Ingrown toenails affect people of all ages. It can occur in any nail, but often involves the great toe. Ingrown toenails occur when one or both sides of the nail grow into the skin. Initial symptoms are usually pain, redness, and inflammation around the nail border. If untreated, an infection may set in.

There are many causes of ingrown toenails. Improper trimming of the toenail is the most common. Many people are either too aggressive at digging out the corners of the nail plate or do not remove the appropriate amount. Ill-fitting footwear is another common cause. Tight shoes will squeeze the toes together. This will press the skin fold into the sharp border of the nail. Trauma is another common factor. Many patients relate a history of either dropping something on their toe, stubbing it on a piece of furniture, or getting stepped on. Any of these can certainly cause the nail to impact the skin.

Ingrown toenails should be treated promptly. Most patients self treat before coming to the doctor’s office. This usually involves warm soaks and trimming the nail. One should cut the nails straight across. If the nail is cut too short, the nail edge may grow into the skin. Cutting the corner on an angle usually provides temporary relief.

If there is pain, swelling, redness, or drainage, an infection is present. This should be treated by a Podiatrist. The goals of treatment are to provide pain relief, prevent or control infection, and prevent reoccurrence. Treatment sometimes requires removal of the nail border or entire nail plate. Antibiotics may be necessary.