Causes of In-growing Toenails
A toenail is considered in-growing when the side of the nail cuts “in” to the skin next to it. It can happen to any toe, but most commonly occurs in the big toe. In-growing toenails can be quite painful. Acute in-growing toenails, those that are likely caused by injury to the toe or damage to the nail, causing the nail to imbed deeply into the skin, can be very painful and can become infected. Acute in grown toenails will be red and inflamed, they may bleed and or discharge pus. Somewhat less severe are chronic in-growing toenails, which usually occur over along period of time, due to nail neglect or improper footwear. Chronic in-growing toenails maybe swollen and inflamed and tender to the touch but will not be near as painful as acute in-growing toenails. Improper cutting of the toenails is a common cause of in-growing toenails, Toenails should always be cut straight across, and not rounded off at the edges as many people do. Other causes of in-growing toenails can include:
- Tight or improper fitting shoes and hosiery
- Unusually shaped toes or nails
- Unusually thick toenails
Your situation may be slightly different. ask a question below ↓ and our editorial team will reply with our advice.
Treatments for In-growing Toenails
A physician should look at acute in-growing toenails that are obviously infected. For less severe chronic in-growing toenails the following self-help remedies can be tried to alleviate the problem:
Soak the affected toe in warm water for at least 10 minute to soften the skin about the in-growing nail. Than with a wad of clean cotton or gauze pad gently push the softened skin down away form the nail. Repeat this every day for a few weeks.
As the nail becomes exposed away from the skin and no longer appears “in growing” try slipping a bit of cotton between nail and the skin to keep it growing forward. Do not cut the nail until it has grown significantly straight and away from the end of the toe, then cut it straight across with no rounded edges.
For more severe or acute in-growing toenails, medical treatment may be necessary. This can include:
- Application of antibiotic creams or oral antibiotics to fight infection.
- Surgery – Your foot care specialist may need to remove part of the offending nail if in-growing persists. It is a simple in office procedure where your toe will be made numb, the doctor will cut down the offending nail to the nail bed, and treat the remaining part of the nail with an acidic solution that will prevent it from re-growing into the skin.
Ask Embarrassing Issues a question
Ask our editorial team a question and we will reply with our advice. Tell us as much about your situation as you can: the more detail you give, the more useful our answer can be.
You do not need to use your real name. Please do not include your full address, phone number, email address, or the names of other people. We may edit or remove identifying details for privacy and legal reasons.
Comments are moderated before publication.