ACADEMY FOOT CLINICS SHARES SOME INFORMATION REGARDING INGROWN TOENAILS
posted: Aug 15, 2016.
Known to physicians as onychocryptosis, ingrown toe nails are a common, painful condition that occur when skin on one or both sides of a nail grows over the edges of the nail, or when the nail itself grows into the skin. This condition is usually very painful and can be associated with infection of the toe. Some ingrown toenails are chronic, with repeated episodes of pain and infection. Irritation, redness, an uncomfortable sensation of warmth, as well as swelling can result from an ingrown toenail.
Ingrown toenails develop for many reasons. In some cases the condition is congenital, such as toenails that simply are too large. People whose toes curl, either congenitally or from diseases like arthritis, are prone to ingrown toenails. Often trauma, like stubbing a toe or having a toe stepped on, can cause a piece of the nail to be jammed into the skin. Repeated trauma, such as the pounding to which runners typically subject their feet, also can cause ingrown nails.
The most common cause is cutting your toenails incorrectly, causing them to re-grow into the skin. Tight hosiery or shoes with narrow toe boxes only make matters worse. If the skin is red, painful or swollen on the sides of the nail, an infection may be present. This occurs because the ingrown nail is often in a warm, moist and bacteria-rich environment. When the nail penetrates the skin, it provides a convenient entry for germs that can cause infection. Untreated, the nail can go under the skin, causing a more severe infection. In either case, the infection needs to be cured with sterile instruments and antibiotics.
Treatment and Prevention
Ingrown toenails should be treated as soon as they are recognized. In many cases, people with uninfected ingrown toenails can obtain relief with the following simple regimen:
- Soak the feet in warm salt water
- Dry them thoroughly with a clean towel
- Apply a mild antiseptic solution to the area
- Bandage the toe
If excessive inflammation, swelling, pain or discharge is present, the toenail probably is infected and should be treated by a foot specialist. A chiropodist can trim or remove the infected nail with a minor in-office surgical procedure. He or she can remove the offending portion of the nail or overgrown skin with a scalpel and treat the infection. Unless, the problem is congenital, the best way to prevent ingrown toenails is to protect the feet from trauma and wear shoes with adequate room for the toes.
Cutting toe nails properly goes a long way toward the prevention of ingrown toenails. Using a safety nail clipper, cut the nails straight across, so that the nail corner is visible. If you cut the nail too short, you are inviting the nail corner to grow into the skin. It is the natural tendency, when the edge of the nail starts to grow in, to cut down at an angle at the nail edge, to relieve the pain. This does relieve the pain temporarily, but it also can start a downward spiral, training the nail to become more and more ingrown.
Ingrown toenails is a common foot ailment which we treat in our Toronto foot clinic, Academy Foot and Orthotic Clinics successfully. Although our foot clinic practices conservative medicine where we avoid surgery and medications at all cost, this is one condition where many times a surgical procedure is necessary. It is also one of the more painful conditions a person can have which is due to 10 times more nerve endings per square cm on the foot and hand than other parts of the body. This is one of the way that the body protects your feet and hands as they are vitally important organs.
One of the things that sets our foot clinic apart from many others is that we have computerized painless injections which makes for a totally painless procedure.
If you or a loved one requires honest, competent advice, foot care or high quality custom orthotics, please do not hesitate to contact us at 416-465-8737. Remember, we always treat our beloved patients like family.
Brought to you by Dr. John A. Hardy, owner of Academy Foot and Orthotic Clinics.