Fixing Ingrown Nails: Is Nail Removal Necessary?

do you need to remove nail to fix ingrown nail

Ingrown toenails are a common foot problem that usually affects the big toe but can occur on any toe. It happens when the corner of the toenail grows into the skin. While it is generally not a serious health problem, it can be very painful and may sometimes get infected. Treatment options range from home remedies such as soaking the affected area in warm water and gently lifting the nail, to surgical procedures performed by healthcare professionals, including partial or complete nail removal in severe cases.

Characteristics Values
Ingrown toenail A foot condition that develops when the corner of the toenail grows into the skin
Causes Cutting toenails too short, especially on the sides of the big toes; wearing shoes that are too tight or too short in length; genetics or medical conditions; nerve damage in the leg or foot; poor blood circulation; weakened immune system
Symptoms Redness, pain, swelling, inflammation, discharge
Treatment Soaking the toe in warm water with Epsom salt or a mild soap for 10-20 minutes daily; applying antibiotic ointment or petroleum jelly; wearing sandals or open-toed shoes; taping the nail; placing a gutter splint under the nail; trimming or removing part or all of the nail surgically (nail avulsion)
Prevention Cutting toenails straight across without tapering or rounding the corners; wearing shoes that fit well and provide adequate room for the toes; keeping feet clean and dry

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Home remedies for ingrown toenails

Ingrown toenails are a common problem, usually affecting the big toe, but they can occur on any toe. The condition happens when the corner of the toenail grows into the skin, causing tenderness, redness, bleeding, and pain. In severe cases, the toe may become inflamed, with pus forming.

Most ingrown toenails can be treated at home, and there are several remedies that can help relieve pain and promote healing. Here are some detailed, step-by-step instructions for home remedies to treat an ingrown toenail:

Soaking and Cleaning

Soak your feet in warm, soapy water for 10 to 20 minutes, 3 to 4 times a day. Adding Epsom salts to the water may provide additional relief. Soaking softens the skin, reduces inflammation, and helps prevent infection. After soaking, dry your feet thoroughly.

Using Cotton or Dental Floss

Place fresh bits of cotton or waxed dental floss under the ingrown edge of the nail after each soaking. This helps to separate the nail from the skin and encourages the nail to grow above the skin edge.

Applying Ointment or Jelly

Apply a thin layer of petroleum jelly (Vaseline) or antibiotic ointment to the tender area. This helps to relieve pain, prevent infection, and keep the area moisturized.

Bandaging and Protection

Cover the affected toe with a bandage to keep it clean and protected. Choose sensible, comfortable footwear, such as open-toed shoes or sandals, to avoid putting pressure on the affected toe.

Pain Relief

If needed, take over-the-counter, non-prescription pain relievers, such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin IB), to help manage toe pain.

Apple Cider Vinegar Soak

Apple cider vinegar is a traditional remedy with antimicrobial, anti-inflammatory, and pain-relieving properties. Prepare a basin with warm water and 1/4 cup of apple cider vinegar. Soak the affected foot for up to 20 minutes daily, then dry thoroughly.

While these home remedies are often effective, it's important to know when to seek medical attention. If the condition does not improve or worsens, or if you have frequent ingrown toenails or a medical condition that raises your risk of infection, consult a healthcare provider or podiatrist. They may recommend a minor procedure or surgical nail removal in severe cases.

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When to see a doctor

Ingrown toenails are a common problem and usually affect the big toe, although they can occur on any toe. While they don't usually pose a health risk, if left untreated, they can get worse very quickly. Therefore, it is important to know when to seek medical help.

If you have diabetes or circulation issues, it is important to see a doctor right away. People with diabetes are at a greater risk of infection.

If you are experiencing pain, redness, inflammation, or swelling, it may be time to see a doctor for professional help. You can try some home treatments first, such as soaking your foot in warm, salty water several times a day, applying a topical antibiotic cream, or taking over-the-counter pain relievers. However, if you do not see any improvement within several days of beginning home treatment, or if your symptoms worsen, you should see a doctor to determine if an infection is present. Redness, swelling, throbbing, and pus can all be signs of an infection.

If you have a severely ingrown toenail, your doctor may refer you to a foot specialist (podiatrist). A podiatrist may offer further treatments, such as injecting a local anaesthetic to numb your toe and trimming or removing part or all of the ingrown toenail. In some cases, they may perform permanent ingrown toenail removal by killing the nail root.

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Surgical removal

Ingrown toenails are a common condition where the nail grows into the toe. It usually affects the big toe, but it can occur on any toe. Ingrown toenails can be painful and may lead to infection. While ingrown toenails can often be treated at home, in severe cases, surgical intervention may be required to remove the ingrown toenail.

