Ingrown toenails are a common yet painful condition that affects people of all ages. If left untreated, they can lead to infections, swelling, and even difficulty walking. But what exactly causes an ingrown toenail, and how can you prevent it from happening? Let’s dive into everything you need to know, from symptoms and treatment options to when you should see a podiatrist.
What is an Ingrown Toenail?
An ingrown toenail occurs when the edge of the toenail grows into the surrounding skin instead of growing straight out. This often leads to pain, redness, and swelling. In some cases, it can even cause infections that require medical intervention.
Why Does It Happen?
Ingrown toenails happen due to a combination of factors, including improper nail trimming, wearing tight shoes, and genetic predisposition. When pressure is continuously applied to the toenail, it forces the nail to grow into the skin, causing discomfort and inflammation.
What Causes an Ingrown Toenail?
Several factors contribute to ingrown toenails:
- Improper Nail Trimming
Cutting your toenails too short or rounding the edges encourages the nail to grow into the skin. - Tight Footwear
Shoes that squeeze the toes together put pressure on the nails, leading to ingrowing. - Nail Trauma
Dropping something heavy on your toe, stubbing it, or repeated pressure (such as in sports) can cause the nail to grow incorrectly. - Genetics
Some people naturally have curved or wide toenails, making them more prone to ingrown nails. - Poor Foot Hygiene
Not keeping feet clean and dry can make the skin around the toenail more vulnerable to infection. - Nail Picking
Peeling or picking at toenails can lead to uneven edges, increasing the risk of ingrowing.
Who is at Risk?
Anyone can develop an ingrown toenail, but certain groups are more at risk:
- Teenagers & Athletes – Active individuals who wear tight footwear or experience repeated foot trauma.
- Elderly Individuals – Poor eyesight and difficulty trimming nails can lead to improper nail cutting.
- People with Diabetes or Circulatory Issues – These individuals are at a higher risk of complications from infections.
- Individuals with a Family History – Genetics play a role in nail shape and growth patterns.
What Are the Symptoms of an Ingrown Toenail?
The symptoms of an ingrown toenail typically worsen over time if not treated. Early signs include:
- Pain & Tenderness – Especially along the side of the nail.
- Redness & Swelling – The skin around the nail becomes inflamed.
- Infection Signs – Pus, warmth, or a foul odour.
- Difficulty Wearing Shoes – Pressure from enclosed shoes increases discomfort.
- Hypergranulation Formation – An overgrowth of tissue near the nail (in severe cases).
What Are the Treatment Options for Ingrown Toenails?
Treatment options depend on the severity of the condition:
- Mild Cases (Home Remedies)
- Warm Saltwater Soaks – Soaking the foot in warm water with Epsom salts can help reduce swelling.
- Lifting the Nail – Gently placing a small piece of cotton or dental floss under the nail can guide its growth.
- Antiseptic Application – Using an antiseptic can help prevent infection.
- Warm Saltwater Soaks – Soaking the foot in warm water with Epsom salts can help reduce swelling.
- Moderate to Severe Cases (Podiatrist Treatments)
- Nail Bracing – Helps correct nail growth over time.
- Nail Spike Trim – Provides immediate relief by removing the ingrown portion of the nail.
- Wound Care & Antibiotics – Necessary if an infection is present.
- Nail Bracing – Helps correct nail growth over time.
- Surgical Treatments (For Recurring or Severe Cases)
- Partial Nail Avulsion (PNA) – Removing the affected section of the nail.
- Total Nail Avulsion (TNA) – Removing the entire toenail (only for extreme cases).
- Nail Matrixectomy – A permanent solution where part of the nail matrix is destroyed to prevent regrowth.
- Partial Nail Avulsion (PNA) – Removing the affected section of the nail.
What Happens During Ingrown Toenail Treatment?
At Physio & Sole Clinic, podiatrists assess the severity of your ingrown toenail and recommend the best treatment plan. Depending on the severity, you may receive:
- Nail Trimming & Debridement – To relieve pressure and pain.
- Nail Bracing – A painless method to guide the nail to grow correctly.
- Surgical Removal – If necessary, a quick and minimally invasive procedure under local anaesthetic can be performed.
How Long Does It Take for an Ingrown Toenail to Go Away?
- Mild cases can heal within a few days to two weeks with proper care.
- Moderate cases may take 2-4 weeks with podiatry treatment.
- Severe cases requiring surgery typically heal within 4-6 weeks.
What Happens if You Don’t Get Your Ingrown Toenail Treated?
Ignoring an ingrown toenail can lead to:
- Severe Infections – Leading to pus formation and spreading bacteria.
- Chronic Pain – Discomfort that worsens over time.
- Difficulty Walking – Shoes and daily activities become painful.
- Increased Risk for Complications – For diabetics or those with poor circulation, untreated infections can lead to serious health concerns.
How Can You Prevent an Ingrown Toenail from Happening?
- Trim your nails straight across – Avoid rounding the edges.
- Wear properly fitted shoes – Make sure they have enough toe space.
- Avoid nail picking or peeling – Always use a nail clipper.
- Keep feet clean and dry – Prevents infections and abnormal nail growth.
- Seek professional advice – If you have recurring or painful ingrown toenails.
When Should You See a Podiatrist?
You should seek professional help if you experience:
- Persistent pain or swelling despite home treatments.
- Signs of infection, such as pus, odour, or spreading redness.
- Ingrown toenails that keep coming back.
- Diabetes or circulation issues, which increase the risk of complications.
Why You Should Visit Physio & Sole Clinic for Your Treatment
At Physio & Sole Clinic, we are dedicated to providing expert care for ingrown toenails with a patient-centred approach. Our experienced podiatrists specialise in diagnosing and treating ingrown toenails, ensuring that each patient receives the most effective solution for their condition. We offer personalised treatment plans tailored to your specific needs, whether you require conservative management or a minor surgical procedure. Using advanced techniques, we ensure safe and effective pain relief, promoting faster healing and long-term prevention. Beyond treatment, our team provides comprehensive care, offering preventive advice and post-treatment support to minimise the risk of recurrence. At Physio & Sole Clinic, your foot health is our priority—so you can walk pain-free and confidently.
What Our Patient Has to Say
“The podiatrist, SK Kwok, was very gentle and patient, making the surgery more tolerable. He even took the time to talk about my interests to help me feel more at ease. When he found out I hadn’t had breakfast, he kindly offered me some sweets. I was initially dreading the procedure and was on the verge of tears, but he reassured me that everything would be fine—and it turned out well! Overall, it was a very good experience, and I would highly recommend him. 👍🏼” – Patricia Chia
Don’t Let an Ingrown Toenail Disrupt Your Life!
If you’re struggling with pain, swelling, or recurring ingrown toenails, it’s time to take action. Book an appointment at Physio & Sole Clinic today for expert care and long-term relief!
