wearing sneakers in the warm season has been considered a trend, which provokes excessive sweating, the development of fungal infections, etc.
  Therefore, you need to be careful when choosing shoes, take into account its orthopedic characteristics, materials of manufacture, etc. It is important that you feel comfortable, the leg “breathes”, and the load on the foot is distributed evenly.

Ingrown toenail prevention

By researching the above reasons, you can draw your own conclusions about the methods of ingrown toenail prevention.

These include:

• proper care. The best choice is a medical pedicure. The podiatrist, using a professional tool, will form the edge of the nail plate, if necessary, perform tamponade to unload the side ridges, install a corrective system;
• promptly contact a specialist at the first sign of a problem. If you notice that the nail grows, albeit slightly, pain, swelling and inflammation occur, immediately sign up for a podiatrist to eliminate the causes;
• correct selection of shoes. If you have orthopedic problems, visit a specialized doctor for a diagnosis and selection of shoes, insoles, therapeutic exercises, etc. If you are absolutely healthy, buy comfortable and high-quality shoes according to the season.

Whether an ingrown toenail occurs in a child or an adult, you can make an appointment with a podiatrist, where you can receive quality treatment and advice on nail and foot care.

Ingrown toenail treatment methods at R+ Medical Network

When organizing a podiatrist appointment at our medical center, we very carefully approached the issue of selecting equipment and instruments. In addition, regular attendance at courses and trainings allows not only to improve your own skills, but also to apply all new methods, materials and techniques in your work.

Our clients visit a podiatrist after treatment for preventive purposes. It develops into a useful habit, which is good news.

Effective ways to eliminate the problem of ingrown nails can be conditionally divided into several categories:

• conservative – using medications. This method is used to relieve inflammation, treat fungus;
• podologic. In this case, various individual systems for correcting the nail plate are used, which are installed for a certain period until the desired result is achieved;
• surgical. If the problem has already reached a serious stage, sparing methods will not always be effective. In such situations, the podiatrist will refer you to a surgeon for surgical treatment. Based on the situation, complete removal of the nail plate or partial (marginal resection) can be performed. These are minor operations for which a laser or radio wave method can be used. In addition to removing the nail, the surgeon will also excise injured tissues, eliminate pus, etc.

Note that the work of a podologist is closely related to the work of doctors of other specializations. In addition to the surgeon, the participation of a dermatologist, orthopedist, endocrinologist is often required.

Podiatric treatments for ingrown toenails

Many systems and techniques have now been developed to solve the problem.

Ingrown toenail is a really common occurrence. Therefore, for ourselves, we have identified the main methods of treatment, the effectiveness of which has been proven in practice many times.

Tamponade

Used to relieve pressure on the periungual fold, minimizing pressure on soft tissues and the nail, respectively. After the correct cutting of the nails, a protective tamponade is performed.

Below are photos where you can see a real example. The patient is a young man who regularly cut his nails incorrectly, which led to the indicated problem. An ingrown toenail on the big toe began to cause discomfort and provoke inflammation.

Tamponade was also performed during medical care for toenails.

Milling Clamp

Refers to the classic corrective structures. It is a thin bracket with hooks at the ends and a flexible part, sometimes with a spring in the central part. Allows you to reduce the load on the lateral periungual ridges, correct the direction of growth of the nail plate.

Below is a clinical case with several problems: ingrown toenail, hyperkeratosis, foot mycosis. Conducted joint therapy with a dermatologist. Since the initial cause is improper nail care, additional training and recommendations are provided.

Titanium thread system

Involves the use of a special thread made of a hypoallergenic titanium and nickel alloy. This material is strong, yet elastic, which allows the thread to do its “work”.

After the installation of the corrective titanium thread, it tends to “return” to its original position, while also guiding the nail plate. As a result, the deformation of the nail disappears, there is no pressure on adjacent soft tissues and their damage.

Below you will see an ingrown toenail in the photo. A teenager, who has been suffering from this problem for more than 3 years, asked for help. Long-term complex treatment was carried out with the help of tamponade, titanium thread. The system was regularly adjusted and changed as needed. Within a year, we managed to get rid of the ingrown nail plate.

HARDKOP System

One of the most modern and effective methods of passive correction in podology. In this case, a strip of innovative material HARD COMPOSITE GEL is used.

This method has a number of advantages:

• installation without pain and discomfort;
• sparing, soft correction during the growth of the nail plate;
• comfort when wearing shoes;
• is suitable for children and diabetic patients.

A podiatrist will be able to choose an effective method for you directly at the appointment. If you do not know how to treat an ingrown toenail, you should not use “folk methods” and hope that the problem is not serious. The only correct way out is to make an appointment with a podiatrist and solve the problem with an effective method.

Author:

Sinelnikova Olga Anatolievna

Podiatrist, Experience 28 years

Other blog entries

home treatment, folk remedies

11/08/2017

Olga Kuznetsova

The phenomenon of an ingrown nail in the skin is called onychrocryptosis in medicine. Most often, the nail plates grow on the legs, namely on the thumbs. The initial slight discomfort as a result of the disease may not attract due attention. However, if treatment is not done in time, only a serious operation can help.

Article content:

1. Causes of an ingrown toenail

2. Signs of onychrocryptosis

3. Stages of the disease

4. Treatment of onychrocryptosis at home

5. Healing ointments

6. Therapeutic baths

7. Medicinal herbs

8. How to prevent the development of onychrocryptosis

Causes of ingrown toenails

The following causes of ingrown toenails are distinguished:

1. Uncomfortable or low-quality shoes: provokes squeezing of fingers and nail plates. Too tight socks made of synthetic materials also pose a certain threat.
2. A sloppy pedicure: a short cut nail may end up growing right into the finger pulp. An incorrectly trimmed edge is also capable of developing the disease.
3. Fungal disease: deforms the original structure of the nail.
4. Impaired circulation in the legs: develops swelling of the feet, and hence the fingers.
5. Injury to the finger or the nail itself. A severely damaged plate can dramatically change its growth trajectory.
6. Heredity: relatives suffering from a constant manifestation of this disease.
7. Features of the structure of the nail plate: curved down or deeply planted in the base of the finger.

