Ingrown nail

An ingrown toenail is a common defect that occurs in both men and women at any age. Most often it occurs when wearing uncomfortable shoes, insufficient foot hygiene, or fungal infection of the nail. According to statistics, about 10% of the world's population faces this problem. Lack of timely treatment leads to serious complications, including gangrene and sepsis.

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What is an ingrown toenail

An ingrown nail, or onychocryptosis, is a pathological condition in which the edge of the nail plate penetrates the soft tissue around the nail, causing swelling, redness and pain. It mainly occurs on the big toe. Particularly susceptible to the development of onychocryptosis people with flat feet and hallux valgus.

At the first sign of a problem, you should contact a surgeon or podiatrist. Professional treatment for ingrown toenails helps relieve pain and prevent unpleasant consequences.

Treatment of ingrown toenails

Reasons for the development of onychocryptosis

Among the most common causes of ingrown toenails are:

  • Wearing shoes that are too narrow and squeeze your toes
  • Abuse of high heels
  • Curvated or incorrectly positioned toes
  • Wearing a cast or tight bandage for a long time
  • Cutting the nail too deep
  • Congenital pathology of the foot, leading to uneven distribution of the load
  • Diabetes
  • Rheumatoid lesions of the finger joints
  • Flat feet
  • Pregnancy, excess weight

Epidermal growth factor receptor inhibitors also lead to onychocryptosis. A side effect of such medications may be inflammation of the periungual fold, What causes ingrown toenails?

Treatment methods


How to treat an ingrown toenail? The choice of method depends on the stage of the disease. In more severe cases, surgical treatment is performed. In this case, part or all of the nail is removed under local anesthesia.

Conservative treatment. For mild ingrown nails, local antiseptics, baths, lotions and orthopedic products (plasters, nylon threads, silicone gaskets) are used.
Minimally invasive methods. It is expected to use laser, radio waves, and cryodestruction.

General information about treating ingrown toenails

Treatment with conservative methods

Ingrown toenail treatment is carried out using springs, staples and plates that are attached to the nail plate. They imperceptibly lift the ingrown area and gradually correct the deformation. Despite their miniature size, these devices do not create discomfort while wearing shoes.

Special ointments and balms are also used during the treatment process, which help soften the nail, relieve inflammation and reduce pain.

Of course, an important part of the treatment process is proper nail cutting and wearing comfortable shoes that do not put pressure on the toes. When manicuring, you should use scissors with straight blades. You don’t need to cut your nails too short – just to the level of your fingertips. If sharp edges remain, they should be carefully filed to avoid skin irritation.

Preparing for the procedure for removing an ingrown toenail

How to treat an ingrown toenail if nothing helps? In this case, an operation is performed. Preparation for the procedure includes:

  • Carrying out analyses. A general blood test, biochemistry, and testing for the presence of HIV, hepatitis and syphilis are prescribed.
  • Stop taking certain medications. Anticoagulants may increase the risk of bleeding, so their use is temporarily discontinued.
  • Skin preparation. Local use of antiseptics and ointments is expected. This is necessary to reduce the risk of infection.

After careful preparation, immediate removal of the ingrown toenail follows.

Removal process

How to remove an ingrown toenail? The surgical treatment process includes the following stages:

  • Pain relief. A ring block is used without the use of adrenaline. The patient is then placed in the supine position with the catheter at the base of the thumb.
  • Performing an operation. First, a wedge-shaped excision is performed. Further steps: making an incision, excision of the skin-nail and suturing.
  • Measures for specific complications. In some cases, complete removal of the nail and its bed may be necessary.

The whole process takes about 30-40 minutes. After surgery, sterile dressings are applied to the nail bed. Sutures are removed 10 days after surgery. The average period of incapacity for work is about 2 weeks.

Postoperative period and rehabilitation

Proper foot care after removal of an ingrown toenail is important for quick recovery and prevention of relapse of the disease.

In the postoperative period, the following points are important:

  • Regularly change dressings and treat the wound with antiseptics.
  • Refusal to wear narrow and uncomfortable shoes.
  • Following the rules of hygiene and proper nail care (this helps prevent re-ingrowing).

If pain or signs of inflammation occur, you should immediately consult a doctor.

Prevention of ingrown toenails

After successful treatment of an ingrown toenail, it is especially important to prevent it from re-ingrowing. The main preventative methods (in addition to wearing the right shoes and correct pruning) include:

  • Hygiene. Regularly washing and drying your feet helps prevent infections that can cause ingrown toenails.
  • Healthy lifestyle. You need to eat right, move more and give up bad habits.

Following these recommendations will help you keep your nails healthy.

Our doctors

Marchenko
Elena Viktorovna
Head of the center for podology and mycology, dermatovenerologist, podologist, cosmetologist
Kozak
Lev Ilyich
Traumatologist-orthopedist, chiropractor
All specialists
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Price

Primary appointment (examination, consultation) with a dermatovenerologist (podiatrist)
from 4 750 ₽
Repeated appointment (examination, consultation) with a dermatovenerologist (podiatrist)
from 4 100 ₽

Reviews 4

Dear Elena Viktorovna! I express my sincere gratitude for your amazing work. Here is my story. At the beginning of the year, I went to the clinic, made an appointment with Dr. Elena Viktorovna, for a consultation and treatment of chronic onychodystrophy and onychomycosis of the nails of the big toes. The nail on the toe of my left foot was in terrible condition, I was even ready for its surgical removal. The doctor immediately offered me a treatment system without the terrible removal: correction with a titanium thread, laser therapy, various external drugs and dietary supplements. I began to come to the procedures and follow all the necessary recommendations for treatment. I really like the laser heating procedure for nails, at first it was a little scary, and then even pleasant. The effect of the treatment did not appear immediately, barely noticeable and gradually as the nails grew. After six months, without exaggeration, a miracle happened: the nails acquired a normal, human appearance, and the former nightmare was left in the past. The treatment is still ongoing, but the positive result is obvious. My long-time dream that I will soon be able to walk barefoot openly is coming true. Elena Viktorovna, you are an excellent doctor and a wonderful person. Your main personal trait is your reverent care for the patient, and your professional traits are your golden hands, experience, iron patience and love for work. I am happy that I got treatment from you. I wish you career growth, success in professional development and studies. Thank you very much! In conclusion, I would like to write a few words to the heads of the clinic: Thank you for the good organization of the clinic, I wish you success and further prosperity. Please pay attention to the excellent work of Dr. Marchenko Elena Viktorovna. She is your golden employee! Such a doctor is the pride of the clinic. Please love, encourage and promote her. Sincerely, your client.
29.11.2024
Lapshinov Fedor
Had surgery on my foot. Anastasia Alekseevna clearly explained in advance what and how would happen during the operation and after, as well as during the rehabilitation period. As a result, many years of pain went away! Now I only regret that I did not fall into the hands of this team of doctors earlier.
25.07.2024
Lyubov Viktorovna
My hand started to hurt from constantly working at the computer. I was worried for several months, nothing helped - neither exercises, nor bandages. I had already begun to seriously think about changing my field of activity, because working at a computer was simply impossible. But I went to Lev Ilyich for an appointment and within a few days the arm was completely gone! Notice that the pain did not decrease, but went away completely. I do the exercises that the doctor gave and follow all the recommendations. I sincerely recommend Lev Ilyich, because he really is a doctor!
11.07.2024
Vladimir
An excellent specialist and professional. Polite and courteous doctor. I have been visiting Lyubov Viktorovna for 4 months now. I have diabetes 2 and have foot problems. She helped me a lot. Thanks a lot!
26.02.2024
Victoria Nikolaevna Golovko
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