Can Self-Treated Ingrown Toenails Lead to Cellulitis? - Surgery

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Nail problems


Hello doctor, my question is that my toenail has ingrown, and I have been trimming it and applying medication myself without going to the hospital for nail removal.
This has been going on for 1 to 2 months, and now it sometimes hurts.
Could this lead to cellulitis?

Han, 20~29 year old female. Ask Date: 2020/11/07

Dr. Li Zhonghuai reply Surgery


Hello! Gradually pushing out the old toenail may actually prolong the recovery process.
It is recommended to consult a general surgeon.
Take care! Changhua Hospital cares about you!

Reply Date: 2020/11/07

More Info


Ingrown toenails can indeed lead to complications such as cellulitis if not treated properly. When you attempt to self-treat an ingrown toenail, especially by cutting or manipulating the nail, you may inadvertently create an open wound or introduce bacteria into the area. This can lead to an infection, which may manifest as cellulitis, a bacterial skin infection characterized by redness, swelling, warmth, and pain in the affected area.

Cellulitis typically occurs when bacteria, often streptococcus or staphylococcus species, enter the skin through a break or cut. In the case of an ingrown toenail, the skin around the nail can become inflamed and broken, providing a pathway for bacteria. Symptoms of cellulitis can include:
1. Redness and swelling: The area around the ingrown toenail may appear red and swollen, extending beyond the immediate area of the nail.

2. Pain and tenderness: You may experience increased pain, especially when pressure is applied to the toe or when walking.

3. Warmth: The affected area may feel warm to the touch, indicating inflammation and infection.

4. Fever: In some cases, systemic symptoms like fever may develop, indicating that the infection is more severe.

If you have been experiencing pain for 1-2 months and notice any of the symptoms mentioned above, it is crucial to seek medical attention. A healthcare professional can assess the situation, determine if cellulitis or another infection is present, and provide appropriate treatment. This may include antibiotics to combat the infection and possibly a procedure to remove the ingrown portion of the nail if necessary.

Self-treatment can sometimes lead to further complications, especially if the area becomes infected. It is essential to keep the area clean and dry, avoid tight footwear, and refrain from further self-manipulation of the nail. If you notice any worsening symptoms, such as increased redness, swelling, or the development of pus, it is vital to seek medical care promptly.

In summary, while self-treatment of an ingrown toenail may seem convenient, it can lead to complications like cellulitis if not managed correctly. If you have concerns about your symptoms or the condition of your toe, do not hesitate to consult a healthcare provider for a thorough evaluation and appropriate treatment.

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