Ingrown Nails

What’s the problem?

An ingrown nail occurs when a portion of a toenail on either of the toe turns downward into the skin. Nails normally are nearly flat, with just a slight arching downward at the borders. When the border of the nail is turned further downward, it begins to injure the skin.

How does it feel?

Patients usually feel pressure and eventually pain, as the hard and sharp nail edge creates further injury. Shoes that apply pressure to the toe increase the pain. If an infection develops, the pain becomes intolerable.

Let’s do a test!

An ingrown nail is identified by the doctor’s physical exam. If an infection has developed, the doctor may send a sample of the drainage to a lab to identify what bacteria has caused the infection and which antibiotics will most easily cure the infection.

How did this happen?

Properly Cutting ToenailsA progression of events occurs. Routinely cutting the nails improperly, down at an angle instead of straight across, is the most common cause of ingrown nails. Wearing narrow or pointed shoes can apply enough pressure to a normal nail to turn the nail edge downward. Once the nail matrix, the tissue where the nail grows from, gets injured in this way, it continues to produce a nail edge that is more vertical than horizontal. From this abnormal nail growth, the nail edge apples mild pressure on the skin over a long period of time. The skin at the nail edge thickens and becomes hardened. You may begin to notice an enlargement of swelling of the skin around the nail edge. This can be accompanied by an increase in pain.

The condition can progress as a result of other factors. These factors include: pressure from a tight or pointed shoe, injury such as stubbing a toe, excessive wetness (either from perspiration or application of ointments or creams), or improper cutting of nails. If these factors come into play, the possibility increases that the nail edge can then penetrate the skin, just like a knife, and cause an infection. The skin at the nail edge becomes reddened and swollen. You may notice drainage or pus from the area and the pain becomes intolerable.

What can I do for it?

In mild cases, where no infection is present, pain relief can be obtained by applying a standard moisturizing cream to the nail edge and covering with a bandage. This softens the hard skin and often provides temporary pain relief. In more advanced cases, where redness or obvious infection is present, seek the attention of a doctor.

What will my doctor do for it?

In the most minor cases, the podiatrist will simply cut the nail to shorten it, and show you how to cut the nail in the future to prevent in growing of the nail again (See below for instructions on proper nail cutting).

In more severe cases (but not those in which an infection has developed), the podiatrist may gently remove the ingrown portion of the nail. This affords considerable relief, but is temporary. After a few weeks, when the nail grows long again, it will again grow in.

In cases where the nail has grown in repeatedly, or more critically, when the nail edge has penetrated the skin and caused an infection, the podiatrist will perform a minor procedure called an ingrown nail correction or matricectomy. The podiatrist will gently numb your toe, reshape the nail edge, and finally apply a medicine which will, in most cases, permanently prevent the nail edge from growing improperly again.

Can I prevent from it happening again?

Cutting nails properly to prevent ingrown nails. Cutting toe nails properly goes a long way toward the prevention of ingrown nails. Use a safety nail clipper, available at every drug store on the planet. Cut the nails STRAIGHT ACROSS, so that the nail corner is visible. If you cut the nail too short so that the nail corner is not visible, you are inviting the nail corner to grow into the skin.

It is the natural tendency, when the edge of the nail starts to grow in, to cut down at an angle at the nail edge, to relieve the pain. This DOES relieve the pain TEMPORARILY, but it also starts the downward spiral, training the nail to become more and more ingrown. What happens is the cutting down at an angle creates a space at the nail edge. When the advancing nail edge reaches the space, it rolls downward, taking the course of least resistance. The edge becomes more and more ingrown, until it pierces the skin and makes an infection. So, cut the nails STRAIGHT ACROSS and never have an ingrown nail again.

If they become painful or infected, contact our office. We may remove the ingrown portion of the nail and, if the condition reoccurs frequently, may permanently remove the nail.