SCHOLL Ingrowing Toenails

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Serour F. Recurrent ingrown big toenails are efficiently treated by CO2 laser. Dermatol Surg. 2002;28(6):509-512. Taping the nail. With this method, your health care provider pulls the skin away from the ingrown nail with tape. Gutiérrez-Mendoza D, De Anda Juárez M, Ávalos VF, et al. “Cotton nail cast”: a simple solution for mild and painful lateral and distal nail embedding. Dermatol Surg. 2015;41(3):411-414. An ingrowing toenail is where a piece of nail pierces the flesh of the toe. It can feel as if you have a splinter, and be extremely painful and inflamed or infected. In more severe cases, it can cause pus and bleeding. Ingrowing toenails most commonly affect the big toenail, but can affect the other toes too. A nail that is curling (involuted or convoluted) into the flesh, but isn’t actually piercing the skin, isn't an ingrowing toenail but can feel very painful and can also appear red and inflamed. What causes it?

Andreassi A, Grimaldi L, D'Aniello C, et al. Segmental phenolization for the treatment of ingrowing toenails. J Dermatolog Treat. 2004;15(3):179-181. Foot complications. American Diabetes Association. https://www.diabetes.org/diabetes/complications/foot-complications. Accessed Oct. 12, 2021. Place the electrode over the lateral nail bed with the Teflon-coated portion upward. Lift the electrode about 1 mm, creating a small gap ( Figure 5 23). Byrne DS, Caldwell D. Phenol cauterization for ingrowing toenails: a review of five years' experience. Br J Surg. 1989;76(6):598-599. Reyzelman AM, Trombello KA, Vayser DJ, et al. Are antibiotics necessary in the treatment of locally infected ingrown toenails?. Arch Fam Med. 2000;9(9):930-932.

Frequently Asked Questions

For any bleeding or discharge from an infection, or even excessive healing flesh (hypergranulation tissue) around the nail, antibiotics will be prescribed to manage the infection as well as having the offending spike removed Travers GR, Ammon RG. The sodium hydroxide chemical matricectomy procedure. J Am Podiatry Assoc. 1980;70(9):476-478. Mayeaux EJ. Nail avulsion and matrixectomy. In: Mayeaux EJ, ed. The Essential Guide to Primary Care Procedures. 2nd ed. Wolters Kluwer; 2015:534–556. Before you are seen by a podiatrist, you can relieve the discomfort by bathing your foot in a salty footbath which helps to prevent infection and reduces inflammation. Then apply a clean sterile dressing, especially if you have a discharge, and rest your foot as much as possible.

If you have diabetes, are taking steroids or are on anti-coagulants, don’t attempt to cut your nails or remove an ingrowing spikes of nail yourself. When should I see a podiatrist? Sweaty feet can lead to softer skin around the nail, and a softer nail, so it becomes easier to bend the nail into the skin. Gerritsma-Bleeker CL, Klaase JM, Geelkerken RH, et al. Partial matrix excision or segmental phenolization for ingrowing toenails. Arch Surg. 2002;137(3):320-325.Collins SC, Cordova K, Jellinek NJ. Alternatives to complete nail plate avulsion. J Am Acad Dermatol. 2008;59(4):619-626.

An ingrowing toenail typically affects teenagers and young adults the most. A number of things can cause an ingrowing toenail to develop and if left untreated, could pierce the skin. Apply directly to the nail matrix at the lateral sulcus and under the proximal fold two to three times for 30 to 60 seconds each round. Romero-Pérez D, Betlloch-Mas I, Encabo-Durán B. Onychocryptosis. Int J Dermatol. 2017;56(2):221-224. Apply 10% sodium hydroxide with a cotton-tipped applicator. Vigorously rub on the lateral horn of the nail matrix for one minute. Please see a healthcare professional if home treatments are not helping, if the toe is very painful, bleeding or infected and if you have a high temperature.Espensen EH, Nixon BP, Armstrong DG. Chemical matrixectomy for ingrown toenails. J Am Podiatr Med Assoc. 2002;92(5):287-295. If you experience any foot care issues that do not resolve themselves naturally or through routine foot care within three weeks, you should seek the help of a healthcare professional.