Ingrown toenails are a ubiquitous health issue, affecting individuals regardless of age. This condition occurs when the edge of a toenail grows into the surrounding skin, causing discomfort, inflammation, and in some instances, infection. In severe cases, the affected skin might be pierced, allowing bacteria to enter and potentially resulting in pus-filled pockets which could exacerbate the pain. Both minor and severe cases require attention, with treatments ranging from home remedies to in-office procedures.

Causes of Ingrown Toenails

There are several factors that can contribute to the development of an ingrown toenail:

• Improper nail trimming: Cutting your nails too short or not straight across can encourage the skin at the sides of the nail to fold over it.
• Shoe Gear: Shoes or socks that are too tight can cause your toes to be compressed together, which forces the nail to grow into the skin.
• Injury: Trauma to the toenail, such as stubbing your toe, can cause the nail to grow into the skin.
• Nail conditions: Fungal infections can cause the nails to become thick or widened, which may lead to an ingrown toenail.

Treatment Procedure of Ingrown Toenails

The course of treatment for an ingrown toenail depends on the severity of the condition. Mild cases can often be managed at home, with steps including soaking the foot, lifting the ingrown edge of the nail, and applying a topical ointment to minimize the risk of infection. Over-the-counter pain relievers can also help manage discomfort.

However, not all cases of ingrown toenails can be resolved with conservative methods. Particularly severe or recurrent cases may necessitate more aggressive treatment, such as a nail procedure. This is usually recommended when the nail’s structure causes recurrent ingrowth.

Surgical treatment for an ingrown toenail can involve removing a portion of the nail or the full nail when appropriate and under local anesthesia. Post-removal, a procedure may be performed on the nail matrix—the part of the nail that generates new tissue—to prevent future ingrowth. This procedure renders the nail matrix inoperable, reducing the risk of recurrent ingrown toenails.

Postoperative care is crucial in ensuring a smooth recovery. The operated area will be covered with antibacterial ointment and gauze, and it’s important to follow all given instructions, including how to keep the wound clean. Remember that every procedure carries potential risks and it’s important to understand what to expect both during and after treatment.

Preventing Ingrown Toenails

Prevention is always better than cure. Here are some effective strategies to help avoid ingrown toenails:

1. Trim your nails correctly: Cut your toenails straight across and to a length that aligns with the edge of your toe. This prevents pressure from footwear causing the nail to grow into the surrounding tissue.
2. Choose well-fitting shoes: Shoes should offer ample room in the toe area to avoid pinching or excessive pressure, which can contribute to ingrown nails.
3. Protect your feet: If your job or daily activities put you at risk of injuring your toes, consider protective footwear.
4. Inspect your feet regularly: Especially for individuals living with diabetes, it’s essential to include checking for ingrown toenails in your daily foot care routine.

When to Seek Professional Help

If you develop severe pain, pus, or spreading redness associated with an ingrown toenail, or if you are a person with diabetes and notice an ingrown toenail, please contact our Gilbert, AZ office at (480) 497-3946 to set up an appointment. Remember, timely intervention can prevent complications and alleviate discomfort more effectively.