Ingrown Nails: Causes, Symptoms, and Treatment Options

Ingrown nails are a common condition that occurs when the edge of a nail grows into the surrounding skin, causing pain, swelling, and sometimes infection. While this condition can affect any nail, it is most common with the toenails, particularly the big toe. Although ingrown nails are often mild and can be treated at home, severe cases may require medical intervention.

What Causes Ingrown Nails?

Ingrown nails occur when the nail grows into the soft tissue surrounding it, usually on the sides of the nail. The exact cause can vary, but several factors contribute to the development of ingrown nails:

  • Improper Nail Trimming: Cutting nails too short or rounding the edges can cause the nail to grow into the skin. It’s best to trim nails straight across rather than rounding them.
  • Tight or Ill-Fitting Footwear: Shoes that are too tight or too narrow can put pressure on the toes, leading to ingrown nails. High heels, in particular, can exacerbate the problem by forcing the toes into a cramped space.
  • Trauma or Injury: A sudden injury or repeated trauma to the nail, such as stubbing your toe or having your foot stepped on, can result in the nail growing abnormally.
  • Genetics: Some people are genetically predisposed to developing ingrown nails, especially if they have naturally curved nails.
  • Excessive Sweating: Sweaty feet can soften the skin and make it more prone to irritation, increasing the likelihood of ingrown nails.

Symptoms of Ingrown Nails

The primary symptom of an ingrown nail is pain, particularly when pressure is applied to the affected area. However, other symptoms can include:

  • Redness and Swelling: The skin around the nail becomes inflamed, and you may notice redness and swelling.
  • Tenderness or Pain: The affected area is often painful to touch or when walking, especially if pressure is put on the toe.
  • Infection: If left untreated, the area can become infected. You may notice drainage of pus or a foul smell, and the pain may worsen.
  • Difficulty Moving the Affected Toe: In severe cases, an ingrown nail can limit movement or make it uncomfortable to walk.

When to Seek Medical Attention

Most ingrown nails can be treated at home, but there are instances where you should consult a healthcare provider:

  • The nail becomes severely infected, with increased redness, swelling, or drainage of pus.
  • The pain becomes unbearable, or the nail begins to grow into the skin further.
  • You have underlying health conditions, such as diabetes, that may affect the healing process and increase the risk of complications.
  • You’ve tried home remedies without success, or the condition is recurring.

Treatment Options for Ingrown Nails

Treatment for ingrown nails depends on the severity of the condition. Here are the common methods for managing and treating ingrown nails:

  • At-Home Care:
    • Soak the Affected Area: Soaking the toe in warm water for about 15-20 minutes, several times a day, can help reduce pain and swelling. This also softens the skin, making it easier to manage the nail.
    • Use Cotton or Dental Floss: Once the skin softens, you can gently place a small piece of cotton or dental floss under the edge of the nail to help lift it away from the skin. Be sure to change the cotton regularly to prevent infection.
    • Antibiotic Ointment: If the area shows signs of infection, apply an over-the-counter antibiotic ointment and cover the area with a bandage.
    • Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate pain and inflammation.
  • Medical Treatments:
    • Partial Nail Removal: If the ingrown nail is severe or recurrent, a healthcare provider may need to remove part of the nail. This is typically done with local anesthesia, and it may involve cutting away the affected portion of the nail.
    • Nail Matrix Destruction: In cases where the ingrown nail is a persistent problem, the doctor may perform a procedure to destroy the part of the nail matrix (the tissue that produces the nail) that is causing the nail to grow abnormally.
    • Surgical Intervention: In rare cases, if the ingrown nail is causing chronic infection or pain, more extensive surgery may be required to remove the nail and underlying tissue.
  • Preventive Care:
    • Proper Nail Care: Trim your nails straight across and avoid cutting them too short to prevent the risk of ingrown nails.
    • Wear Proper Footwear: Choose shoes that fit well and provide adequate room for your toes to move freely. Avoid tight shoes that place unnecessary pressure on the toes.
    • Keep Feet Clean and Dry: Regularly wash your feet and dry them thoroughly to reduce the risk of infection.

Managing Ingrown Nails at Igaku

At Igaku, we offer consultations for ingrown nails and can provide guidance on the best treatment options based on your condition. If you are experiencing pain or discomfort from an ingrown nail, our team of experts can help you manage the situation with effective treatments. Whether you need advice on at-home care or require medical intervention, we are here to assist you.

You can visit us for an in-person consultation at our clinics, or if you prefer, we offer teleconsultations via WhatsApp. Contact us today to address your concerns and ensure proper care for your nails.

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