Ingrown toenails

Patients come into the office daily complaining of ingrown, painful toenails. They often ask two questions. Why did I get this? How can I stop it from continuing? Ingrown toenails can be caused by a variety of issues: genetics, bunions, hammer toes, pressure against shoes, fungus, improper cutting of nails, and trauma. For some people, it is a genetic issue, and they have battled ingrown nails since childhood. Often, they have other family members with the same issue. Other people have structural issues, like bunions, hammer toes, and long toes, that cause the edge of nail to push into the skin due to abnormal bony issues. Improper shoes that are too tight, do not have enough room in the toe box area, or have a stiff material that rubs on the area can cause this problem. Fungal nails cause the nail plate to develop an abnormal contour, thickness, and shape, which can lead to incurvation. Finally, trauma from stubbing the toe, dropping something on it, or it getting injured in a sporting activity can lead to curvature. Many people try to dig the nail out themselves, which can make the issue worse. Ingrown nails can be treated most effectively by a podiatrist. The podiatrist will use sterile instruments to cut the edge of nail out. Sometimes, anesthesia will be needed if the edge is deeply embedded in the skin. There are permanent procedures, as well, which use a chemical to kill the root of the nail, so the edge of ingrown nail will not grow back. It is best to schedule an appointment with a foot doctor to determine which option would work best for you. Dr. Bender, 708-763-0580