Is My Ingrown Toenail Healing? When to See a Doctor - Surgery

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Ingrown toenails, or onychocryptosis, occur when the edge of a toenail grows into the surrounding skin, often causing pain, redness, swelling, and sometimes infection. The presence of pus and discoloration, as you described, can indicate an infection, but the fact that the pain has subsided and the pus has resolved is a positive sign. However, it's essential to consider a few factors to determine whether your ingrown toenail is healing properly and if you should see a doctor.

1. Signs of Healing: The absence of pain is a good indicator that the acute inflammation may be resolving. If the area around the toenail is no longer red and swollen, and the pus has cleared, these are positive signs. However, the black discoloration could be concerning. It might indicate bruising or a more serious issue, such as necrosis (tissue death) if there was significant trauma or infection.

2. Monitoring Symptoms: Keep an eye on the affected toe. If you notice any of the following symptoms, it would be wise to seek medical attention:
- Increased redness or swelling
- Persistent or worsening pain
- Foul-smelling discharge
- Fever or chills, which could indicate a systemic infection
- The black area expanding or not improving over time
3. Home Care: If the symptoms are mild and improving, you can continue to care for the ingrown toenail at home. Soaking your foot in warm, soapy water for 15-20 minutes a few times a day can help reduce swelling and promote healing. After soaking, gently dry the area and consider applying an over-the-counter antibiotic ointment. Wearing open-toed shoes or sandals can also help reduce pressure on the toe.

4. When to See a Doctor: If the symptoms do not improve within a few days, or if they worsen, it is advisable to see a healthcare professional. Additionally, if you have underlying health conditions such as diabetes or peripheral vascular disease, you should consult a doctor sooner rather than later, as these conditions can complicate healing and increase the risk of serious infections.

5. Possible Treatments: If you do see a doctor, they may recommend various treatments depending on the severity of the ingrown toenail. These can include:
- Partial nail avulsion, where a portion of the nail is removed to relieve pressure and allow for proper healing.

- Antibiotics if there is an infection.

- In some cases, a procedure to permanently remove the ingrown portion of the nail may be necessary.

In conclusion, while the signs you describe suggest that your ingrown toenail may be healing, the presence of black discoloration warrants caution. Monitor the area closely, practice good foot hygiene, and do not hesitate to seek medical advice if you have any concerns or if symptoms persist. Your foot health is important, and timely intervention can prevent complications.