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Ingrown Toenails

What is it ?


Ingrown toenails are a common condition in which the corner or edge of a toenail grows into the skin surrounding the nails.


Causes


  • Wearing ill-fitting shoes that crowd the toenails

  • Cutting toenails too short or not straight across

  • Injury or trauma to the toenail

  • Abnormal shape of the nail plate, including flat, wide, curled, or pincer-like shapes

  • Fungal nail infections

  • Certain medical conditions that cause an abnormal nail plate e.g. psoriasis


Signs and Symptoms


  • Pain and tenderness

  • Inflamed skin

  • Swelling

  • Infection (with collection of pus or even an abscess)


Treatment


  • Correct removal of the offending nail spicule: see a podiatrist

  • Footwear modification: supportive footwear that are wide and deep enough to prevent crowding of toes.

  • Proper nail trimming technique: keep the nails at moderate length (not too long or too short), and ensure to cut your nails straight across

  • Nail surgery: Recommended for recurrent cases whereby the offending portion of the nail is permanently removed with an in-office, minimally invasive surgical procedure.

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