Ingrown Toenails – American Family Physician

Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org, the AAFP patient education website.

Information from Your Family Doctor

Am Fam Physician. 2009 Feb 15;79(4):311-312.

 
See related article on ingrown toenails.

What is an ingrown toenail?

An ingrown toenail is when the edge of your toenail curves down and pokes into the skin.

Who gets ingrown toenails?

Anyone can get them, but teenagers and older people get them more often. Teenagers get them because their feet sweat more, which can cause the skin and nails to become soft. Soft nails split easier. Pieces that split can easily puncture the skin. Older people get them because they have trouble caring for their feet.

Ingrown toenails also can happen to people who try to “round off ” the corners of their toenails with a nail file. Trauma (for example, stubbing your toe, running, or kicking objects) can also cause them. Ingrown toenails sometimes run in families.

How do I know if I have one?

You may have pain or swelling. The skin around the toenail can also get red. As the ingrown toenail gets worse, the pain and redness get worse. Sometimes, it becomes infected. It may bleed or have pus (see drawing). An ingrown toenail may also limit the activities you do every day, like sports or walking.

How are they treated?

Most ingrown toenails can be treated by soaking the foot in warm, soapy water and applying a topical antibiotic ointment, such as polymyxin/neomycin (one brand: Neosporin). Your doctor can also put cotton wisps, dental floss, or splints under the edge of the ingrown toenail between the toenail and the skin. You should not try to cut or remove the ingrown part of the nail yourself.

Tell your doctor if you have a lot of pain or think it may be infected. You may need surgery to remove the ingrown part of the nail or the whole nail. Your doctor may also destroy the nail bed so that the ingrown toenail does not come back. Be sure to tell your doctor if you may be pregnant because some chemicals used to destroy the nail bed should not be used in women who are pregnant or breastfeeding.

How do I care for my toe after surgery?

You should rest and elevate your foot for the first 12 to 24 hours after surgery. If your toe is sore, some medicines (for example, acetaminophen [one brand: Tylenol] or ibuprofen [one brand: Motrin]) may help. Two days after surgery, you should begin soaking your toe in warm, soapy water three or four times a day. Then, you should put on an antibiotic ointment and a clean bandage. You should continue to do this process for one or two weeks after surgery. Tell your doctor if you still have pain, redness, or pus draining from the toe. These are signs that the infection has gotten worse. In this case, you may need to take antibiotics.

How can I prevent ingrown toenails?

When trimming your toenails, cut the nail in a straight line. Do not round off the corners. Be sure to wear shoes that fit correctly.

Gary M. Kazmer, DPM: Podiatrist

Some 20% of people who see a doctor for foot issues are dealing with an ingrown toenail, according to federal statistics. An ingrown toenail can be annoying, painful and a nuisance you simply want to be rid of, but in most cases it’s a harmless condition that can be treated easily.

Usually you can take care of the ingrown toenail by yourself using simple home remedies and over-the-counter medications, but in some cases, complications may require the care of an expert podiatrist, like Gary M. Kazmer, DPM, at his three Kazmer Foot & Ankle Centers here in Illinois.

Obvious signs of an ingrown toenail

It’s usually the pain and tenderness of your toe around your nail that tells you something is wrong. An ingrown toenail usually develops in your big toe, and when you look at the nail, you’ll notice:

• Skin around the nail becoming hard, swollen and/or tender to the touch
• Pain when pressure is placed on the toe, as from a shoe or sock
• Fluid building up around the toe

If you spot these symptoms, you should book an appointment with Dr. Kazmer to establish the causes of the ingrown toenail, and to ensure you get the right treatment for it.

In some cases, the ingrown toenail can cause an infection, a serious problem that needs urgent medical care. Symptoms of this include:

• Bleeding
• Pain
• Pus oozing from the nail
• Red, swollen skin
• Skin overgrowing around the nail

If you’re experiencing any of these signs, make sure you contact Kazmer Foot & Ankle Centers immediately for an appointment to stop the infection from spreading and prevent other potential complications from developing.

Timely treatment prevents bigger problems, like a bone infection

It can be hard to ignore a painful toe, especially when you have to squeeze your feet into shoes that are too tight, reminding you with each step that you have a problem. But even if you can tolerate the discomfort, an infection is no minor concern and can happen when that ingrown toenail is left untreated for too long.

You have a type of bacteria living on your skin all the time called Staphylococcus aureus. Normally this doesn’t cause any problems, but when the skin around your toe gets compromised, the bacteria can penetrate the skin, soft tissues and even into the bone.

An infection in your toenail can cause open sores and ulcers, and restrict blood flow to the toe, but it can also lead to an infection of the bone itself. A bone infection, osteomyelitis, can cause some very serious symptoms including fatigue, fever and nausea, while damaging the bone enough to risk permanent loss of movement.

If the infection goes untreated for too long, sepsis can develop, possibly leading to amputation and other life-changing consequences.

Who has higher risks of complications from ingrown toenails?

If you have diabetes, poor circulation or neuropathy of the feet causing numbness, you may be at greater risk of an infected ingrown toenail. That’s because you’re less likely to be able to feel the pain and discomfort caused by the ingrown toenail until its later stages, if even then. In fact, you might not be aware that there’s an infection until you spot the signs like bleeding, pus and swelling.

