Ingrown nail

An ingrown toenail is a common defect that occurs in both men and women at any age. Most often it occurs when wearing uncomfortable shoes, insufficient foot hygiene, or fungal infection of the nail. According to statistics, about 10% of the world's population faces this problem. Lack of timely treatment leads to serious complications, including gangrene and sepsis.

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What is an ingrown toenail

An ingrown nail, or onychocryptosis, is a pathological condition in which the edge of the nail plate penetrates the soft tissue around the nail, causing swelling, redness and pain. It mainly occurs on the big toe. Particularly susceptible to the development of onychocryptosis people with flat feet and hallux valgus.

At the first sign of a problem, you should contact a surgeon or podiatrist. Professional treatment for ingrown toenails helps relieve pain and prevent unpleasant consequences.

Treatment of ingrown toenails
Causes
Causes
  • Improper nail care. A round or too short manicure can stimulate ingrown nails
  • Narrow shoes. Shoes and boots that pinch your toes and nails can cause tissue damage. Blows, abrasions or regular rubbing of the feet often provoke ingrowth
  • Sometimes onychocryptosis is inherited. In this case, its development is due to the structural features of the nail bed
Treatment methods

How to treat an ingrown toenail? The choice of method depends on the stage of the disease. In more severe cases, surgical treatment is performed. In this case, part or all of the nail is removed under local anesthesia.

Conservative treatment. For mild ingrown nails, local antiseptics, baths, lotions and orthopedic products (plasters, nylon threads, silicone gaskets) are used.
Minimally invasive methods. It is expected to use laser, radio waves, and cryodestruction.
General information about treating ingrown toenails

Treatment with conservative methods

Ingrown toenail treatment is carried out using springs, staples and plates that are attached to the nail plate. They imperceptibly lift the ingrown area and gradually correct the deformation. Despite their miniature size, these devices do not create discomfort while wearing shoes.

Special ointments and balms are also used during the treatment process, which help soften the nail, relieve inflammation and reduce pain.

Of course, an important part of the treatment process is proper nail cutting and wearing comfortable shoes that do not put pressure on the toes. When manicuring, you should use scissors with straight blades. You don’t need to cut your nails too short – just to the level of your fingertips. If sharp edges remain, they should be carefully filed to avoid skin irritation.

Preparing for the procedure for removing an ingrown toenail

How to treat an ingrown toenail if nothing helps? In this case, an operation is performed. Preparation for the procedure includes:

  • Carrying out analyses. A general blood test, biochemistry, and testing for the presence of HIV, hepatitis and syphilis are prescribed.
  • Stop taking certain medications. Anticoagulants may increase the risk of bleeding, so their use is temporarily discontinued.
  • Skin preparation. Local use of antiseptics and ointments is expected. This is necessary to reduce the risk of infection.

After careful preparation, immediate removal of the ingrown toenail follows.

Removal process

How to remove an ingrown toenail? The surgical treatment process includes the following stages:

  • Pain relief. A ring block is used without the use of adrenaline. The patient is then placed in the supine position with the catheter at the base of the thumb.
  • Performing an operation. First, a wedge-shaped excision is performed. Further steps: making an incision, excision of the skin-nail and suturing.
  • Measures for specific complications. In some cases, complete removal of the nail and its bed may be necessary.

The whole process takes about 30-40 minutes. After surgery, sterile dressings are applied to the nail bed. Sutures are removed 10 days after surgery. The average period of incapacity for work is about 2 weeks.

Postoperative period and rehabilitation

Proper foot care after removal of an ingrown toenail is important for quick recovery and prevention of relapse of the disease.

In the postoperative period, the following points are important:

  • Regularly change dressings and treat the wound with antiseptics.
  • Refusal to wear narrow and uncomfortable shoes.
  • Following the rules of hygiene and proper nail care (this helps prevent re-ingrowing).

If pain or signs of inflammation occur, you should immediately consult a doctor.

Prevention of ingrown toenails

After successful treatment of an ingrown toenail, it is especially important to prevent it from re-ingrowing. The main preventative methods (in addition to wearing the right shoes and correct pruning) include:

  • Hygiene. Regularly washing and drying your feet helps prevent infections that can cause ingrown toenails.
  • Healthy lifestyle. You need to eat right, move more and give up bad habits.

Following these recommendations will help you keep your nails healthy.

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Marchenko
Elena Viktorovna
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Lev Ilyich
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An excellent specialist and professional. Polite and courteous doctor. I have been visiting Lyubov Viktorovna for 4 months now. I have diabetes 2 and have foot problems. She helped me a lot. Thanks a lot!
26.02.2024
Victoria Nikolaevna Golovko
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