Ingrown toenails form when the edge or corner of a nail grows into the surrounding skin instead of over it. Several factors contribute to this, including tight shoes, improper nail trimming, toe injury, and genetics that affect nail shape. Once the nail breaks the skin, the area may become swollen and tender. A podiatrist can evaluate the condition and recommend appropriate care based on its severity. Here’s information on how podiatrists manage ingrown toenails:
Antibiotic Ointment or Pills
When ingrown toenails break the skin, bacteria can enter and lead to infection. A podiatrist may prescribe a topical antibiotic ointment to apply directly to the affected toe. For more advanced infections, oral antibiotic pills may be recommended instead. Following the prescribed schedule is fundamental for the medication to work as intended. The doctor will assess your toe, determine which treatment is appropriate, and explain how to keep the area clean.
Over-the-counter Pain Relievers
Discomfort is common with ingrown toenails, particularly when pressure is applied to the toe. A podiatrist may suggest over-the-counter pain relievers to manage this discomfort. The specialist can advise on appropriate dosing based on your age, weight, and health history. If pain persists despite these measures, your doctor will explore other options. Some individuals are at a higher risk of developing ingrown toenails, especially:
- Athletes
- Diabetics
- People With Nerve Damage
Removing the Ingrown Nail
For cases that do not respond to conservative care, a podiatrist may recommend removing part or all of the affected nail. This approach addresses the source of the problem directly. The specialist will discuss the procedure beforehand and explain what to expect during recovery. There are different methods for removing an ingrown nail, and the choice depends on the specific situation.
With Surgery
Surgical removal involves numbing the toe with a local anesthetic before the procedure begins. The podiatrist then removes the ingrown portion of the nail, and in some cases, the entire nail may be removed. When the problem recurs frequently, the specialist may treat the nail matrix to reduce the chance of regrowth. After the procedure, the podiatrist provides instructions for keeping the site clean and protected. Healing time varies from person to person.
With Laser Therapy
Laser therapy is another method a podiatrist may use to address a recurring ingrown toenail, effectively reducing nail growth. During this approach, focused light energy is directed at a portion of the nail matrix. As with surgery, the specialist offers personalized aftercare guidance to support recovery. The decision between laser therapy and surgery depends on individual factors that the podiatrist evaluates.
Find a Podiatrist Today
A podiatrist offers a range of options, from antibiotic methods to over-the-counter pain relievers and nail removal options. Each approach addresses a different aspect of the condition, and the specialist selects the one that suits your needs. An ingrown toenail can range from a minor irritation to a persistent problem that interferes with daily activity. If you have an ingrown toenail, contact a foot and ankle specialist near you to determine your treatment options.
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