Skip to main content

I have an Ingrown toenail, how can I treat it?

Ingrown toenails are an often painful and common foot and ankle problem.  They can result from many different causes, including nail trauma, toenail fungus, hereditary nail shape and others.  When an ingrown toenail occurs, the nail grows in a curved fashion downward into the skin instead of flat and along the nail plate. This causes the toenail to cut into the skin, which allows easier access for bacteria to enter the area and cause infection. Symptoms can include pain, redness, drainage, and swelling of the toe. The most common area for ingrown toenails to occur is on both sides of the big toe. 


When an ingrown occurs, you should seek treatment.  At your appointment, you can expect a consultation and an examination of your foot and nails.  There are multiple treatment options which can be pursued and potentially recommended depending on the extent and severity of the ingrown nail, as well as the potential presence of infection (called a paronychia).  Below are options your foot and ankle doctor may discuss with you.



After these procedures, you will be instructed to soak the toe in warm water and epsom salt for 2 weeks to allow for any drainage to be expressed and to help prevent infection after the procedure.  You will be sent home with detailed post-procedure care instructions for your reference.  

To prevent ingrown toenails, it is recommended to cut the nails straight across, and to not cut the nails too short, leaving them past the skin fold at either side.  Additionally, avoid “home surgery” on a nail if you feel as though it may be ingrown.  This often is unsuccessful, or makes the problem worse.  It also can leave you more prone to infection.  


If you note pain, swelling, redness, warmth, or drainage from an ingrown nail, contact our offices to schedule an appointment for an evaluation and potentially a procedure. 

Dr. Evan Smith Dr. Evan Smith Dr. Evan Smith is a Board-Qualified foot and ankle surgeon, providing personalized, high-quality care to the Castle Rock community as a physician with Castle Rock Foot & Ankle Care. Dr. Smith received a Bachelor of Science degree in Biology from Illinois Wesleyan University. He then went on to earn a Doctor of Podiatric Medicine degree at Des Moines University College of Podiatric Medicine and Surgery in Des Moines, Iowa, where he received The American Board of Podiatric Medicine Graduate Merit Award. Following medical school, he completed a three-year foot and ankle surgical residency program at Legacy Health in Portland, Oregon, gaining comprehensive training in all aspects of foot and ankle surgery. Dr. Smith takes pride in connecting with his patients and providing personalized care to get patients back to the activities they love.

You Might Also Enjoy...

Golfers: Don't be handicapped with foot pain

The physical act of repeatedly swinging a golf club in practice and on the links can lead to a condition known as hallux limitus, in addition to other foot problems, such as neuromas.
Leneva Fat Pad Injection

Why do my feet feel so bony and hurt?

While aging is a natural process of human nature, aging does not have to equal painful feet. Patients over the age of 50, can expect they may lose up to 50% of their natural fat pad, namely at the ball of the foot and heels. We can help with this.