INGROWN TOENAILS

An ingrown toenail occurs when the corner of a toenail grows into the skin of the toe. This causes swelling, redness, and pain. The big toe is the most common location for ingrown toenails, though it can happen to any nail. Toenails that are trimmed in a curve to follow the shape of the toe are the most common cause. When they grow out, the corners of the nails grow into the skin causing the irritation. Shoes that are too tight or too short can also cause ingrown toenails by putting pressure on the corners of the toenails.

If the nail is allowed to continue growing into the edges of the skin, it can become infected. An infection of the skin around the nail may cause severe pain. Pus may drain from the area. It may start to look like the skin is growing over the toenail.

The best way to treat an ingrown toenail is to soak the foot in warm, soapy water several times a day. The edge of the nail can be lifted slightly and a very small piece of cotton from a cotton ball put under the edge of the nail. Change the piece of cotton every day. Keep the feet clean and dry. Wear clean socks every day and open toed shoes or sandals.

A healthcare provider should be seen if there are signs of an infection such as increased pain or swelling, drainage from around the nail, or a fever of 100.5 degrees Fahrenheit (38.1 degrees Centigrade) or higher. Anyone with diabetes or other medical problems should see a provider as soon as there are symptoms of an ingrown toenail.

If the toenail becomes severely infected, or there are repeated infections, a provider may need to remove part or all of the toenail. This can usually be done as an outpatient. A medicine is used, like the dentist uses, to make the toe numb. The nail is removed and a bandage is put on the toe. The person may go home shortly after that.

The best way to prevent an ingrown toenail is to always cut the toenails straight across. Do not taper the corners of the nail. The toenail should extend just slightly past the skin. This way, the nail cannot grow into the skin. Use nail clippers to make neat even cuts. Do not cut the nails too close or tear away a nail with dull scissors or your fingers. Finish the edge with a nail file.

Disclaimer: This content is reviewed periodically and is subject to change as new health information becomes available. The information provided is intended to be informative and educational and is not a replacement for professional medical evaluation, advice, diagnosis or treatment by a healthcare professional.

HIL File FOOT4557.RF2 VRS# 4557 Data Version 7.0