Do You Need to Remove Your Toenail for Ingrown Toenails? - Dermatology

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Ingrown toenails, or onychocryptosis, occur when the edge of a toenail grows into the surrounding skin, leading to pain, redness, swelling, and sometimes infection. The big toe is the most commonly affected area. When dealing with ingrown toenails, the question of whether to remove the toenail arises frequently, and the answer can vary depending on the severity of the condition.

In many cases, ingrown toenails can be treated without the need for complete nail removal. Initial treatment often involves conservative measures such as soaking the foot in warm, soapy water to reduce swelling and soften the skin. This can help alleviate discomfort and may allow the nail to grow out properly. After soaking, gently lifting the ingrown edge of the nail away from the skin with a small piece of cotton or dental floss can also be beneficial. This technique helps to guide the nail to grow above the skin rather than into it.

If the ingrown toenail is mild and there is no sign of infection, these conservative treatments may be sufficient. However, if the condition is more severe, characterized by significant pain, swelling, or signs of infection (such as pus or increased redness), a healthcare professional may recommend more invasive treatments.
In cases of recurrent ingrown toenails or if conservative treatments fail, partial or complete nail removal may be necessary. Partial nail avulsion involves removing only the portion of the nail that is ingrown, while total nail avulsion entails removing the entire nail. This procedure is typically performed under local anesthesia, and the nail bed may be treated to prevent the nail from growing back in the same manner.

To address the swelling and redness around the big toe, several home remedies can be effective. Soaking the affected foot in warm water with Epsom salt can help reduce inflammation and promote healing. Applying an over-the-counter topical antibiotic ointment can also prevent infection, especially if there are any breaks in the skin. Elevating the foot and avoiding tight-fitting shoes can further alleviate pressure and discomfort.

If you notice that the swelling and redness persist or worsen despite home treatment, it is crucial to seek medical attention. A healthcare provider can assess the condition, provide appropriate treatment, and determine whether surgical intervention is necessary.

In summary, while not all cases of ingrown toenails require nail removal, it is essential to monitor the condition closely. Conservative treatment methods can often resolve mild cases, but more severe instances may necessitate professional intervention. Always consult with a healthcare provider if you have concerns about your ingrown toenail or if you experience significant pain or signs of infection.