SCHOLL Ingrowing Toenails

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Bostanci S, Ekmekçi P, Gürgey E. Chemical matricectomy with phenol for the treatment of ingrowing toenail. Acta Derm Venereol. 2001;81(3):181-183. Please see a healthcare professional if home treatments are not helping, if the toe is very painful, bleeding or infected and if you have a high temperature. Firstly, learn to cut your nails properly. Nail cutters aren’t a good idea because the curved cutting edge can cut the flesh, and nail scissors can slip. It’s best to use nail nippers (available from chemists) because they have a smaller cutting blade but a longer handle. Cut your nails straight across and don’t cut too low at the edge or down the side. The corner of the nail should be visible above the skin. Also, cut them after a bath or shower when the nail is much softer. Reyzelman AM, Trombello KA, Vayser DJ, et al. Are antibiotics necessary in the treatment of locally infected ingrown toenails?. Arch Fam Med. 2000;9(9):930-932. If you have diabetes, are taking steroids or are on anti-coagulants, don’t attempt to cut your nails or remove an ingrowing spikes of nail yourself. When should I see a podiatrist?

Travers GR, Ammon RG. The sodium hydroxide chemical matricectomy procedure. J Am Podiatry Assoc. 1980;70(9):476-478.Provide informed surgical consent and place the patient in the supine position, with the knees flexed and the foot flat on the table or the leg extended and the foot hanging off the end of the table. Nazari S. A simple and practical method in treatment of ingrown nails: splinting by flexible tube. J Eur Acad Dermatol Venereol. 2006;20(10):1302-1306.

Espensen EH, Nixon BP, Armstrong DG. Chemical matrixectomy for ingrown toenails. J Am Podiatr Med Assoc. 2002;92(5):287-295. Woo SH, Kim IH. Surgical pearl: nail edge separation with dental floss for ingrown toenails. J Am Acad Dermatol. 2004;50(6):939-940. Placing a gutter splint under the nail. With this method, your health care provider numbs the toe and slips a tiny slit tube underneath the embedded nail. This splint stays in place until the nail has grown above the skin edge. This method helps ease the pain of an ingrown nail as well. According to Dr. Cary Zinkin, a podiatrist and spokesperson for the American Podiatric Medical Association, there are four main causes of ingrown toenails: footwear that’s too tight, trauma to the toe (like badly stubbing it), improper trimming, and heredity. The first three can be prevented, but there are some people who are just prone to ingrowns “because of the shape of the nail root and the way the skin goes around it,” Zinkin says. In those cases, he recommends seeing a podiatrist for a simple procedure in which part of the nail is removed to prevent further ingrowns. Now that we’ve entered sandal season and are getting reacquainted with our bare feet, the issue of unsightly and painful ingrown toenails feels especially pertinent. Ingrowns occur when the corner of the nail (usually on the big toe) begins to grow into the skin, causing inflammation, pain, and potentially infection. As podiatrist Dr. Ernest L. Isaacson says, “If you think you have an ingrown nail, you’re probably right.”Grasp the cut nail fragment with a hemostat. Remove by pulling the nail plate caudally (toward the ankle) in a straight line allowing the uncut portion to strip off and release the plate ( Figure 4C 23).

Ensure the lateral horn of the matrix is ablated by moving the electrode laterally beneath the proximal nail fold; a properly treated nail bed appears white after thermal ablation. Bos AM, van Tilburg MW, van Sorge AA, et al. Randomized clinical trial of surgical technique and local antibiotics for ingrowing toenail. Br J Surg. 2007;94(3):292-296. Mayeaux EJ. Nail avulsion and matrixectomy. In: Mayeaux EJ, ed. The Essential Guide to Primary Care Procedures. 2nd ed. Wolters Kluwer; 2015:534–556. Apply directly to the nail matrix at the lateral sulcus and under the proximal fold two to three times for 30 to 60 seconds each round.Andreassi A, Grimaldi L, D'Aniello C, et al. Segmental phenolization for the treatment of ingrowing toenails. J Dermatolog Treat. 2004;15(3):179-181. Byrne DS, Caldwell D. Phenol cauterization for ingrowing toenails: a review of five years' experience. Br J Surg. 1989;76(6):598-599. Di Chiacchio N, Di Chiacchio NG. Best way to treat an ingrown toenail. Dermatol Clin. 2015;33(2):277-282. This is not a diagnostic tool. this healthcare professional does not endorse Scholl products and were paid by the makers of Scholl for their time in producing this video What is ingrowing toenail? Yang KC, Li YT. Treatment of recurrent ingrown great toenail associated with granulation tissue by partial nail avulsion followed by matricectomy with sharpulse carbon dioxide laser. Dermatol Surg. 2002;28(5):419-421.

There are many genetic factors that can make you prone to ingrowing toenails, including your posture (the way you stand), your gait (the way you walk) and any foot deformity such as a bunion, hammer toes or excessive pronation of the feet (when your foot rolls inward excessively). Your nails may also have a natural tendency to splay or curl out instead of growing straight, encouraging your nail to grow outwards or inwards into the flesh. Another approach, which minimizes the need for daily replacement, uses cotton coated with a solution that fixes it in place and makes it waterproof (collodion). Ingrowing toenails are not usually serious, however in some cases without treatment, an ingrown toenail could become infected. The following steps can help avoid developing an ingrowing toenail:

Frequently Asked Questions

An ingrowing toenail is where a piece of nail pierces the flesh of the toe. It can feel as if you have a splinter, and be extremely painful and inflamed or infected. In more severe cases, it can cause pus and bleeding. Ingrowing toenails most commonly affect the big toenail, but can affect the other toes too. A nail that is curling (involuted or convoluted) into the flesh, but isn’t actually piercing the skin, isn't an ingrowing toenail but can feel very painful and can also appear red and inflamed. What causes it? Eekhof JA, Van Wijk B, Knuistingh Neven A, et al. Interventions for ingrowing toenails. Cochrane Database Syst Rev. 2012(4):CD001541.