There are several surgical techniques for removing ingrown toenails, and the choice of procedure depends on the severity and recurrence of the condition. The most common surgeries include:

  • Wedge resection or wedge excision: This procedure involves removing a portion of the toenail that is growing into the skin, along with the underlying tissue in the corner. This method prevents the nail from digging further into the skin.
  • Nail avulsion: This can be partial or complete. In a partial nail avulsion, the doctor cuts away the part of the toenail that has grown into the skin. A complete nail avulsion involves removing the entire toenail.
  • Nail-bed ablation: This procedure involves removing part or all of the toenail and then applying a chemical usually phenol, to the area of tissue that the nail grows from, to prevent regrowth.
  • Vandenbos procedure: This technique is one of the many surgical options for treating ingrown toenails.
  • Chemical matricectomy: This procedure involves the use of chemicals to prevent the nail from regrowing.
  • Winograd technique: This method employs a surgical curette to remove the germinal matrix and nail bed.

After the surgery, it is recommended to keep the wound bandaged until it heals. The recovery time for ingrown toenail surgery varies, with nail regrowth taking anywhere from a few months to up to 18 months.

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Non-surgical treatments

Ingrown toenails are a common foot problem that usually affects the big toe. They can, however, occur on any toe. This condition happens when the corner of the toenail grows into the skin. While ingrown toenails are not usually a serious health risk, they can be very painful and may become infected.

If you have an ingrown toenail, it is recommended that you do not cut it at home as this can worsen the condition and increase the risk of infection. Instead, you should seek advice from a healthcare professional, who can help decide on the best course of treatment.

Soaking and Antibiotics

Soak your foot in warm, salty water or a warm bath with Epsom salts or soapy water. This helps to soften the skin, reduce inflammation, and prevent infection. After soaking, you can try to gently lift the edge of the ingrown toenail and place fresh bits of cotton or waxed dental floss under the nail, separating it from the skin. Change this packing daily. You should also keep your feet clean and dry, especially after bathing or swimming.

Medication

Apply a petroleum jelly-based ointment, such as Vaseline, to the tender area and bandage the toe. You can also use antibiotic ointment to prevent and treat infection. Additionally, over-the-counter nonprescription pain relievers, such as acetaminophen (Tylenol) or ibuprofen (Advil), can help ease toe pain.

Footwear and Toenail Care

Wear open-toed shoes or sandals until your toe feels better. If you must wear closed-toe shoes, choose shoes that fit well and allow your toes to move freely. Avoid shoes that are too tight or have pointed toes, as they can pinch the toes and contribute to ingrown toenails. When cutting your toenails, trim them straight across without tapering or rounding the corners. Avoid cutting them too short, as this increases the risk of the nail growing into the skin.

Brace or Protector

Using a brace, protector, or other corrective devices can help treat ingrown toenails. These devices can be found at drug stores or online retailers.

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Preventing ingrown toenails

Ingrown toenails are a common problem, but there are several ways to prevent them. Firstly, it is important to protect the feet from trauma. This includes wearing shoes and socks with adequate room for the toes. Tight-fitting shoes and socks can place pressure on the skin around the toenail, making it easier for the nail to pierce the skin. Therefore, it is advisable to opt for comfortable, loose-fitting shoes with open toes, especially if you already have an ingrown toenail.

Secondly, it is crucial to cut toenails properly. Toenails should be cut straight across, without tapering or rounding the corners. Cutting the nails too short, especially on the sides of the big toes, can encourage the skin to fold over the nail and the nail to grow into the skin. Instead, trim the nails so that they are no shorter than the edge of the toe, leaving the corners lying loosely against the skin. Always use clean, sharp nail clippers or scissors designed for toenails, and wash them before and after use to prevent infection.

Thirdly, keeping your feet clean and dry can help prevent ingrown toenails. Wash your feet regularly with soap and water, and dry them thoroughly. Good foot hygiene can reduce the risk of infection and help manage sweaty feet, another risk factor for ingrown toenails. Additionally, consider using foot moisturiser to keep the skin around your toenails healthy and less prone to piercing.

Finally, if you have a large toenail in comparison to your toe, you may be more prone to ingrown toenails. In some cases, surgery may be recommended to remove part of the nail or the underlying tissue to prevent recurrence. However, this should only be done by a healthcare professional, as attempting to cut an ingrown nail at home can increase the risk of infection and further damage the skin.

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Frequently asked questions

Removing the nail is not always necessary. Healthcare professionals recommend trying other treatments first, such as soaking the foot in warm, salty water, placing cotton or dental floss under the toenail, applying petroleum jelly, and taking nonprescription pain relievers.

If the ingrown toenail is very painful, making it difficult to walk, or shows signs of infection, a healthcare professional may recommend removing part or all of the toenail. They may also suggest removing part of the underlying nail bed or growth center.

No, it is not recommended to cut or remove an ingrown toenail at home as this can increase the risk of infection and make the problem worse. It is important to see a healthcare professional for proper treatment.

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