The good news is that there are a range of treatments available for all stages of an ingrown toenail, offered with the expertise you’d expect from Dr. Kazmer. With over 24 years’ experience behind him, this board-certified podiatrist will examine your feet, make a personalized recommendation for treating your ingrown toenail, and guide you through any preventive measures to stop the condition from happening again.

To book your consultation with Dr. Kazmer today, simply book online for your choice of the Barrington, Chicago or Elgin office.

Washington Foot & Ankle Sports Medicine: Podiatry

Ingrown toenails are common. Because of this, you may be tempted to see if one will go away on its own. This, however, wouldn’t be the wise thing to do. There are several reasons why you should seek medical attention for an ingrown toenail, especially if you have diabetes.

In this blog, the providers at Washington Foot & Ankle Sports Medicine explain why letting an ingrown toenail go untreated can be dangerous.

Causes of ingrown toenails

An ingrown toenail occurs when the edge of a toenail begins to grow into the soft tissue around it. This can lead to redness, swelling, oozing puss, and infection. Ingrown toenails can develop for several reasons, including the following:

Poor trimming techniques

One of the most common causes of ingrown toenails is improper nail trimming techniques. You should always trim your nails straight across and make sure not to round them at the edges.

Tight shoes

Wearing shoes that are too tight can put too much pressure on your toes. Try to wear shoes with a wide toe box.

Sweaty feet

Having exceptionally sweaty feet can lead to ingrown toenails. In general, try to keep your feet clean and dry as much as possible.

Sports

Engaging in certain sports, such as running and soccer, may increase your risk of developing ingrown toenails. Wear the appropriate shoes for your sport and try to protect your feet as much as possible.

In addition, there can be a genetic component to ingrown toenails. If one of your parents has trouble with ingrown toenails, you may have a higher risk of developing them.

Dangers of not treating ingrown toenails

The biggest risk of an ingrown toenail is that it may become infected. An infection can lead to a condition called gangrene, in which tissue dies due to a lack of blood supply. In severe cases, gangrene can even lead to amputation.

Fortunately, gangrene is not very common. However, ingrown toenails can lead to a number of more common issues. One potential problem is a slow-healing wound. Because feet don’t usually get much air exposure, this can lead to a wound not healing as fast as it should.

This problem can be compounded if you have diabetes. Diabetes can lead to poor circulation in the feet, and this means the area may not get the resources it needs to heal well. Furthermore, if an infection is not treated, it can spread to other parts of the body.

Treating ingrown toenails

If you get an ingrown toenail, your podiatrist at Washington Foot & Ankle Sports Medicine can treat it quickly and effectively. Your podiatrist may address your condition with a splint, laser treatment, or surgery, among other options.

Leaving an ingrown toenail untreated can lead to serious outcomes. If you have signs of an ingrown toenail, such as swelling or redness, we can give your toe a thorough evaluation and give you the treatment you need. To learn more, book an appointment online or over the phone with Washington Foot & Ankle Sports Medicine today.

4 Signs that you have and ingrown toenail and what to do

How do you know that you have an ingrown toenail?

1. If you notice redness, pain and off-course swelling at the margins of your toenails; then the chances are high that you’re looking at an ingrown toenail.  

2. Early on during development: You could notice redness, some amount of pain and mild swelling. You might not have any pus present, but the skin is warm when you touch it. There’s no fever present either.  

3. As development increases: Extra skin and tissue grow around the sharp point of the nail. A yellowish drainage may start but this is your body reacting to the irritation of the skin. You might not necessarily have an infection. 

4. Sometimes, an infection happens, and the swelling could become worse in this case. There may be a white or yellow pus in the inflamed area. Sometimes, a fever could develop, but this is not common at all.

What will happen if you ignore an ingrown toenail?

An infection could worsen, and an abscess could form at the inflamed area.

So, where would you find ingrown toenails?

It is often found in adults and adolescents. You’ll seldom find a child and an infant with an ingrown toenail. Men are more prone to have them over women and adults in their 20’s or 30’s are more susceptible to develop ingrown toenails.

However, any nail can become ingrown, but the most common place that you’ll find them is on your big toe.

Common Causes and risk factors:

• Wearing shoes that are too tight or even high heels causes your toes to squash together and press against the toenail.
• Trimming your toenail incorrectly could result in the corner of your toenail digging into your skin. The best way to cut your toenails is straight and not round.
• Sometimes a fungal infection results in your toenail becoming thick or you could find a widened toenail developing.   
• Trauma caused through injury near your toenail is a common factor of an ingrown toenail developing.
• Some people have more rounded nails or could have more “upturned” bones. In which case, could result in ingrown toenails.

The best way to take care of ingrown toenails is to seek medical attention. If your home remedies have not worked after three days, then it’s time to seek the help of a medical practitioner.

A person who has poor circulation, diabetes, AIDS or on chemotherapy should find the help of an expert medical physician, a dermatologist, or a podiatrist to assist with a solution to this problem.

 Check out ingrown toenail surgery.

Have you ever suffered from an ingrown toenail? Let us know how you remedied it. Please leave your comments below.

Board Certified Podiatrist Foot & Ankle Surgeon

Whether the clippers slipped and you trimmed your toenails too short or at an angle, or you injured your nail (including simple toe-stubbing or wearing tight-fitting shoes), your toenail may follow a different path as it grows. And that path may lead down into the skin at the edge of your nail. What you have here is a classic ingrown toenail.