Signs of onychrocryptosis

A clear symptom of the disease is pain in the corners of the finger, together with redness. The consequences of this can be the most unpleasant:

• swelling of the finger;
• deformation or detachment of the nail plate;
• discoloration of the nail;
• accumulation of pus on the damaged area of ​​the finger.

Stages of the disease

The disease includes 3 stages:

1. First stage: perceptible signs of nail ingrowth into the skin (pain and obvious redness in the corner of the finger). The meat part of the finger begins to become inflamed as a result of the invasion of a foreign body into it.
2. Second stage: the nail continues to grow, more and more injuring the skin. The second stage is dangerous because an infection can get into the inflamed area, which will cause bleeding, as well as increased suppuration.
3. Third stage: the disease becomes chronic. If left untreated, the finger bone may suffer. The result of the third stage is gangrene of the entire limb.

Treatment of onychrocryptosis at home

The first and second stages of an ingrown nail can be easily treated with folk remedies.

Since folk recipes consist of natural ingredients, they can be applied without any fear even to a child from an early age.

Medical ointments

1. Levomekol. On a segment of the bandage, you need to evenly distribute the ointment in a small layer. Apply a bandage to the injury site, and if necessary, bandage your finger. Also, the drug can be injected with a syringe, as deep as possible into the affected area of ​​the skin. The ointment is excellent for pushing out pus and general healing. Before such a procedure, heat the remedy to 36 ° C.
2. Ichthyol ointment. Before using this drug, make sure you are not allergic to it. Before going to bed, apply some ointment to gauze and apply to your finger. To enhance the effect, wrap it with cling film. The course of treatment consists of procedures once a day for a week.
3. Uroderm. The ointment contains a substance – urea, which helps to soften not only the skin tissues, but also the nail itself. Apply ointment to the space between the edge of the nail plate and the inflamed area of ​​the skin. After a few days, the ingrown edge of the nail can be removed.
4. Vishnevsky ointment. It is used to neutralize the infection at the site of an ingrown nail. Apply this ointment at night using a bandage.
5. Calendula ointment. You will need to grind about 50g of the flower and add them to the melted pork fat. The mixture should boil for at least 20 minutes. The resulting ointment should be stored in a cool place. Apply it on a sore nail and make bandages at night.

Therapeutic baths

1. Salt bath. Dissolve a few tbsp. with salt in a container of hot water. Soak your foot in the solution for 20 minutes. Hot water will help soften the skin around the finger, and salt will reduce swelling and inflammation.
2. Lined soap tray. Dissolve a bar of soap in hot water and soak your feet in the solution for 20 minutes. When the skin is steamed, place a cotton pad under the nail. This will help the plate grow in the right direction.
   

   Change the cotton every day until you are sure that further ingrowth has stopped.

3. Ice pack.
   This procedure helps with the advanced stage of the disease.
   Soak your foot in hot water, then wipe it dry. Take an ice cube and press it against the affected area for a few minutes. This is necessary so that the finger is numb for a while. Then, with sterilized scissors, cut off the part of the nail that has begun to grow into the skin. After that – make a dressing with a healing ointment.
4. Milk compress. You can soften the skin with boiled milk. To do this, dip a piece of bandage in milk and apply it to your finger. Fix the compress with a film and put on a sock on top. After a few hours, you can try to cut off the ingrown corner of the nail.
5. Propolis tincture. The finished product can be bought at a pharmacy, but it is better to make it yourself. To do this, you will need: raw propolis (50g), alcohol (350ml) and boiled water (150ml). Mix all the ingredients and leave them for 2-3 weeks in a closed jar. After the expiration date, pass the solution through a homemade filter. Place the product in the refrigerator. To get rid of an ingrown nail using this method, wash the sore spot with tincture several times a day, and also make compresses at night.
6. Chamomile baths. In 2 liters of boiling water, add 6 tbsp. chamomile flowers. Close the container with a lid and infuse the solution for 1.5 hours. After that, wait for the solution to cool to a temperature slightly above room temperature. Do baths for 15 minutes.

Medicinal herbs

1. Aloe. Take a leaf of aloe and grind it. Add some warm water to it and mix thoroughly. Apply the resulting solution to a cotton swab and apply it to the sore spot. This procedure is best done at night, then in the morning the nail will noticeably soften.
2. Plantain. You will need 2 leaves of the plant, 1 of which will have to be chopped, and the second left as is. Apply the crushed mass to your finger and cover with a whole sheet on top. Fix the finger with a bandage and leave it like that all night.
3. Chaga mushroom.
   

   Chaga is popularly called the “birch” mushroom.

   Rinse fruiting body thoroughly with water and apply to finger. Cover the affected area with cling film and leave overnight.

How to prevent onychrocryptosis

Avoiding an unpleasant disease is not so difficult. It is enough to observe foot hygiene and a few more rules:

• wash your feet before going to bed;
• wear comfortable shoes that do not pinch your toes;
• treat damage in time;
• at least occasionally walk barefoot;
• do a gentle pedicure (it is extremely important to learn how to cut your nails correctly), after steaming your feet;
• eat right;
• Use foot creams whenever possible.

The health of our feet directly depends on how carefully we treat them.

Hygiene rules are designed to pay due attention to each part of the body separately. An ingrown toenail is a problem that can be eliminated if treated in time.