Effective Treatments for Ingrown Toenails Without Surgery - Surgery

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Ingrown toenail


Hello, doctor.
My mother's big toe nail is growing inward.
It has been trimmed, but there is no inflammation.
I would like to know if there are any methods to address this issue besides nail removal.

Yuan, 20~29 year old female. Ask Date: 2016/05/14

Dr. Li Zhonghuai reply Surgery


Hello! First, it is important to change your daily habits by wearing shoes with a wide toe box and avoiding high heels.
Additionally, do not cut your nails too short.
There are nail correction wires available at aesthetic clinics, but they can be quite expensive.
It is recommended to prioritize changing your lifestyle habits first! Take care! Changhua Hospital cares about you!

Reply Date: 2016/05/14

More Info


Ingrown toenails, medically known as onychocryptosis, occur when the edge of a toenail grows into the surrounding skin, often leading to pain, swelling, and sometimes infection. While surgical intervention is a common solution for severe cases, there are several effective non-surgical treatments that can help alleviate the condition and promote healing.

1. Proper Nail Trimming: One of the simplest ways to manage ingrown toenails is to ensure that nails are trimmed correctly. The nails should be cut straight across rather than rounded at the edges. This helps prevent the nail from growing into the skin. It’s advisable to avoid cutting the nails too short, as this can exacerbate the problem.

2. Soaking the Foot: Regularly soaking the affected foot in warm, soapy water can help reduce swelling and relieve pain. Adding Epsom salt to the soak can further help in reducing inflammation. Soaking should be done for about 15-20 minutes, several times a day, especially if there is any discomfort.

3. Cotton or Dental Floss Technique: After soaking, placing a small piece of cotton or dental floss under the ingrown edge of the nail can help lift it away from the skin. This should be done gently and changed regularly to keep the area clean and dry. This method can help guide the nail to grow above the skin rather than into it.

4. Topical Antibiotics: If there is any sign of infection, applying an over-the-counter topical antibiotic ointment can help prevent further complications. Keeping the area clean and covered can also protect it from bacteria.

5. Footwear Adjustments: Wearing shoes that provide ample space for the toes can significantly reduce pressure on the toenails. Tight shoes can exacerbate the condition, so opting for wider shoes or sandals can help alleviate discomfort.

6. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation associated with ingrown toenails.

7. Consultation with a Podiatrist: If the ingrown toenail persists or worsens, it is advisable to consult a podiatrist. They can provide professional treatment options, which may include partial nail avulsion (removing a portion of the nail) or other non-invasive procedures that do not require complete nail removal.

8. Preventive Measures: After treatment, preventive measures should be taken to avoid recurrence. This includes proper nail care, wearing appropriate footwear, and maintaining foot hygiene.

In summary, while ingrown toenails can be painful and bothersome, there are several effective non-surgical treatments available. Proper nail trimming, regular foot soaks, and maintaining good foot hygiene can significantly alleviate symptoms. If the condition does not improve or if there are signs of infection, seeking professional medical advice is crucial to prevent complications.

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