Breaching the skin opens the door for infection, especially in the warm, damp environment of your shoes and socks. In addition to the immediate pain and other symptoms, an infected ingrown toenail can cause some serious complications.

To help you avoid that, Dr. Daniel Preece and Dr. Darren Groberg, our expert podiatrists at Utah Musculoskeletal Specialists in Salt Lake City, Utah, offer effective treatments to get rid of the infection and correct the toenail growth pattern. 

Here are some of the sure signs your ingrown toenail has become infected.

Signs of an ingrown toenail

Ingrown toenails hurt. As the edge of your nail digs into your flesh, you’re sure to feel the pain. You may also have:

• Redness
• Inflammation
• Skin growing over the side or corner of your toenail

You may even notice a change in your gait as you make adjustments to avoid putting pressure on the affected toe. Over time, this could lead to pain in your legs, hips, and back.

Signs of an

infected ingrown toenail

In addition to a red, swollen toe, your symptoms get worse when your toe gets infected. Here are some signs to watch for:

Increased pain

While an ingrown toenail may hurt when you walk, an infected ingrown toenail hurts at the slightest touch. Wearing shoes, contact with sheets and blankets, and even showering can exacerbate the pain. 

Worsening appearance

Once your ingrown toenail is infected, the skin around it turns red, and the swelling increases, too. The skin around the infection begins to harden.

Increased pressure

As your body tries to fight the infection, it sends more blood to the scene, which adds considerable pressure under your toenail. You may feel throbbing pain as a result.

Abscess

An abscess is a pus-filled pocket near the place where your nail broke through your skin, and is a sure sign of infection.

Temperature change

Infections cause your body temperature to rise, which is why you get a fever when you’re sick. If your ingrown toenail becomes infected, the temperature in the area goes up and feels warm to the touch.

Bleeding and oozing

If you have an abscess, or if excess pressure builds up under your nail, the contents may leak if you bump your toe or break the skin. You may see some blood, pus, or a mixture of the two ooze out of the wound. 

Foul smell

While feet are notorious for smelling a bit off from time to time, the putrid odor of an infected ingrown toenail is in a league of its own. 

Complications of an infected ingrown toenail

Although rare, an ingrown toenail that’s left untreated can cause some dangerous problems. Two of these possible, though uncommon, complications include:

If you have diabetes, you’re at a higher risk for these complications than other people. Because diabetes affects your blood flow and nerve function, you may not notice the pain and discomfort of an ingrown toenail right away, which is why you need to visually check your feet and toes every day. If you happen to get an infection, your diabetes interferes with the healing process — another reason to come in regularly for a foot check and to get treatment started early. 

Expert treatment for an infected ingrown toenail

Our specialists walk you through your treatment options when you have an infected ingrown toenail. The best case scenario is that all you need is an antibiotic to help your body destroy the pathogens and heal on its own.

For more severe conditions, we may recommend a partial nail plate avulsion, which is a minor surgical procedure to remove part of the nail. 

Whichever treatment is right for you, you can count on Dr. Preece and Dr. Groberg to give you the best advice on preventing ingrown toenails, treat them when they happen, and care for all your toe, foot, and ankle problems. 

To schedule an appointment, use our online booking tool or call us at 801-285-6332.

When Does an Ingrown Toenail Require a Visit to Your Podiatrist? : Bruni Leka, DPM: Podiatrist

If you’re experiencing throbbing pain in your toe that makes walking unbearable, then you may have an ingrown toenail. While it’s possible to treat your ingrown toenail at home, if your toe pain is getting worse, or it looks as though your toe may be infected (draining fluid, swollen and red, or warm to the touch), then it may be time for our expert podiatrist — like — to take a look. 

Is it an ingrown toenail?

An ingrown toenail is the most common health issue that affects your toenails. As the name implies, an ingrown toenail occurs when the edge of your toenail grows into your skin at the upper corner of your nail bed. The big toe is most often affected, but an ingrown toenail can occur on any of your toes.

Signs and symptoms that may indicate you have an ingrown toenail include:

• Redness and swelling
• Pain when you put pressure on the toe
• Foul smell or drainage from the toe

Your shoe fashion choices may be to blame for the pain in your toe. Wearing shoes that are too tight or narrow in the toebox places pressure on your toes and nails, which may cause the nail to grow into your skin. Trimming your nails too short or sustaining an injury to your toe may also lead to the painful toe condition.

Home remedies for ingrown toenails

An ingrown toenail doesn’t always require a visit to the podiatrist, and you may be able to manage your toe issue with at-home treatments, especially if your symptoms are mild. Try soaking your toe in warm soapy water for 15-20 minutes daily. Then, dry your foot with a clean towel, apply an antiseptic agent to the ingrown nail area, and wrap your toe in a bandage. While you’re treating your ingrown toenail, wear open-toed shoes to prevent irritation. 

When it’s time to see the podiatrist

If your home remedies improve your toe pain and your nail returns to normal — great! But if your home remedies fail to improve the toe or the pain you’re experiencing is unbearable, then it’s time to come in and see us at Foot and Ankle Excellence. You should also come in for podiatric care for your ingrown toenail if the skin is red and throbbing or it’s draining fluid, which may indicate an infection.  

If you have diabetes or circulation issues, you’re at greater risk of an infection that may lead to more serious complications, and you should not treat your ingrown toenail at home. We can provide the care you need to redirect the growth of your toenail and prevent any further issues. 

