An ingrown toenail occurs when the corner or side of the toenail grows into the surrounding skin, rather than straight out. The big toe is most commonly affected, though it can happen to any toenail.
Several factors can contribute to ingrown toenails, including:
Improper nail trimming – cutting nails too short or rounding the edges.
Tight footwear – shoes that crowd the toes can push the nail into the skin.
Genetics – some people are simply more prone due to nail shape or thickness.
Trauma – stubbing your toe or repetitive pressure from sports can trigger nail changes.
Pain and tenderness along the side of the toenail
Redness or swelling
Drainage or pus if infection is present
Difficulty wearing shoes or walking comfortably
Mild cases can sometimes be managed at home with warm soaks, keeping the foot clean, and wearing roomy shoes. However, if pain, swelling, or infection develops, professional treatment is recommended.
In our office, we offer several effective treatments:
Conservative care – gentle lifting of the nail edge and placing a soft dressing to relieve pressure.
Minor procedure – removing the ingrown portion of the nail under local anesthesia.
Permanent solution – in recurrent cases, a small procedure can be performed to prevent that part of the nail from growing back.
Trim toenails straight across (not curved).
Avoid cutting nails too short.
Wear shoes with a wide toe box.
Protect feet from repetitive trauma.
If you notice increasing pain, swelling, drainage, or if you have diabetes, poor circulation, or other health concerns, don’t wait—prompt evaluation is the safest choice.
Ingrown toenails are common but highly treatable. With proper care and, when needed, simple in-office procedures, patients can find relief quickly and get back to their normal activities without discomfort.
