Ingrown toenail

In an ingrown toenail, the skin around the nail is irritated or damaged by one or both corners of the nail growing into the skin. This can lead to inflammation and sometimes infection. Usually the problem occurs on the big toe.

Symptoms

The following symptoms may occur:

  • Red, swollen and painful skin around the nail
  • Increasing pain when walking or standing up
  • Difficulty wearing shoes
  • Development of pus or proliferating scar tissue ("wild meat") after a long period of time

Cause

An ingrown toenail can be caused by cutting your nails incorrectly and by wearing shoes that are too small or narrow. An injury to the toe can also cause a nail deformity. Perspiring a lot can also make the skin more soft and sensitive, making it easier for the nail to grow in.

Treatment

If the nail is only slightly ingrown, a podiatrist or medical pedicurist can help you with one of the following treatments:

  • Tamponnage: the edge of the nail is raised with a piece of gauze
  • Nail brace: this makes the nail less crooked, reducing the risk of ingrowth

If the nail is already infected, the ingrown portion must be surgically removed. This usually involves removing the ingrown part of the nail itself, the underlying nail bed and the nail root. Complete removal of the nail is rarely necessary.