Effective Solutions for Ingrown Toenails: Expert Dermatologist Tips - Dermatology

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Hello Doctor: My toenails (especially on the outer sides) are growing into the flesh.
Are there any methods to improve this?

A Ya, 10~19 year old female. Ask Date: 2001/08/27

Dr. Jin Lianchun reply Dermatology


Hello, sir; 1.
Wear loose-fitting shoes.
2.
Disinfect daily with hydrogen peroxide and press the skin around the nails outward and downward for about 3 minutes to allow the nails to grow.
3.
You should only trim the nails once they have grown out; do not continue to cut them inward.
4.
If the problem persists, you should see a dermatologist for treatment.
Wishing you a speedy recovery.

Reply Date: 2001/08/27

More Info


Ingrown toenails, medically known as onychocryptosis, occur when the edges or corners of a toenail grow into the surrounding skin, leading to pain, inflammation, and sometimes infection. This condition is particularly common in the big toe and can be exacerbated by improper nail trimming, tight footwear, or foot injuries. Fortunately, there are several effective solutions and treatment options available for managing and preventing ingrown toenails.


Expert Tips for Managing Ingrown Toenails:
1. Proper Nail Trimming: One of the most effective preventive measures is to trim your toenails straight across rather than rounding the edges. This helps prevent the nail from growing into the skin. Avoid cutting the nails too short, as this can also lead to ingrowth.

2. Footwear Choices: Wearing shoes that fit properly is crucial. Tight shoes can put pressure on the toes and exacerbate the problem. Opt for shoes with a wide toe box that allows your toes to move freely. If you have a history of ingrown toenails, consider wearing sandals or open-toed shoes when possible.

3. Soaking and Hygiene: Regularly soaking your feet in warm, soapy water can help reduce swelling and relieve pain. After soaking, gently dry your feet and apply an antiseptic to prevent infection. Keeping the area clean is essential for healing.

4. Use of Cotton or Dental Floss: If you notice the nail starting to grow into the skin, you can gently lift the edge of the nail and place a small piece of cotton or dental floss underneath it. This can help guide the nail to grow above the skin rather than into it. However, this should be done with caution to avoid further irritation.

5. Over-the-Counter Treatments: If there is pain or inflammation, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. Additionally, topical antiseptics can be applied to prevent infection.

6. Professional Treatment: If the ingrown toenail is severe, recurrent, or infected, it is advisable to seek professional help from a dermatologist or podiatrist. They may perform a minor surgical procedure to remove the ingrown portion of the nail or, in some cases, the entire nail. This procedure is typically done under local anesthesia and can provide immediate relief.

7. Preventive Measures: After treatment, it’s important to adopt preventive measures to avoid recurrence. This includes maintaining proper nail care, wearing appropriate footwear, and monitoring any changes in your toenails.


When to Seek Medical Attention:
If you experience symptoms such as severe pain, swelling, redness, or pus drainage, it is crucial to consult a healthcare professional. These could be signs of an infection that may require antibiotics or further intervention. Additionally, individuals with diabetes or compromised immune systems should be particularly vigilant, as ingrown toenails can lead to more serious complications in these populations.


Conclusion:
Ingrown toenails can be a painful and frustrating condition, but with proper care and preventive strategies, you can effectively manage and reduce the risk of recurrence. Always prioritize foot hygiene and nail care, and do not hesitate to seek professional advice if the condition worsens or does not improve with home treatment. By following these expert tips, you can maintain healthy toenails and enjoy greater comfort in your daily activities.

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