Ingrown Nail Management and Nail Surgery

An ingrown toenail develops when the edge of the nail presses into or breaks the surrounding skin. This can cause tenderness, redness and swelling, particularly when walking or wearing shoes. In some cases, the area may bleed or become infected.

Treatment depends on the severity of the problem and whether it has occurred before. In milder cases, an ingrown toenail may be managed conservatively. This can include carefully removing the troublesome nail edge, reducing pressure around the area and providing advice on appropriate nail cutting and footwear. Keeping the foot clean and wearing shoes with sufficient room around the toes may also help the area settle and reduce further irritation. Avoid cutting deeply into the corners of the nail or attempting to remove it yourself, as this may make the problem worse.

When an ingrown toenail is particularly painful, repeatedly becomes inflamed or does not respond to conservative care, nail surgery may be recommended. This is a routine minor procedure usually carried out under local anaesthetic.

A partial nail avulsion involves removing only the problematic side of the nail while leaving the remaining nail in place. A total nail avulsion involves removing the entire nail and may be advised when several sections are affected or the whole nail is problematic. In suitable cases, the nail root may also be treated to reduce the chance of the removed section growing back. Your podiatrist will discuss the available options and recommend the approach best suited to you.

If you think you may be experiencing an ingrown toenail, please get in touch to arrange an assessment. Early professional advice can relieve discomfort, help prevent the problem from worsening and identify the most appropriate treatment.