Podiatric treatment for an ingrown toenail

We offer many options for the treatment of your ingrown toenail. How we treat it may depend on the severity of your symptoms and how frequently your ingrown toenail occurs, as well as your medical history. We may be able to improve the situation by cleaning the toe and placing a piece of cotton underneath the corner of your toe to help redirect your nail’s path.

In more severe cases, we may need to remove a portion or all of your toenail to treat your toe condition. We also provide antibiotics, either topical or oral, when they’re needed to clear up an infection. 

Ingrown toenails are painful and may make simple tasks, like walking to the bathroom, awkward and uncomfortable. For expert care of your ingrown toenail, call Foot and Ankle Excellence or request an appointment online today.

How to Treat an Ingrown Toenail: Podiatry Hotline Foot & Ankle: Foot and Ankle Specialists

Ingrown toenails can develop for several reasons. Some people get ingrown toenails because they wear tight shoes. Other people get ingrown toenails because their toes get injured, they cut their nails too short, or they cut their nails at an angle.

If you have an ingrown toenail, then you probably experience intense pain. Dr. Rambacher has years of experience treating ingrown toenails and similar conditions, so he can help treat the condition and teach you how to avoid future ingrown toenails.

In our experience, the following four treatment options are very effective for ingrown toenails.

1. Use an antibiotic to reduce swelling and pain

The swelling and pain that you experience with an ingrown toenail often come from bacteria that gets trapped between the nail and your skin.

Dr. Rambacher recommends using a topical antibiotic to kill the bacteria. If that doesn’t work, then he may prescribe oral antibiotics.

2. Take over-the-counter pain relievers

The pain caused by ingrown toenails can get quite severe. Still, we find that over-the-counter pain relievers like aspirin and ibuprofen have enough strength to lessen the discomfort considerably.

If you have so much pain that you cannot walk, take a pain reliever to see how your ingrown toenail reacts. You may still feel some discomfort, but it should lessen quite a bit.

OTC pain relievers aren’t a great long-term solution, but they can make you comfortable on particularly painful days or while you wait for your appointment with Dr. Rambacher.

3. Have part of the toenail removed

Learning how to cut your toenails the right way and avoiding tight-fitting shoes usually prevents ingrown toenails in the future. Some people, however, can’t fix the problem on their own.

Unfortunately, their toenails grow in a such a way that they will eventually cause pain.

If this describes your situation, then Dr. Rambacher may want to remove a part of your toenail. After removing part of the toenail, the nail can’t grow into your skin.

Dr. Rambacher can even use laser therapy to target highly specific parts of your toenail. If necessary, he can use laser therapy to remove recurring ingrown toenails at their roots.

4. Soak the ingrown toenail in warm water or apple cider vinegar

While you wait for your appointment with Dr. Rambacher, you can get some relief from ingrown toenail pain by soaking your foot in warm water for 10 to 15 minutes. You can soak your feet up to four times a day for maximum relief.

The warm water will reduce swelling to reduce the pain you feel.

If you have apple cider vinegar around your house, you can soak your foot in it for relief. Apple cider vinegar will kill some of the bacteria in your ingrown toenail and reduce inflammation.

For the best result, fill a basin with warm water and add a quarter cup of apple cider vinegar.

Schedule an appointment with Dr. RambacherIt’s a good idea to schedule an appointment with Dr. Rambacher as soon as you notice the symptoms of an ingrown toenail. The small pain that you feel today can turn into excruciating pain by tomorrow. The sooner you come to our office, the sooner you can rid yourself of this painful problem.

You can schedule an appointment with Dr. Rambacher by sending us a message through our secure website. If you prefer using your phone, dial 949-916-0077 to talk to someone in our Mission Viejo office.

We’re open Monday, Tuesday, Thursday, and Friday from 9am to 5pm We stay open until 7pm on Wednesday for your convenience. Book your appointment now so Dr. Rambacher can diagnose your ingrown toenail and decide what treatment option will work best for you.

90,000 Is an ingrown toenail a problem? Why nails grow in and how to treat

Contents

Ingrown nail – ingrowth of the nail plate into the lateral roller from one or both sides.

The cause of an ingrown toenail can be:

• Incorrect treatment of nail plates during pedicure or self-care (cutting off the corners of the nail)
• Tight shoes (especially high-heeled shoes)
• Deformities of the foot and (or) toes (flat feet, etc.))
• Hereditary predisposition (an individual feature of the structure of the nail plate and lateral ridges – congenital hypertrophy of the inner nail fold, curvature of the longitudinal axis of the nail plate)
• Injury
• Arthritis
• Pregnancy
• Weight fluctuation
• Circulatory disorders (diseases accompanied by venous congestion and edema of the feet)
• Diabetes mellitus
• Fungal diseases of nails

Clinical manifestations

First, there is discomfort and a feeling of pressure, and then soreness, swelling, redness in the area of ​​the lateral ridge.

In the absence of adequate measures to eliminate the cause of ingrowth, infection with bacteria occurs, purulent discharge appears, swelling, inflammation increases, and pain sensations increase.

With long-term inflammation, granulation tissue grows (excessive growth of inflamed tissues in the area of ​​the nail fold and nail bed), which in turn aggravates the problem, swelling increases, zones of necrosis appear, up to purulent inflammation of the bone phalanx.

Ingrowth of the nail plate in people with diabetes mellitus is especially dangerous due to the increased risk of developing purulent complications.

