Nails
Ingrown toenails: causes, symptoms and effective solutions
Ingrown toenails can be a real pain, figuratively and literally. In this concise guide, we'll explore what ingrown toenails are and their causes.
What is happening
An ingrown toenail occurs when the edge of the nail plate presses into or pierces the skin beside it. The body treats the nail edge as a foreign object, so the area becomes red, swollen and painful, and can develop proud flesh and discharge if it has been there a while. The big toe is the usual site.
Common causes
Cutting nails down the sides or too short, leaving a spike behind. Tight or narrow shoes and sport that jams the toe forward. A stubbed or crushed toe. Naturally curved or thickened nails, which run in families. Fungal nail changes that thicken the plate. Sweaty feet, which soften the surrounding skin and let the nail cut in more easily.
What we can do about it
In clinic we can usually remove the offending spike of nail and relieve the pain on the day, often with immediate relief. If the area is infected, we clear it, dress it and advise on whether antibiotics are needed.
For nails that keep coming back, a partial nail avulsion is the permanent fix. Under local anaesthetic, we remove the offending edge of the nail and treat the nail bed so that edge does not grow back. It is done in the clinic, takes under an hour, and most people walk out and return to normal shoes within a few days. The rest of the nail is left looking normal.
Preventing the next one
Cut nails straight across rather than curving down the sides, and not shorter than the end of the toe. Give your toes room in shoes, particularly for sport. Keep feet dry. And have a painful nail looked at early, before it becomes infected, rather than digging at it yourself.
Sound familiar?
Have it assessed properly. No referral needed.