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.