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Understanding Ingrown Toenails: Causes, Pain, and Management

Ingrown toenails are a common yet often misunderstood condition that can cause significant discomfort. We frequently encounter patients struggling with this painful issue. It is also quite common coming out of Winter, where we have been wearing enclosed shoes for long periods of time. This blog aims to shed light on what ingrown toenails are, why they hurt, and how to manage them effectively.

What Are Ingrown Toenails?

An ingrown toenail occurs when the edge of a toenail grows into the surrounding skin. This typically affects the big toe but can happen to any toe. When the nail penetrates the skin, it can cause pain, swelling, redness, and sometimes infection.

Why Do Ingrown Toenails Hurt?

The pain from an ingrown toenail arises from several factors:

Pressure and Penetration: As the nail edge digs into the skin, it creates a wound. This pressure and penetration can be extremely painful, especially when wearing tight shoes or walking.

Inflammation: The body responds to the injury with inflammation, causing redness, swelling, and tenderness around the affected area.

Infection: If bacteria enter the wound, an infection can develop, leading to increased pain, pus, and more severe swelling.

Common Causes of Ingrown Toenails

Several factors contribute to the development of ingrown toenails:

Improper Nail Trimming: Cutting toenails too short or rounding the edges can encourage the nail to grow into the skin.

Footwear: Tight or ill-fitting shoes can compress the toes, causing the nails to grow abnormally.

Genetics: Some people inherit a tendency for ingrown toenails due to the shape and thickness of their nails.

Injury: Trauma to the toe, such as stubbing it or repeated pressure from activities like running, can lead to ingrown nails.

Poor Foot Hygiene: Keeping feet clean and dry is essential; otherwise, moisture and bacteria can make the problem worse.

Managing Ingrown Toenails

Proper Nail Trimming: Cut your toenails straight across and avoid rounding the edges. Use clean, sharp nail clippers and avoid cutting nails too short.

Choose the Right Footwear: Wear shoes that fit well and provide enough room for your toes. Avoid high heels and tight shoes that can squeeze your toes.

Foot Hygiene: Keep your feet clean and dry. Wash them regularly, dry thoroughly, especially between the toes, and change socks frequently.

Soak and Relieve Pressure: Soak your feet in warm, soapy water for 15-20 minutes several times a day to reduce swelling and pain. After soaking, gently lift the ingrown nail edge and place a small piece of cotton or dental floss under it to help it grow above the skin edge.

Avoid DIY Surgery: Do not attempt to cut out the ingrown nail yourself. This can worsen the problem and increase the risk of infection.

Topical Antibiotics: If an infection is present, applying a topical antibiotic ointment can help (such as Betadine Ointment). However, persistent or severe infections may require prescription antibiotics.

Consult a Podiatrist: If home remedies do not alleviate the pain or if you notice signs of infection (such as increased redness, warmth, swelling, or pus), it is crucial to seek professional help. A podiatrist can provide treatments ranging from minor procedures to remove part of the nail to more advanced surgical options for chronic cases.

When to See a Podiatrist

It is essential to consult a podiatrist if you experience any of the following:

Persistent pain and discomfort

Signs of infection, such as pus, increased redness, and swelling

Recurring ingrown toenails

Difficulty walking due to toe pain

We are here to help you manage & prevent ingrown toenails effectively. Don’t let this common condition disrupt your life—seek professional care and enjoy pain-free, healthy feet. Book online or call 9480 4935 to see one of our friendly Podiatrists. After a consultation, if necessary we also do Nail Surgery at the clinic for bad cases of ingrown toenails that require it. The earlier you get them seen to, the less likely it will come to that – so don’t wait!

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