 If you trim your toenails too short, particularly on the sides of your big toes, you may set the stage for an ingrown toenail, a common disorder. Like many people, when you trim your toenails, you may taper the corners so that the nail curves with the shape of your toe. But this technique may encourage your toenail to grow into the skin of your toe if you taper too excessively. The sides of the nail curl down and dig into your skin. An ingrown toenail may also happen if you wear shoes that are too tight or too short. Any of your toenails can get ingrown, but it's most likely with your big toes.
When you first have an ingrown toenail, it may be hard, swollen and tender. Later, it may get red and infected, and feel very sore. You may see pus drain from it. Finally, your skin may start to grow over the ingrown toenail.
Treatment
 To treat an infected ingrown toenail, soak your foot in warm, soapy water several times each day. You must realize that the ingrown nail must be removed in order for the infection to clear.
If you are in a lot of pain and/or the infection keeps coming back, your doctor may remove part of your ingrown toenail (partial nail plate avulsion). Your toe is injected with an anesthetic and your doctor uses sterile instruments to cut away the ingrown part of the toenail, taking care not to disturb the nail bed. An exposed nail bed may be very painful. Removing your whole ingrown toenail (complete nail plate avulsion) increases the likelihood your toenail will come back deformed. It may take 3-4 months for your nail to re-grow. Ingrown toenails often recur.
 If you have a chronic problem with an ingrown toenail, your doctor may recommend another surgical procedure in which the toenail's matrix (the cells from where it grows) is permanently removed. Prevention
 You can lower your risk of developing an ingrown toenail by trimming your toenails straight across with no rounded corners. The length of your toenail should extend out past your skin. The top of each nail should form a straight line across, level with the top of your toe. Some additional guidelines for preventing ingrown toenails include:
- Don't pick at your toenails or tear them off.
- Make sure your shoes and socks are not too tight.
- Keep your feet clean at all times.
Dr. Charles Morelli is a Board Certified Foot Surgeon and is certified by the American Board of Podiatric Surgery. This certification increases the standards and criteria a specialist must meet in order to be considered competent. Dr. Morelli has achieved the highest level of professionalism for Podiatric Board Certification. He has successfully passed the required National Board Exam and has completed a special credentialing process to validate recognition by insurance companies and hospitals. His podiatric privileges include medical and surgical foot management and the treatment of disease, deformities, and trauma. |
