A B C D E F G H I J K L M N O P R S T U V W

INGROWING TOENAIL

What is an Ingrowing Toenail ?

An ingrowing toenail occurs when the side of the nail curves inwards. This grows to form a spike which then digs into the flesh at the side of the toe. This causes pain, swelling, and a low-grade persistent infection.

How does an Ingrowing Toenail occur ?

The irritation of the nail spike breaks down the protective covering of the skin. Germs are often present on and around the toes. They can then gain entry through the skin, creating an infection.

Why does an Ingrowing Toenail occur ?

It can result from having sweaty feet and wearing excessively tight or narrow shoes. It is also encouraged by the habit of cutting the nail too short at the sides. Digging down into the side of the toe to clean the nails can also set off the process. It is often seen in late childhood when growth is rapid.

Treatment Involved for an Ingrowing Toenail

If caught early, an operation may not be needed. A state-registered chiropodist is often able to deal with the problem. Inserting small wool plugs soaked in a mild antiseptic beneath the nail fold will reduce the infection. The end of the nail should be cut straight across and the corners not be cut back. If infection is persistent, removal of the edge of the nail or the whole nail bed itself is then required. This can be done under a local anaesthetic by deadening the nerves on each side of the affected toe. If the edge of the nail is removed, a small dressing is placed in the edge of the toenail and regular dressings are required. When the nail begins to grow again it is important that it should be cut properly. Removal of the whole nail bed can also be done under a local anaesthetic but this may then require a few stitches to be inserted as well. A padded protective dressing is placed on the toe and this will need to be changed after 2 to 3 days. The nail then will not grow again. The raw area where the nail was will heal over with skin.

During Treatment for an Ingrowing Toenail

Wide comfortable shoes should be worn; even sandals. Your toes should be kept dry at all times. Worsening pain and swelling may be a reason for having antibiotics. Your doctor should then be consulted promptly.

After Treatment for an Ingrowing Toenail

Both the operations will cause pain and discomfort, mainly in the first 24 to 48 hours. Regular dressings either at the hospital or by the practice nurse will be required until the wounds are healed. It is usually helpful to have good toenail care explained to you by a state-registered chiropodist. Poor foot care will risk the same problem happening in other toes.

If an Ingrowing Toenail is Left Untreated

The infection may settle by itself, especially if the pressure is taken off the toe. This might be the case if sandals are worn for a while. However, the problem would recur when normal shoes are worn again. Sometimes the infection can get out of hand: the whole toe swells with infection (cellulitis or abscess). The infection might even get into the bloodstream (septicaemia). These complications are more likely to occur in people with diabetes. If you have diabetes, therefore, make sure that you let either your chiropodist or doctor know about any ingrowing toenail which you have.