Ingrown nail treatment

Treatment depends on the stage of the process at which the patient consults the doctor.

With a timely visit to a doctor and timely treatment started, the problem can be solved without surgical intervention.

In most such cases, conservative local anti-inflammatory and antibacterial therapy is prescribed, elimination of the cause that caused ingrowth and proper treatment of the nail plate by a specialist with hardware medical pedicure, which will need to be repeated according to the recommendations.

If necessary, the patient can be assigned tests for the diagnosis of fungal lesions of the nail plates, as well as consultations of specialists (phlebologist, endocrinologist, orthopedist, therapist for the treatment of concomitant pathology) are recommended.

If conservative therapy is ineffective, in cases of purulent complications, laser correction of the ingrown nail or surgical treatment is necessary.

Treatment of an ingrown nail with a surgical laser is carried out under local anesthesia; the procedure can be carried out on the day of treatment.

At this time, there are many types of surgical operations for the treatment of an ingrown nail, but, unfortunately, none of them can guarantee a cure forever, even with a highly qualified surgeon. Re-occurrence of ingrowth of the nail plate in the future is possible. This is due to the impossibility of completely removing the growth zone of the nail and repeated regrowth of the nail plate area after months, and sometimes with deformations of the nail plate in the postoperative period.

Ingrowth of nail plates in case of fungal diseases of nails

One of the most common causes of an ingrown toenail is fungal infection. Fungal nail diseases (onychomycosis) belong to the class of human infectious diseases that are caused by pathogenic fungi.

With onychomycosis (fungal infection of the nail), the structure and shape of the nail plate changes – it thickens, becomes less elastic, as a result of which it can grow into the nail fold.

Methods of treatment of nail plates

Treatment depends on the nature of the damage to the nail plates, the duration of the disease, taking into account the patient’s concomitant diseases. This can be treatment only with external antifungal drugs in combination with hardware medical pedicure or the appointment of systemic antifungal therapy according to indications.

Another common problem is the appearance of an ingrown toenail in the treatment of onychomycosis (fungal infection of the nails). This happens the same way, due to a change in the shape and structure of the nail plate during the recovery from the fungus.

Therefore, during the treatment of the nail plates, it is necessary to regularly carry out an apparatus medical pedicure. A specialist in hardware medical pedicure will process the nail plates and select the necessary medical and cosmetic products.

Ingrown toenail. How to treat and how to protect yourself? Medical center “VASEDA”

Ingrown toenail (“onychocryptosis”) today is a fairly common and unpleasant problem.This is a surgical disease associated with ingrowth of the nail plate into the lateral part of the nail fold from one or both sides. An ingrown toenail, the symptoms of which are quite common, can occur at any age, thus manifesting itself in both children and adults.

Why does a nail grow in?
An ingrown toenail can appear for the following reasons:

• Wearing tight shoes that squeezes the toes together contributes to improper nail growth.
• Incorrect implementation of nail clipping: this must be done in a straight line, and many people mistakenly round the edges.
• Fungal infections of the nails cause thickening or enlargement.
• Acute trauma, injury to the nail.
• hereditary factor – if an ingrown toenail bothers someone from your family, then there is a chance that you will also have it.

What to look out for:
The disease is accompanied by inflammation of the soft tissues, namely redness, swelling of the nail fold or finger, pain.With the progression of the disease, purulent discharge appears, and the growth of “excess” tissue of the nail fold. The toe with an ingrown toenail increases in size, interferes with walking, and it becomes difficult to wear your regular shoes.
A similar phenomenon is extremely dangerous for people who have been diagnosed with diabetes mellitus and circulatory disorders in the vessels in the leg area. Therefore, when the first symptoms appear, you should immediately consult a doctor!

Treatment
Treatment for an ingrown toenail depends on the stage of the disease.This division depends on the degree of ingrowth and the duration of the disease:
In the first stage, there is redness, swelling, pain, and a feeling of pressure in the nail folds. The second stage is characterized by the addition of infection. The ingrown part of the nail plate is a foreign body in the skin that supports inflammation with the separation of pus from the wound. The third stage is the proliferation of granulation tissue in the area of ​​the nail fold. Acute inflammation changes chronic, it can last for months or even years.

It should be remembered that the earlier the treatment is started, the better the result will be.

The effectiveness of conservative treatment is low, relapse often occurs. Why most often conservative treatment is ineffective can be understood by looking at the attached photographs and diagrams – the ingrowth of the nail does not start from its corner, but from the base of the nail plate and in addition to the visible part of the nail there is also hidden by the nail roller, and it is often impossible to remove this part without surgery.

Indications for surgical treatment are:
• the presence of ingrowth of the nail plate;
• development of hypergranulation of the nail fold, inflammation of the nail fold (paronychia).

There are many methods of surgery for an ingrown nail, but the most recognized and effective technique is: marginal resection of the nail plate with a growth zone.

This technique has a small number of complications and relapses (up to 1%). Therefore, in the event of ingrowth of the nail plate, it is advisable to consult a surgeon as soon as possible in order to choose the most effective treatment method.

In the MC “VASEDA” you can get qualified help with an ingrown toenail, as well as with recurrent forms. A timely visit to the surgeon will allow you to preserve the nail plate and practically eliminate the likelihood of a relapse in the future.

90,000 Why does the nail grow in? Medical unit-168

Ingrown toenail is a disease in which the edge of the nail plate grows into the soft tissue. This is a fairly common disease that occurs in adults and children.

