Ingrowing Toe Nails
An ingrown toenail occurs when the edge of a nail grows into or presses against the surrounding skin. Although it most commonly affects the big toe, it can develop on any toe. The area may become tender, red or swollen, and you might…
An ingrown toenail occurs when the edge of a nail grows into or presses against the surrounding skin. Although it most commonly affects the big toe, it can develop on any toe. The area may become tender, red or swollen, and you might experience discomfort when walking, wearing shoes or placing pressure on the toe. In some cases, the skin may bleed or produce discharge if an infection develops.
Ingrown toenails can have several causes. These include cutting the nails too short or rounding the corners, wearing tight or poorly fitting footwear, injury to the toe, or the natural shape of the nail. Some people may also be more prone to the condition because of thicker, curved or damaged nails.
Mild symptoms can sometimes be eased by keeping the foot clean and dry and wearing comfortable shoes with plenty of room around the toes. Avoid cutting into the affected corner or trying to remove the nail yourself, as this can make the problem worse. To help prevent ingrown toenails, trim your nails straight across rather than cutting down the sides, and avoid cutting them too short.
A podiatrist can carefully assess the nail, identify what is causing the discomfort and recommend the most suitable treatment. Depending on the severity of the problem, treatment may involve removing the troublesome edge of the nail, reducing pressure around the area or offering advice to help prevent it from returning.
If the ingrown toenail is particularly painful, repeatedly becomes inflamed or does not improve with conservative care, nail surgery may be recommended. This is a routine minor procedure that is usually carried out under local anaesthetic. It may involve removing only the affected section of the nail or, when necessary, removing the whole nail. Your podiatrist will explain the available options and make sure you understand what to expect before proceeding.
If you think you may have an ingrown toenail, please get in touch to arrange an assessment. Seeking advice early can help relieve discomfort, reduce the chance of the problem worsening and get you back to walking comfortably.
The pictures below show the result following a total nail avulsion procedure on a young patient suffering from recurring ingrown nails. Multiple options exist when managing ingrown nails, we will discuss the best options according to your individual needs and plan accordingly. The second picture shows the digit 5 weeks post-procedure.

