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Ingrown Toenails.

Ingrown Toenails.

What is an Ingrown Toenail?

An ingrown toenail (onychocryptosis) occurs when part of the nail penetrates the skin which can often result in an infection. The ingrown nail can also apply pressure in the nail fold area without penetrating the skin – this is not technically an ingrown toenail but can also be painful (a corn/callus is also common down the side of the nail and is a reaction to pressure, rather than the nail actually penetrating the skin).  Ingrown toe nails do not resolve by themselves and do require treatment.

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Some of the Causes of Ingrown Nails (Onychocryptosis).

Shape of the nail

A nail that is more curved from side to side rather than being flat is more likely to become an ingrown nail.

Poor cutting of nails

A sharp corner (or worse, a small spike) can be left that will initially cause symptoms by putting pressure on the skin and then later penetrate the skin.

Tight/pointy footwear

Increases the pressure between the skin in the nail fold and nail increasing the risk of an ingrown nail.

Are Antibiotics Necessary?

Antibiotics are often used to treat the infected ingrown toenail but don’t forget that the cause of the infection (the ingrown nail) is still there, so there is not a lot of point in treating the infection while the cause remains. Sometimes antibiotics are used to help the infection clear after the nail has been removed. If the ingrown nail is treated quickly and the patient is in good health it is often possible to avoid the use of antibiotics.

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Surgical Treatment of
Ingrown Nails.

If the ingrown nail is severe, if conservative care is difficult, or if the ingrown toe-nail does not respond well to conservative care, then minor surgical intervention is a good option. It is a very straight forward procedure that is performed by Matthew in the clinic. 

As Podiatrist with over 25  years experience, and having done 1000s of Nail Wedge resections his success rates are very high (approximately 90% require no further intervention after successful surgery).

The surgical procedure (called a Partial Nail Avulsion (P.N.A) or a Nail Wedge Resection (N.W.R) DOES NOT require the toe to be cut or stitched!!

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What does the Procedure Involve?

1. The Appointment
The appointment takes approximately 1 hour and the patient is able to walk immediately afterwards.
2. The Procedure

The procedure itself is performed under local anaesthetic via injection into both sides of the toe using a very fine gauge needle to minimise discomfort. Once the toe is numb a tight elastic ring called a tourniquet is applied to the toe to control bleeding and the area is prepared to minimize the risk of infection. The offending portion of the nail is carefully removed and a chemical called Phenol is applied to the area to assist in preventing re-growth of the nail.

3. Procedure Review

Once the procedure is completed the tourniquet is removed and a sterile surgical dressing is applied. Comprehensive written and verbal advice will be given in order to prevent post-operative complications.

4. After-care

Generally, after the surgery you will need to keep your foot elevated for a few hours and rest is advisable for the remainder of the day. It is advisable not to drive for 12 hours after the procedure. The following day you can return to work or school. It is advisable not to take part in vigorous activities such as running until advised by the podiatrist. The use of an open toe shoe to reduce pressure on the area also facilitates healing.

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Ingrown Toenails FAQs.

What is an ingrown toenail?
An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, causing pain, redness, swelling, and sometimes infection. It most commonly affects the
big toe.
What causes ingrown toenails?

Common causes include improper nail trimming, tight or narrow footwear, injury to the toe, or genetic nail shape.

Can podiatrists treat ingrown toenails?

Yes. We can provide conservative treatments like lifting the nail edge, reducing pressure, and advising on footwear. In more severe or recurring cases, a minor procedure can be done to remove part of the nail safely under local anaesthetic.

Does treatment hurt?

During conservative care, most patients feel little to no discomfort. If a procedure is needed, local anaesthetic ensures the treatment is painless.

How long does it take to heal?

Recovery depends on the severity of the ingrown nail and the type of treatment. Minor treatments often heal within days, while surgical corrections may take a few weeks for full recovery.

Can orthotics help prevent ingrown toenails?

Yes. Properly fitted footwear and orthotics can reduce pressure on the toes, helping prevent recurrence of ingrown nails.

Can children have ingrown toenails treated?

Absolutely. We safely treat ingrown toenails in children, using techniques suited to their age and comfort.

What can I do at home to prevent ingrown toenails?
  • Trim nails straight across, not curved
  • Wear shoes with adequate toe room
  • Avoid trauma to the toes during sports or play
  • Keep feet clean and dry
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We are here to guide you every step of the way.

At our clinic, we believe great care means covering every aspect of your foot health. From everyday checkups to long term support.

Book now

Let’s Begin?

We are here to guide you every step of the way.

At our clinic, we believe great care means covering every aspect of your foot health. From everyday checkups to long term support.

Book now