Ingrown Toenails | Treating Ingrown Toenails

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What is an Ingrown Toenail?
Ingrown toenails are nails that are curved and grow into the skin causing irritation, pain, redness, and swelling. Ingrown toenails can cause a break in the skin.  When this occurs it allows bacteria to enter the area which can cause infection.

Drawings from the American College of Foot and Ankle Surgeons

Causes

  • Family history
  • Trauma - stubbing the toe, kicking, or running
  • Shoes that are too tight or short
  • Toenail fungus
  • Most common - improper trimming of the toenails

Cutting the nail too short, particularly along the sides of the big toes can encourage the skin next to the nail to fold over it. Ingrown toenails occur when the corners or sides of the toenail dig into the skin, often causing infection. Ingrown toenails start out hard, swollen, and tender.

Treatment
Most ingrown toenails will require a podiatrist or other medical professional to treat it. This is particularly true if an infection has set in or you have a medical condition such as diabetes, nerve damage, or poor circulation. If you don't have any of these problems you can visit our blog 9 Tips for Treating Painful Ingrown Toenails At Home. If you still are experiencing problems after trying these remedies make an appointment to be seen.

Treatment at our office can include:

  • Oral antibiotics if an infection is present

  • Surgery - this is a common procedure done right in our office. It is often needed in order to ease the pain and discomfort of the offending nail.  After applying a local anesthetic, the doctor removes part of the nail’s side border called a nail avulsion. After the toe has healed (usually seven days) a second procedure called a matricectomy is done. This second procedure is usually successful in preventing the ingrown toenail from coming back.

  • Most of our patients experience very little pain after surgery and can start normal activity the next day.

To learn more about these procedures view the video below:

After surgery

  • Follow the post-op instructions given to you by our office
  • If our doctors have prescribed oral antibiotics, be sure to take all the medication, even if your symptoms have improved.

Prevention

  • Trim your toenails straight across with no rounded corners.
  • Wear shoes and socks that are not too tight.
  • Keep your feet clean at all times.

For more information about ingrown toenails:


Call us today at 206-368-7000 for an appointment, often same day. You can also request an appointment online.

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Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.