Ingrown Toenail Treatment: When to See a Podiatrist

Ingrown toenails are a common and often painful condition that can affect anyone. They occur when the edges or corners of a toenail grow into the surrounding skin, leading to discomfort, swelling, and in some cases, infection. While mild cases can often be managed at home, it’s important to recognise when to seek professional treatment. This article will explore the causes of ingrown toenails, home treatment options, and when it’s time to see a podiatrist for professional care.

Causes of Ingrown Toenails

Ingrown toenails can result from a variety of factors, including:

1. Improper Nail Cutting: Cutting toenails too short or rounding the edges can cause the nail to grow into the skin. It’s essential to cut nails straight across to avoid this.

2. Tight or Ill-Fitting Footwear: Shoes that are too tight or narrow can put pressure on the toes, leading to ingrown toenails over time.

3. Injury to the Toenail: A traumatic injury, such as dropping something heavy on your foot or stubbing your toe, can damage the nail and result in it growing incorrectly.

4. Genetics: Some people are more prone to ingrown toenails due to the natural shape of their nails or feet.

5. Poor Foot Hygiene: Fungal infections or improper care can contribute to the development of ingrown toenails.

6. Excessive Sweating: Excessive moisture in shoes can soften nails, making them more likely to grow into the skin.

Symptoms of Ingrown Toenails

The typical signs of an ingrown toenail include:

• Pain and tenderness along the edge of the toenail.
• Redness and swelling around the nail.
• Infection: Infected toenails may discharge pus, become warm to the touch, or develop an abscess.
• Thickened skin around the toenail.

If you experience any of these symptoms, it’s crucial to monitor the condition closely to determine if professional care is needed.

Home Treatment for Ingrown Toenails

In mild cases, ingrown toenails can be managed at home with the following methods:

1. Soak the Foot: Soaking the foot in warm water with Epsom salt for 15 to 20 minutes can help reduce pain and swelling.

2. Proper Nail Care: Make sure to trim nails straight across and avoid cutting them too short. This helps prevent further ingrowth.

3. Wear Comfortable Shoes: Opt for shoes with plenty of room in the toe box to reduce pressure on the affected area.

4. Antiseptic Application: Applying an antiseptic ointment to the affected area can help prevent infection.

5. Cotton or Dental Floss: Gently placing a small piece of cotton or dental floss under the edge of the ingrown toenail can help guide it to grow in the correct direction. However, this should be done with care to avoid further irritation.

When to See a Podiatrist

While home treatments may provide relief, there are certain situations where it is essential to seek professional help from a local Kilmore podiatrist. You should consider seeing a podiatrist if:

1. Severe Pain: If the pain is intense and not relieved by over-the-counter treatments or soaking, it may indicate a more serious issue, such as an infection or significant nail misalignment.

2. Signs of Infection: If you notice pus, increased redness, or warmth around the toenail, it’s essential to see a podiatrist. Infections can worsen quickly and may require antibiotics or drainage.

3. Chronic Ingrown Toenails: If you experience recurring ingrown toenails, a podiatrist can offer long-term solutions such as partial nail removal or surgical procedures.

4. Difficulty in Walking: If the ingrown toenail is affecting your ability to walk comfortably, it’s time to seek professional treatment.

5. Diabetes or Poor Circulation: Individuals with diabetes or circulation issues are more susceptible to infections and complications from ingrown toenails. If you have any of these conditions, it’s advisable to see a podiatrist as soon as you notice any symptoms.

6. Thickened or Discoloured Toenails: If your toenail appears thickened, discoloured, or has a significant change in shape, this could indicate a fungal infection or other underlying conditions that require professional attention.

Podiatrist Treatment Options

A podiatrist is trained to diagnose and treat ingrown toenails with various methods, depending on the severity of the condition:

1. Lifting the Nail: For less severe cases, a podiatrist may gently lift the ingrown edge of the toenail and place a small piece of cotton or other material under it to help it grow in the right direction.

2. Partial Nail Removal: If the ingrown toenail is recurrent or causes significant pain, the podiatrist may recommend partial removal of the toenail. This procedure is done under local anaesthesia and involves removing the ingrown portion of the nail.

3. Nail Matrix Removal: In more severe cases, the podiatrist may perform a procedure to remove part of the nail matrix (the root of the toenail) to prevent the toenail from growing back.

4. Antibiotics or Drainage: If an infection is present, the podiatrist may prescribe antibiotics or drain any pus to alleviate symptoms.

Prevention Tips

Preventing ingrown toenails is possible with the right foot care practices:

• Trim toenails straight across, avoiding cutting the edges too short.
• Choose well-fitting shoes with enough room for your toes.
• Keep your feet clean and dry to avoid fungal infections.
• Avoid injury to your toenails, and treat any wounds promptly.
• Consider wearing protective footwear if you engage in activities that put pressure on your feet.

Conclusion

Ingrown toenails are a common issue, but with proper care and attention, they can often be managed effectively. While mild cases can typically be treated at home, it’s important to consult a podiatrist when the condition becomes severe, recurrent, or signs of infection develop. Seeking professional help not only ensures proper healing but can also prevent complications, allowing you to return to your daily activities without pain or discomfort.