Preventing Recurrence of Ingrown Toenails After Surgery: Essential Tips - Dermatology

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Postoperative Prevention of Ingrown Toenail Recurrence


Hello Doctor: Two weeks ago, I visited a dermatologist for treatment of my ingrown toenail.
At that time, the doctor removed the portion of the nail that was embedded in the skin on the side of my big toe (as shown in the image: https://ibb.co/6DsC2h3).
The wound has mostly healed now, but I am unsure how to prevent another ingrown toenail from occurring in the future.
Currently, the doctor has already trimmed part of the nail inward, so it will definitely grow back.
I would like to ask how to prevent the nail from growing into the skin again as it grows out in the future.
Thank you.

stanley, 20~29 year old female. Ask Date: 2021/03/16

Dr. Li Yufen reply Dermatology


Hello: For a detailed introduction to ingrown nails, you can refer to the articles on Care Online: https://www.careonline.com.tw/2017/08/pincer-nail.html?m=1 and https://www.careonline.com.tw/2018/09/ingrown-nail.html?m=1.
If the condition of the ingrown toenail does not improve or worsens, it is advisable to consult a nearby dermatologist for diagnosis and treatment.
Thank you!

Reply Date: 2021/03/16

More Info


Preventing recurrence of ingrown toenails after surgery is crucial for maintaining foot health and comfort. Ingrown toenails occur when the edges of the toenail grow into the surrounding skin, leading to pain, inflammation, and sometimes infection. After surgical intervention, such as the partial nail avulsion you experienced, there are several strategies you can adopt to minimize the risk of recurrence.


1. Proper Nail Trimming Techniques
One of the most effective ways to prevent ingrown toenails is to trim your toenails correctly. Always cut your toenails straight across rather than rounding the edges. This helps prevent the nail from growing into the skin. Avoid cutting them too short, as this can also lead to ingrowth.


2. Footwear Choices
Wearing appropriate footwear is essential. Choose shoes that provide enough room for your toes and do not compress them. Tight shoes can exacerbate the problem by putting pressure on the toenails. Opt for shoes with a wide toe box and avoid high heels or narrow-toed shoes, especially during the healing process.


3. Maintain Foot Hygiene
Keeping your feet clean and dry is vital. Wash your feet regularly and dry them thoroughly, especially between the toes. This helps prevent infections that can complicate the healing process and lead to ingrown toenails. Consider using antifungal powder if you are prone to fungal infections.


4. Moisturize the Skin
Dry skin around the toenails can lead to cracking and increase the risk of ingrown toenails. Regularly moisturizing the skin around your toenails can help keep it supple and reduce the likelihood of the nail growing into the skin.


5. Regular Monitoring
After surgery, keep an eye on your toenails as they grow back. If you notice any signs of ingrowth or discomfort, consult your healthcare provider promptly. Early intervention can prevent a recurrence and save you from further surgical procedures.


6. Consider Nail Bracing
In some cases, your doctor may recommend nail bracing or other preventive measures if you have a history of ingrown toenails. This involves using a special device to help guide the nail as it grows, preventing it from digging into the skin.


7. Diet and Nutrition
While diet does not directly affect toenail growth, maintaining a balanced diet rich in vitamins and minerals can promote overall nail health. Ensure you are getting enough zinc, biotin, and protein, as these nutrients are essential for healthy nail growth.


8. Avoiding Trauma
Be cautious to avoid any trauma to your toenails. Activities that put your toes at risk of injury, such as kicking objects or stubbing your toes, can lead to ingrown toenails. If you engage in sports or physical activities, consider protective footwear.


9. Follow-Up Care
Finally, adhere to any follow-up appointments with your healthcare provider. They can assess the healing process and provide additional recommendations tailored to your specific situation.

In summary, preventing the recurrence of ingrown toenails after surgery involves a combination of proper nail care, appropriate footwear, hygiene practices, and regular monitoring. By implementing these strategies, you can significantly reduce the risk of ingrown toenails and maintain healthy feet. If you have any concerns or experience discomfort, do not hesitate to reach out to your healthcare provider for guidance.

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