
An ingrown toenail is a painful condition where the edge of a toenail grows into the surrounding skin instead of over it.
An ingrown toenail occurs when the corner or side of a toenail grows into the surrounding skin instead of outward as it normally should. This can cause pain, swelling, and sometimes infection. Although any toe can be affected, the condition most often involves the big toe. Ingrown toenails can range from mildly uncomfortable to severely painful, and early care can help prevent complications.
What Causes Ingrown Toenails?
Ingrown toenails typically develop due to pressure, improper nail care, or natural nail shape. Common contributing factors include:
Improper Nail Trimming
- Cutting nails too short
- Rounding or angling the nail edges instead of trimming straight across
- Removing the sides of the nail aggressively
These techniques can cause the nail to grow into the skin as it regrows.
Tight Footwear
- Shoes that squeeze the toes or put pressure on the nail edge
- Tight or ill-fitting socks These conditions push the nail into the skin and encourage ingrowth.
Toe Injury
- Stubbing the toe
- Dropping heavy objects on the foot
- Repeated stress from sports, running, or kicking activities Any trauma can change the nail’s growth pattern.
Genetic Factors
- Naturally curved or fan-shaped nails
- Inherited tendency toward thicker or inward-growing nails
Abnormal Nail Growth
- Conditions like fungal nail infections
- Thickened, brittle, or damaged nails
Symptoms of Ingrown Toenails
Signs and symptoms can worsen as the nail grows deeper into the skin. Common symptoms include:
- Pain or tenderness along one or both sides of the nail
- Redness and swelling around the affected area
- Warmth and increased sensitivity
- Signs of infection, such as:
- Pus
- Drainage
- Increased redness
- Severe throbbing
- Difficulty walking or wearing shoes comfortably
- Overgrowth of skin around the nail in advanced cases
Treatment and Management
Managing an ingrown toenail early helps reduce pain and prevent complications:
- Soak the foot in warm water to reduce swelling
- Keep the area clean and dry
- Gently lift the nail edge with cotton or dental floss (if mild and non-infected)
- Wear comfortable shoes with roomy toe boxes
- Apply topical antiseptics if infection is suspected
When to Seek Medical Care
Professional treatment is necessary if:
- There are signs of infection
- Pain is severe or persistent
- You have diabetes, poor circulation, or nerve damage
- The condition recurs frequently
Healthcare providers may remove part of the nail or nail bed to prevent future ingrowth. In chronic cases, a small portion of the nail matrix may be permanently removed.
Prevention Tips
- Trim toenails straight across, not curved
- Avoid cutting nails too short
- Wear properly fitting footwear
- Maintain good foot hygiene
Ingrown Toenail
Appointment Details
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