Why does the nail grow in?

The reasons for the appearance of an ingrown toenail are improper cutting of the nail, wearing narrow shoes, fungal infection of the nails, flat feet, nail injuries.

What does an ingrown toenail look like?

Most often there are complaints of constant pain in the area of ​​the nail roll, aggravated by walking and wearing shoes.

On examination, you can see a defect in the skin from constant trauma to soft tissues. The infection joins quickly enough and purulent discharge may appear.Then the process becomes chronic and tissue proliferation – granulation appears.

What to do if a big toe nail grows in?

Treatment of an ingrown toenail requires a visit to a surgeon. In most cases, specific examinations are not required. A complete blood count may be prescribed to determine the degree of inflammation and an assessment of blood sugar to rule out diabetes. In chronic course, an X-ray examination may be required to exclude the transition of the infection to the bone.

The treatment option is selected individually. There are several methods of surgical treatment. The operation is performed under local anesthesia.

The simplest method of treating an ingrown nail is partial (marginal resection) or complete removal of the ingrown nail. At the same time, the risk of re-ingrowth is high. An increase in efficiency is achieved by plastics of the nail fold and destruction of the growth matrix in the ingrowth zone, treatment of an ingrown nail with a laser or radio wave apparatus.

In the postoperative period, observation is mandatory.Complications of an ingrown nail can be observed in patients with diabetes mellitus and vascular atherosclerosis obliterans.

The toenail grows into the skin, what to do at home?

It is necessary to deal with the prevention of an ingrown toenail. This is ensured by proper nail trimming techniques, wearing loose shoes, maintaining personal hygiene, treating orthopedic pathology (flat feet) and treating fungal nail diseases.

Removal of an ingrown nail in Balashikha

Ingrown toenail

Onychocryptosis or ingrown nail is a pathology in which part of the nail plate grows into the lateral edge of the nail fold.Nails grow throughout life, and the entire nail plate is renewed in six months. Ingrowth of the nail occurs not due to growth in width, but due to the inflammatory process that develops in the periungual ridge due to the sharp edge of the plate. Ingrown toenail problems can lead to swelling and severe inflammation. This is dangerous due to the attachment of fungal and bacterial microorganisms, the appearance of pus and discoloration of the nail plate.

Causes of an ingrown toenail:

• Non-compliance with pedicure rules
• Tight, uncomfortable shoes
• Flat feet
• Valgus foot
• Diabetes mellitus
• Cardiovascular diseases
• Dermatitis
• Mycosis of nails
• Injury

Symptoms

Inflammation of the periungual roller causes pain, it turns red, and the swelling increases. If you do not immediately consult a doctor, the process can go into a chronic stage, in which the correction of the nail plate is no longer possible due to its deformation.

Ingrown nail stages:

1. The appearance of a slight swelling on the toe, redness of the skin, soreness when walking in shoes, discharge of pus.
2. Severe swelling with deformation of the periungual roller, tarnishing and compaction of the nail plate.
3. Severe edema, a large amount of pus, redness of the periungual ridges, hypergranulation and non-healing wound, fragility of the nail.

Which doctor should you contact if you are diagnosed with an ingrown toenail? In the Smart Medical Center clinic, a surgeon is engaged in the treatment of this disease. You can sign up for a consultation and get a treatment plan by calling the phone number listed on the website.

Sign up

Sign up for a consultation, as well as receive
additional information is available by phone +7 (499) 677-60-88,

or by filling out the online form on the website.

Ingrown nail removal in Balashikha

When diagnosing onychocryptosis, the surgeon examines and prescribes a general blood test and glucose. Additionally, an X-ray of the foot may be prescribed to control purulent inflammation. In case of chronic course and relapses, a sowing of purulent discharge is taken to identify the type of pathogen and the appointment of effective antibiotic therapy.

Ingrown toenail treatment options:

• Conservative therapy . It is indicated in the early stages with the control of the inflammatory process.
• Radio wave therapy . Safe, painless and effective method of removing an ingrown nail. In most cases, it is performed in conjunction with marginal resection.
• Surgical intervention . In the case of severe suppuration, the surgeon performs a marginal or complete resection (removal) of the nail plate with or without the periungual fold.
• Non-surgical methods . Treatment of an ingrown toenail is possible using plates or braces to reshape the nail and correct growth direction.

At the Smart Medical Center clinic in Balashikha, a surgeon treats and removes an ingrown nail using modern techniques at any stage of the disease.

Frequently Asked Questions

How to treat an ingrown toenail at home?

It is possible to cure onychocryptosis at an early stage, if it is determined in time and appropriate measures are taken.But in the overwhelming majority of cases, this stage is difficult to independently determine.

How is the operation to remove an ingrown toenail?

It all depends on the choice of removal method – it can be surgery, laser or radio wave method. Special preparation for the operation is not required; it is performed under local anesthesia and is painless.

What is the prevention of an ingrown toenail?

Recommendations for eliminating the causes of onychocryptosis:

• Wearing comfortable shoes in size
• Proper nail care
• Compliance with foot hygiene
• Reducing the load on the legs

How to cut your nails correctly to avoid an ingrown toenail?

The nails must be trimmed in a straight line without removing the corners. They can be carefully filed with a nail file to avoid traumatizing the skin. Don’t cut your nails too short.

