Ingrown nails – causes and treatment

Ingrown toenails occur when the edges of your nails grow into the skin next to the toenail. The risk of complications is higher if you have diabetes or other conditions that cause poor circulation.

Ingrown toenails can be painful, and they usually worsen in stages. Early-stage symptoms include: The skin next to the nail becoming tender, swollen, or hard Pain when pressure is placed on the toe Fluid building up around the toe 

Many things can cause an ingrown toenail: using uncomfortable shoes, either too small or too large, repetitive trauma to the feet, poor nail care, feet or toes deformities, diabetes, obesity, fungal or bacterial infection, hyperhidrosis, congenital deformities of the nail, cutting the nail too short.

Conservative treatment: Mild clinical cases are treated conservatively with warm water, salt soaks, local cream (antibiotic), and the use of advanced dressing. If there is no improvement after this treatment, or if the ingrown toenail is severe, surgical treatment should be performed. 

Surgical treatment: It usually requires local anesthesia. The surgical approach is the removal of the lateral part of the nail plate (it is called wedge resection). If there is recurrence after this treatment, the excision of the whole nail should be performed (it is called matrixectomy). It is a daycare surgery.

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