Ingrown toenails are a common, painful condition that occurs when the skin on the side of a toenail grows over the edge of the nail, or when the nail grows into the skin. While many things can cause ingrown toenails, the major causes are shoes that don't fit well and improperly trimmed nails. Shoes that are too tight press the sides of the nail and make it curl into the skin.

Symptoms

• Pain along the margin(s) of the toenail
• Aggravated by wearing shoes, particularly those with narrow toes.
• May be sensitive to any pressure, even the weight of the bed clothes.
• There may be signs of infection.
• There may be drainage of pus, or a watery discharge tinged with blood.

Causes

• Improper trimming of toenails
• Tight fitting shoes which compress the toes together
• Hose or socks that are too tight
• Abnormally shaped nail plate
• Other toenail deformities (eg. excessively thick nail plate)
• Trauma to the nail plate or toe

What you can do?

• Cut toenails straight across, and leave slightly longer then the end of the toe
• Avoid tight fitting foot wear
• If discomfort develops try soaking the foot in a basin of warm water two or three times a day. If you are diabetic or have poor circulation the water should never be more than 95 degrees Fahrenheit. Contact your podiatrist or physician immediately.
• An infected ingrown nail requires prompt professional attention.

What the doctor may do?

• Trim a small spicule of nail to relieve the pressure. Callus (dead skin) may have accumulated in the nail groove, which needs to be removed. Routine ingrown toenail care may need to be done periodically.
• Elevate the end of the nail plate to prevent impingement on the soft tissues
• Surgically drain an infection
• Prescribe special soaks and/or antibiotics
• Surgically correct a chronic ingrown toenail
• Completely remove a deformed toenail so it will not grow back.

Disclaimer: The information provided is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. The opinions expressed on this site are not endorsed by New Balance Athletic Shoe, Inc.