Ingrown nails

Onychocryptosis, commonly known as an ingrown toenail, is a frequent and painful condition where the nail edge grows into the surrounding skin or the skin folds over the nail. It most often affects the big toe, though other toes can also be involved. The nail edge may be deeply embedded and difficult to see, or a small corner or spike of nail may pierce the skin. Symptoms can include significant pain, redness and swelling, and in more advanced cases, infection with pus or bleeding.

Signs and Symptoms

Ingrown toenails should be addressed as soon as symptoms appear. Pain is often the earliest warning sign. Redness, swelling, or tenderness along the nail edge may indicate infection. Because the nail area is warm and frequently moist, it provides ideal conditions for bacteria to enter and multiply.

Treatment

Treatment involves carefully removing the offending section of nail using sterile instruments. An antiseptic dressing is then applied for several days, which is usually sufficient to resolve the infection. In some cases, a course of antibiotics may be necessary. For severely curved nails, a nail brace may be fitted to gradually correct the nail shape as it grows. Recurrent ingrown nails may require a minor surgical procedure to remove the affected nail edge, with a chemical used to prevent regrowth. Self-treatment is not recommended, as it can worsen the condition. Diabetic patients should always seek advice from a registered Podiatrist or GP for any foot concerns.