Ingrown Toenail

Dr. Bishop treats many many ingrown toenails every week. These can be solved permanently in usually one office visit with a local anesthetic procedure!
An ingrown toenail (onychocryptosis) occurs when the edge or corner of a toenail grows into the surrounding skin, causing pain, swelling, and sometimes infection. It commonly affects the big toe but can occur on any toe.
Call 480-342-9999 for an appointment with Dr. Bishop

Causes

Improper Nail Trimming:

Cutting nails too short or rounding the edges.

Ill-Fitting Footwear:

Shoes that are too tight or narrow, placing pressure on the toes.

Trauma:

Stubbing the toe or repeated pressure (e.g., from sports or dancing).

Genetics:

Some people inherit a tendency for curved or thick toenails.

Poor Foot Hygiene:

Excessive sweating or moisture can soften the skin and make it more vulnerable.

Underlying Conditions:

Fungal nail infections or thickened nails from other medical conditions.

Symptoms

- Pain and tenderness along the edge of the nail.
- Redness and swelling around the nail.
- Possible infection:
1. Pus or drainage.
2. Increased redness or warmth.
- Difficulty walking or wearing shoes due to discomfort.

Treatment Options

Home Care for Mild Cases

1. Warm Soaks:
- Soak the foot in warm water with Epsom salt for 15-20 minutes, 2-3 times a day, to reduce swelling and soften the skin.
2. Proper Nail Care:
- Trim the nail straight across and avoid rounding the edges.
3. Lift the Nail:
- Place a small piece of sterile cotton or dental floss under the ingrown edge to guide the nail to grow away from the skin.
4. Pain Relief:
- Over-the-counter pain relievers like ibuprofen or acetaminophen.
5. Topical Antibiotics:
- Apply antibiotic ointment (e.g., Neosporin) to prevent infection.

When to See a Doctor

- Persistent pain or swelling.
- Signs of infection (pus, severe redness, or fever).
- Recurrent ingrown toenails.
- Underlying conditions like diabetes or poor circulation, which increase the risk of complications.

Medical Treatment

1. Partial Nail Removal (Partial Nail Avulsion):
- Performed under local anesthesia.
- The ingrown portion of the nail is trimmed away.
- May include chemical cauterization to prevent regrowth of the ingrown edge.
2. Total Nail Removal (Total Nail Avulsion):
- Recommended for severe or recurrent cases.
- The entire nail is removed, and the nail bed may be treated to prevent regrowth.
3. Antibiotics:
- Prescribed for infections.
- Topical or oral antibiotics may be used depending on the severity.
4. Surgical Matrixectomy:
- The nail matrix (root) is permanently removed or destroyed to prevent regrowth.
- Performed for chronic or severe cases.

Preventing Ingrown Toenails

1. Trim Nails Properly:
- Cut nails straight across, and avoid cutting them too short.
2. Wear Comfortable Footwear:
- Choose shoes with a wide toe box to prevent pressure on the nails.
3. Practice Good Foot Hygiene:
- Keep feet clean and dry.
4. Protect Your Toes:
- Avoid trauma by wearing protective footwear during activities.
5. Address Foot Abnormalities:
- Use orthotics or padding for foot deformities that contribute to pressure on the nails.

Finding a Specialist

If untreated, ingrown toenails can lead to severe infections, especially in individuals with diabetes or compromised circulation. Early care and preventive measures are key to avoiding complications.
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