IDEAL FOOT CARE

Ingrown Toenail

Ingrown nails, technically termed as onychocryptosis, are one of the most common nail impairments experienced. It is a painful condition where the nail grows into the skin, rather than over it. The corners or sides of the nails dig into the soft tissue of nail grooves, causing pain, irritation, inflammation, and swelling. The big toe is the most commonly affected toenail by this condition, but other toes can also become affected. They are typically seen in adolescent athletes who have repeated injury to the toes.

Your nails can say a lot about more about you than you think: your habits, anxiety level, and even certain health problems. They are diagnostic tools which provide the initial signal of the presence or onset of systemic diseases.

  • White nails with a dark rim is called Terry’s nail, and may be a sign of cirrhotic liver disease.
  • Completely white nails that occur later in life may be a sign of several diseases including: liver cirrhosis, chronic renal failure, congestive heart failure, diabetes mellitus, and Hodgkin’s lymphoma.
  • Completely yellow nails can occur in patients with serious pulmonary disease and lymphedema.
  • Blue discoloration of the nails is called nail bed cyanosis, a sign of poorly oxygenated blood.
  • Nail pitting, tiny holes in the nail surface, is a classical sign of psoriasis.
  • Brittle nails with cracks or splits, technically termed as onychoschizia and onychorrhexis, are commonly seen in elderly patients.
  • Puffy skin around the nails is due to damaged capillaries which can be caused by autoimmune collagen vascular disease.
  • Dark lines beneath the nails can be caused by anxiety.
  • Nails that have been chewed and gnawed contiuously may indicate an underlying psychiatric disorder.
  • Most of the time, nail signs are self-limited and tend to resolve on their own, but any discoloration or infection on or about the nail that does not resolve on its own should be evaluated by a podiatric physician.

Causes of Ingrown Toenails:

If the condition causing the ingrown toenail remains untreated, then the tissue will continue to grow over the nail leading to irreversible changes that often cause infection, more pain, and more inflammation.

  • Cutting your toenails too short
  • Rounding the nail edges
  • Wearing poorly-fitting shoes
  • Wearing tight hosiery that press the nail into your toe.
  • Diabetics are at greater risk of complications from an ingrown toenail
  • Ingrown nails commonly occur after an injury, such as stubbing or jamming your toe.

Complications of Ingrown Toenails:

You may not realize it but your feet can attract many forms of bacteria and fungi as they rest inside your shoes which provide a warm, moist environment ideal for infections to grow in.

  • Bacterial Infection
  • Fungal Infection
  • Cellulitis
  • Paronchyia- infection of the nail fold
  • Scarring of the nail fold and surrounding skin
  • It is important to treat any infections caused by or following ingrown toenails.

    How to prevent Ingrown Toenails:

    There are several measures which podiatrists recommend when it comes to ingrown toenail prevention:

    • Wearing wider-toe shoes
    • Avoiding trauma and repeated injury to toenails
    • Protecting toes during sports
    • Avoiding curving or overcutting toenails too short at the edges
    • Soaking toes in warm water
    • Diabetics should control glucose levels and monitor their feet periodically

    Ingrown Toenail Treatment:

    Ingrown nails can often be treated with in home therapy such as soaking your feet in warm water regularly and applying antibiotic cream. If in home treatments do not help subside the symptoms of your ingrown toenail then visit us.

    Treatments we recommend include:

    • Lifting the nail: For a slightly ingrown nail that is causing some pain and inflammation but no pus, may be treated by placing cotton, floss or a splint under the edge of the nail to separate the nail from the overlying skin. This helps the nail eventually grow above the skin edge.
    • Partial removal of the ingrown nail: For a more severe ingrown toenail that is causing severe pain, excess inflammation, and pus like discharge, Dr. Samandarov may trim or remove the ingrown portion of the nail. Before this procedure, your toe will be temporarily numbed with a local anesthetic.
    • Removing the ingrown nail and tissue. For an ingrown toenail that persists despite prior treatment, Dr. Samandarov may suggest removing a portion of your toenail along with the nail bed which lies below it to prevent that part of your nail from growing back.

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