Ingrown Toenails
Ingrown nails can cause redness, pain, and infection. Our podiatrists offer partial nail removal, infection treatment, and nail care education to prevent recurrence and ensure healthy nail growth.
Symptom Onset & Initial Evaluation
Ingrown toenails occur when the corner or side of a nail grows into the surrounding skin, leading to pain and swelling. Common symptoms include:
- Tenderness, redness, or hardness around the nail edge
- Swelling or warmth in the affected toe
- Fluid drainage or pus if infection develops
During your visit, your podiatrist will examine the nail, assess for signs of infection, and review contributing factors such as improper nail trimming, tight footwear, or injury.
Diagnosis
Diagnosis is primarily clinical, based on the appearance of the nail and surrounding tissue. If infection is present, a culture may be taken to identify the causative bacteria and guide antibiotic therapy.
Treatment
Treatment depends on the severity of the ingrown nail and whether infection is present.
Conservative Care
- Warm water soaks to reduce swelling
- Gentle lifting of the nail edge with dental floss or cotton
- Antibiotic ointment for minor infections
In-Office Procedures
- Partial nail avulsion: Removal of the ingrown portion of the nail under local anesthesia
- Chemical matrixectomy: Application of a chemical (phenol) to prevent regrowth of the offending nail edge
Infection Management
- Oral or topical antibiotics for infected nails
- Drainage of abscess if present
Ongoing Management & Prevention
To prevent recurrence, your podiatrist will provide guidance on:
- Proper nail trimming (straight across, not too short)
- Wearing shoes with adequate toe room
- Keeping feet clean and dry
Patients with diabetes or circulatory issues should have regular podiatry check-ups for preventive nail care.