Sign up

Sign up for a consultation, as well as receive
additional information is available by phone +7 (499) 677-60-88,

or by filling out the online form on the website.

90,000 Correction and correction of ingrown toenail at MedNail Clinic

Cost of treatment for an ingrown toenail *

* the scope of services is determined by the doctor individually in each case

What is an ingrown toenail?

An ingrown toenail is, first of all, pain that makes it impossible to move normally and wear the usual shoes. Sometimes it is difficult to say which pain is worse – a toothache or when a nail grows in! It is impossible to lead a full-fledged lifestyle, to walk normally, you have to change your gait in order to avoid painful sensations, since a normal step implies a load just on the big toe, where the nail most often grows in!

Men are usually decisive and turn to surgeons who, as a rule, radically remove the nail. At the same time, there are no guarantees that there will be no relapse, alas, and the new nail grows changed and ugly.Women, on the contrary, usually delay treatment, which leads to severe inflammation, purulent-septic complications.

Ingrown toenail treatment

Progress does not stand still, and if it was recently believed that the patient has the only way – to the surgeon to remove the nail, today there are a lot of sparing corrective techniques that allow you to preserve the nail plate.

3 steps to effectively treat an ingrown toenail

1
Eliminate pain and inflammation of an ingrown toenail as quickly as possible, restoring the ability to move comfortably and wear familiar shoes. The edge of the nail that traumatizes the soft tissues is painlessly trimmed, anti-inflammatory therapy, antiseptics, and healing drugs are prescribed.

2
Ingrown toenail correction. We were one of the first in the country to use the modern gold standard for the correction of an ingrown nail – orthonixia (correction of the shape of the nail plate). The technique is in many ways similar to the installation of corrective dental systems (braces). To correct an ingrown nail, wire staples, plastic and metal plates are used, which are securely fixed on the nail plate and, due to their rigidity, level it, bringing the ingrown corners out.The existing methods for correcting ingrown nails (Goldstadt, BS, Onyclip, 3TO plates, Fraser staples) are very effective and allow painlessly correcting the nature of nail growth, both for therapeutic and prophylactic purposes.

3
Elimination of the cause of an ingrown toenail (secondary prevention). Perhaps this is the most important stage, because without it, all previous treatment will be only temporary!

Pyogenic granuloma, ingrown toenail. Before treatment

Ingrown nail. Treatment result, 3 months

Causes of the disease

There are many reasons for ingrown toenails:

• Improper nail care
• Wearing uncomfortable shoes
• Injury of the nail plate or toe
• Hereditary predisposition
• Anatomical features of the structure
• Overweight
• Onychomycosis (nail fungus)
• Diseases of internal organs (primarily endocrinopathies)

The doctor will inquire in detail about all your individual characteristics and outline a plan of preventive measures, refer you to an orthopedist (for making individual insoles, orthoses, advice on wearing sports and casual shoes), a therapist, and an endocrinologist.

The Med & Nail clinic has accumulated vast experience in dealing with this kind of pathology. According to our statistics, we successfully treat an ingrown nail in the acute period in 100% of cases, and in more than 90% of patients who correctly follow all the recommendations, it is possible to avoid a recurrence of the disease.

We will return you the joy of easy walking and a high quality of life without the pain of an ingrown toenail!

Ingrown toenail. Treatment. Kharkiv – Center for European Dermatology

Ingrown toenail – why endure pain when the problem is solved in 15 minutes

Those who have encountered the problem of an ingrown toenail are well aware of the excruciating pain this process can cause, which at first is mistaken for just an unsuccessful cutting of the nail plate.

In fact, all the most unpleasant things begin to happen later, as the nail grows back and instead of the correct direction grows into the periungual roller, causing severe pain not only when walking, but also in a static state. Further, the periungual space becomes inflamed and swollen, causing suffering to a person and does not allow normal walking.

Treatment of an ingrown toenail in Kharkov is best done in a specialized medical center “European Dermatology”, where experienced doctors will provide timely assistance and find the right way to get rid of this problem.

What can cause ingrown toenails

As a rule, the nail grows into the skin of the big toes. There are many reasons for this:

• Incorrect pedicure without taking into account professional rules, when, when cutting a nail:
  • round the shape too much and cut the corners deep;
  • make a cut in a straight straight line, leaving sharp corners;
  • cut the nail too short.
• Uncomfortable shoes – narrow, squeezing the foot, pressing on the thumbnail, thereby deforming it and changing the direction of growth of the nail plate.
• Very flat shoes.
• Flat feet.
• A defect called the “valgus foot”, when the second toe is on the thumb and deforms it and the nail plate.
• Onychomycosis – nail fungus. The nail plates thicken excessively and grow into the skin.
• Also, deformation and ingrowth of nails contributes to a number of skin diseases – lichen, warts, psoriasis.
• Ingrown toenails can also occur during pregnancy, when the load on the foot increases with weight gain.
• In some cases, nail ingrowth is observed in chronic endocrine and cardiovascular diseases, in obesity and diabetes mellitus.

If an ingrown nail is diagnosed, treatment in Kharkov can be carried out in various specialized clinics. Podiatrist Kharkiv will remove an ingrown toenail and help treat foot problems.

Removal of an ingrown nail Kharkiv can be carried out in the medical center “European Dermatology”, where professional podiatrists work.

