Dealing with Nail Issues: When to Seek Medical Help for Ingrown Toenails - Surgery

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Dealing with nail issues, particularly ingrown toenails, can be quite uncomfortable and sometimes painful. It sounds like you have been experiencing ongoing problems with your left big toe since undergoing a partial nail avulsion about seven months ago. Given your description of pain when pressure is applied and the fact that the nail has not healed properly, it may be time to seek medical help again.

Ingrown toenails occur when the edges of the nail grow into the surrounding skin, leading to pain, redness, swelling, and sometimes infection. In your case, since you have already had a portion of the nail removed and are still experiencing discomfort, it is crucial to consider a few factors before deciding on the next steps.

1. Symptoms Assessment: If you are experiencing significant pain, swelling, or signs of infection (such as pus or increased redness), it is advisable to see a healthcare professional. Persistent pain, especially when pressure is applied, can indicate that the nail is still growing improperly or that there is an underlying infection.

2. Consultation with a Specialist: A podiatrist or a dermatologist specializing in nail disorders would be the best choice for evaluation. They can assess the nail's growth pattern and determine whether further intervention is necessary. This may include another partial nail avulsion or other treatments to promote proper nail growth.

3. Possible Treatments: If the nail is indeed ingrown again, the doctor may recommend:
- Surgical Intervention: If the nail is causing significant issues, a repeat avulsion or a more extensive procedure to remove the nail matrix (the part of the nail that produces new nail) may be necessary to prevent recurrence.

- Conservative Management: If the ingrown toenail is mild, soaking the foot in warm, soapy water and keeping the area clean may help. Your doctor might also suggest using antibiotic ointments if there is any sign of infection.

- Footwear Modifications: While you are still in school, wearing open-toed shoes or sandals may alleviate some pressure on the toe. If this is not feasible, consider shoes that provide ample room for your toes.

4. Long-term Care: After treatment, it is essential to follow proper nail care practices to prevent future ingrown toenails. This includes:
- Trimming nails straight across rather than rounding the edges.

- Wearing well-fitting shoes that do not compress the toes.

- Keeping feet clean and dry.

5. When to Seek Help: If you notice any worsening of symptoms, such as increased pain, swelling, or signs of infection, do not hesitate to seek medical attention. Early intervention can prevent more severe complications.

In summary, given your ongoing symptoms and the history of the nail issue, it would be wise to consult with a healthcare professional. They can provide a thorough examination and recommend the best course of action to alleviate your discomfort and promote proper healing. Remember, taking care of your feet is essential, especially when dealing with nail problems, as they can significantly impact your daily activities and quality of life.