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Ingrown Toenails: Causes, Remedies, and When to Seek Professional Help

At some point, we’ve all experienced the discomfort of a pesky ingrown toenail. It occurs when the nail plate grows into the surrounding skin and causes inflammation. Ingrown toenails are among the most common toenail conditions and are particularly common in the big toe.

Whether it’s a result of a stubbed toe, improper nail-trimming habits, or the perils of snug footwear, ingrown toenails can quickly turn into a painful ordeal. In this article, we’ll delve into the causes behind these troublesome toenail invaders, explore effective home remedies to ease the discomfort, and discuss when to seek professional help for a more permanent solution. 

Causes of Ingrown Toenails

Improper nail trimming

Ingrown Toenails: Causes, Remedies, and When to Seek Professional Help

Cutting toenails too short or straight across can encourage the nail to grow into the skin. The skin surrounding the nail should not be higher than the toenail as this may cause the nail to grow into the skin instead of on top of it. Instead, cut the nail to the skin’s edge and not any deeper.

Ill-fitting shoes

Tight or narrow shoes can pressure the toes and push the skin into the nails

Injury or trauma

Stubbing your toe or other injuries can lead to ingrown toenails.

Genetics

Some people may have a genetic predisposition to ingrown toenails. their nails can be too wide for the toe or there can be too much skin on the sides of the toe

Poor foot hygiene

Not keeping the feet clean and dry can affect the skin around the nail bed, and contribute to the development of ingrown toenails.

At-home remedies for Ingrown Toenails

At-home remedies are an option while you wait for professional treatment. Note: Never attempt to cut the ingrown toenail yourself.

Salt Water Foot Bath

Ingrown Toenails: Causes, Remedies, and When to Seek Professional Help

Soak the affected foot in warm salt water for 5 minutes daily to reduce inflammation. Pad dry and then apply a dressing.

Antibiotic ointment

Apply an antibiotic ointment to reduce the risk of infection.

Wear proper footwear

Choose shoes with enough room for your toes, and avoid tight-fitting footwear.

Avoid aggravating activities

If possible, avoid activities that put extra pressure on the toes.

Professional treatment remedies for Ingrown Toenails

It’s best to consult a professional for proper care and treatment. A chiropodist or foot specialist may perform any number of the following professional treatments:

Proper toenail care and trimming

professional nail trimming ingrown toenail prevention

Cutting toenails too short or at the wrong angle can cause the nail to ingrow. A chiropodist can properly trim and cut your toenails in a way that promotes proper nail growth. They can trim to treat an existing ingrown toenail, or trim your toenails preventatively, for example, during a medical procedure or nail care appointment.

A chiropodist can also soften the skin, lift the edge of the nail from the skin, and then prop the corner of the nail over the skin edge until the skin heals.

Onyfix

onyfix

Onyfix is a special composite material that the chiropodist applies it in a band across the nail. It acts like a nail brace to correct the nail’s growth.

Partial nail avulsion (PNA)

This is done for constant ingrown toenails, constant infection or if clinical care is not resolving the issue. A local anesthetic first numbs the toe. A narrow vertical strip is then removed from the edge of the affected side of the nail down the entire length. Antibiotics and a dressing are applied to the exposed nail bed to prevent infection.

Total nail avulsion (TNA)

Total nail avulsion is similar to a partial nail avulsion, except the whole nail is removed. This surgical procedure is performed if other more conservative approaches are insufficient.

When to seek professional help for Ingrown Toenails

Sometimes treating ingrown toenails at home can make things worse. It is also a good idea to get professional help to assess the nail and to offer advice on how to prevent ingrown toenails from coming back. In all cases seeking professional help early is the best treatment.

Here are a few scenarios where you should seek professional help early:

Any signs of infection

If there is increased redness, swelling, or drainage of pus, it may indicate an infection that requires medical attention.

Moderate to severe pain

Seek professional help if the toenail pierces the skin or if you experience moderate to severe pain. Pain and soreness can also be related to infection.

Persistent ingrown toenails

If ingrown toenails are a recurring problem, seeing a chiropodist for a more permanent solution may be necessary.

Underlying medical conditions

Individuals with diabetes, Rheumatoid arthritis or circulatory disorders should seek professional care for ingrown toenails at any stage.

It’s essential to address ingrown toenails promptly to prevent complications. If you’re unsure how to treat an ingrown toenail or suspect an infection, it’s advisable to consult with a healthcare professional or podiatrist for proper diagnosis and treatment.

Treat your ingrown toenails at Toronto's leading foot clinic

To book an appointment at Feet First Clinic to treat your ingrown toenail, use our online booking form or contact us at 416-769-FEET (3338).

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Carolina Charles

Patient Relation Coordinator (She/Her)

If you’ve been to the clinic before, chances are you had the pleasure of meeting Carolina! Carolina’s daily goal is going above and beyond to make sure patients are always completely satisfied. Having worked in the podiatry industry for 22 years, Carolina brings a wealth of knowledge pertaining to client service, insurance policies, and procedures.​ She steers the ship to make sure everything runs smoothly on the daily. Carolina is known for spicing up every outfit with her signature costume jewellery.