By what signs can an ingrown nail be identified and where to handle it

• First of all, these are primary painful sensations during walking in the area of ​​the ingrowth of the nail into the skin fold.
• Further, there is a reddening of the periungual zone and edema.
• Then a throbbing pain appears, indicating that the process of suppuration has begun.
• The damaged soft tissue around the nail takes on the color of raw meat.
• The nail plate is deformed and thickened.

In the presence of the listed symptoms, an ingrown nail in Kharkov can be cured or removed in a specialized medical center “European Dermatology”.

Experienced specialists will examine the foot and the affected nail. In especially severe cases with suppuration, an X-ray of the foot will be prescribed to determine how deeply the pus has penetrated and whether it has affected the bone.

Treatment of an ingrown nail in Kharkov

To avoid unpleasant consequences, with a suspicion of an ingrown nail, it is better to immediately consult a doctor and not self-medicate.

Many patients are intimidated by drastic surgical measures. This should not be feared, because in addition to this, there is also laser removal of an ingrown nail in Kharkov, and other more gentle methods of treatment, which are prescribed if the visit to the doctor was timely.

Let’s consider these methods in more detail.

• Therapeutic treatment with ointments that soften the nail plate. This allows you to painlessly cut corners in mild cases of ingrowth.
• Correction of an ingrown toenail in a conservative way.With the help of glue, special microdevices (plates, staples, half-braces, springs) are attached to the nail, which lift the ingrown nail, give it the correct direction of growth and straighten the deformation. This does not affect walking in any way and does not cause discomfort. The treatment is long-term, it takes more than a month.
• Correction of an ingrown nail with capolin. Capolin is a comfortable soft material that is placed in the form of an interlayer between the nail plate and soft tissue. The nail gradually levels out, it is comfortable to walk with it, you can even swim in the pool, but the treatment takes more than two months.
• Surgical correction of an ingrown toenail. According to the indications, a distinction is made between complete and partial removal of the nail. Completely remove the nail with strong suppuration with the capture of a part of the skin in order to avoid relapses. The postoperative period requires the strict use of antiseptics, sterile dressings and pain relievers. Complete regrowth of the nail plate occurs in three months.
• Radio wave correction of an ingrown nail. Only the ingrown portion of the nail plate is removed by radio waves, while the growth zone is processed along the way.The technique is popular due to the fact that after it there are no scars and the likelihood of recurrence and postoperative complications is practically excluded.
• Laser correction of an ingrown toenail. To date, treatment of an ingrown nail with a laser in Kharkov is recognized as the most rational and effective method. Similar to the radio wave technique, only the ingrown nail area and the edge of the growth area are removed with a laser. Relapses are completely excluded. When diagnosed, when a patient has a nail affected by fungal cultures, the laser simultaneously eliminates the fungal spores of the subungual zone.Approximate information on the cost of the laser procedure can be obtained by searching for “removal of an ingrown nail with a laser Kharkov price”, “laser removal of an ingrown nail Kharkov price”, “laser treatment of an ingrown nail Kharkov cost”.

More details on the price list for laser and other types of ingrown nail correction can be found on the website of the medical center “European Dermatology” in the “Prices” section.

Here you can immediately make a quick online appointment with a specialist by filling out the registration form located at the bottom of the main page.

If you have additional questions, you can make an appointment by calling the specified phone number, after consulting with the help desk employee.

90,000 Ingrown toenail. Removal of an ingrown toenail in the Doctor2000 clinic, Moscow

Ingrown nail, known in medical practice as onychocryptosis, is a defect in nail growth, characterized by ingrowth of the nail plate into the tissue of the nail fold. In this case, there is swelling and redness of the nail fold, an inflammatory process begins, accompanied by severe pain (mainly pulsating), and suppuration of the finger.As a rule, the patient does not pay attention to the symptoms at an early stage and turns to the doctor only when the inflammatory process is accompanied by unbearable pain.

There are many reasons why the nail grows into the tissue of the nail fold. The most common of them, which occurs in 95% of cases, is improper nail trimming: removing the corner of the nail plate, leaving a sharp edge, etc. To a lesser extent, there is the use of uncomfortable shoes (disproportionate, narrowed) and constant pressure on the fingers and toes.In these two cases, the nails experience increased stress and, under its influence, change the direction of growth. Also, the appearance of an ingrown nail can be caused by fungus and other skin diseases, finger injury or frostbite, malnutrition of bone tissue, etc.

Diagnostics

Since there are many reasons for ingrown nails, the surgeon needs to determine the cause of the defect, as well as at what stage it is. For example, if there is a suspicion of a fungus or other skin diseases, then the patient is referred to a dermatologist, who, based on the examination, confirms the correctness of the diagnosis. The dermatologist prescribes the appropriate treatment and removal of the nail. Otherwise, by missing this step, you can confidently count on a relapse.

If the surgeon is sure that the ingrowth of the nail is caused by mechanical action, then he should conduct an X-ray examination to identify such complications as suppuration, as well as to exclude osteophyte – a pathology characterized by bony outgrowths on the fingers.

Ingrown nail removal

Taking into account the recent appearance of a large amount of unreliable information, I would like to draw your attention to the fact that the only possible way to remove an ingrown nail is surgical excision.Pseudo-methods, “laser” and “radio wave” removal of an ingrown nail, promising painlessness and simplicity, cannot exclude subsequent relapses and complete recovery of the patient.

Surgical method, or, as it is also called, Bartalett’s operation, consists in marginal resection of the nail plate with the destruction of a part of the growth zone of the nail.