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Nail AilmentsIngrown Toenails What Is It? An ingrown toenail is a toenail with an edge that pushes into the skin and soft tissue at the side of the nail. This causes redness, swelling and pain, and can lead to infection. Symptoms can be worse when you are wearing a shoe, which puts pressure on the nail. The nail on the big toe becomes ingrown more often than other toenails. Ingrown toenails can be caused by cutting toenails improperly, by wearing shoes that fit poorly or by injuring the nail bed. Ingrown toenails also can run in the family. Ingrown nails, the most common nail impairment, are nails whose corners or sides dig painfully into the soft tissue of nail grooves, often leading to irritation, redness, and swelling. Usually, toenails grow straight out. Sometimes, however, one or both corners or sides curve and grow into the flesh. The big toe is usually the victim of this condition, but other toes can also become affected. |
Ingrown toenail may be caused by:
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If you suspect an infection due to an ingrown toenail, immerse the foot in a warm salt water soak, or a basin of soapy water, then apply an antiseptic and bandage the area.
| Ingrown nails may develop for many reasons. Some cases are congenital--the nail is just too large for the toe. Trauma, such as stubbing the toe or having the toe stepped on, may also cause an ingrown nail. However, the most common cause is tight shoe wear or improper grooming and trimming of the nail. Figure 2 illustrates the anatomy of a toenail. |  |
People with diabetes, peripheral vascular disease, or other circulatory disorders must avoid any form of self treatment and seek podiatric medical care as soon as possible.
Treatment and Prevention
Ingrown toenails should be treated as soon as they are recognized. In many cases, people with uninfected ingrown toenails can obtain relief with the following simple regimen:
- Soak the feet in warm salt water
- Dry them thoroughly with a clean towel
- Apply a mild antiseptic solution to the area
- Bandage the toe
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