An ingrown toenail occurs when the side or corner of the nail grows into the surrounding skin. This condition can affect anyone — from children to the elderly — and can be painful, with infection often present.

 

Causes of Ingrown Toenails

Ingrown toenails can develop due to:

• Naturally curved or involuted nails

• Incorrect cutting technique

• Tight or poorly fitting shoes

• Trauma to the nail

• Certain medications, such as isotretinoin for acne

People with diabetes or a weakened immune system are at higher risk of infection and should seek professional care promptly.

 

Home Management

Early, mild cases can sometimes be managed at home by:

• Cutting nails straight across, avoiding cutting down the sides

• Soaking the foot in warm saltwater with a topical antiseptic

• Wearing comfortable, roomy footwear

 

Podiatrist Care

Professional podiatry care is recommended early to relieve pain and prevent recurrence. During a consultation, your podiatrist may provide:

• Education on nail care, infection management, and footwear

• Removal of small nail spikes

• Nail packing to protect the nail edge

• A full footwear assessment

 

Surgical Management

For severe or recurrent cases, a partial nail avulsion may be performed. This procedure permanently removes the affected portion of the nail and treats the nail bed with phenol to prevent regrowth in that section. It is highly effective — a 2010 study of 197 patients reported a 98.5% success rate.

 

Professional Advice

If you’re experiencing pain, swelling, or signs of infection, early treatment by a podiatrist can prevent complications and provide long-term relief.

Book an appointment with Coastal Health Podiatry to assess and treat ingrown toenails safely and effectively.

 

*Vaccari S, Dika E, Balestri R, Rech G, Piraccini BM, Fanti PA. Partial excision of matrix and phenolic ablation for the treatment of ingrowing toenail: A 36-month follow-up of 197 treated patients. Dermatol Surg 2010;36:1288–93