Ingrown Toenails

Ingrown Toenails

Carl's big toe was throbbing. He couldn't figure it out — he hadn't stubbed it recently, he hadn't even kicked a soccer ball. So why was the big toe on his left foot so red and swollen? Pretty soon an oozy-white liquid formed around the upper-right corner of his nail — he couldn't even run because the pain had gotten so bad. Carl had to see the doctor.

Turns out Carl made a mistake lots of people make — he had cut his nails too short, causing one of his big toenails to become ingrown.

Don't All Toenails Grow in the Toe?

Yes, but not all nails grow into the toe. A toenail is ingrown when one or both sides of the nail begin to break through and grow into the soft skin of the toe. This can lead to irritation and infection because of all the bacteria that hang out in and around feet.

How Did My Nail Do That?

Ingrown toenails can develop pretty quickly. The most common trigger of ingrown toenails is poor nail-trimming skills. Nails that are cut too short often allow the skin on the sides to cover the corners of the nail. This causes the nail to grow back beneath the skin. Nails that are ripped off, instead of cut, also have a tendency to become ingrown because they don't have defined corners. Nails that are rounded rather than cut straight across can also cause the nail to break the soft skin.

toenail cutting illustration

Other common causes of ingrown toenails include:

Is That What I Stink, Ahem, Think It Is?

ingrown toenails

Ingrown toenails have many symptoms. But how can you tell for sure if that sore toe is ingrown or just annoying? Obviously pain is a dead giveaway, but other symptoms of an infected ingrown toe include:

Another sign that something may be off with your toe is a foul odor. Talk about adding insult to injury.

D.I.Y. Foot Care

Ingrown toenails, if caught early, can be treated at home without ever visiting a doctor. If you notice a slight pain and see that your nail is starting to grow into the skin along the side, you can take action to relieve the pain and attempt to avoid infection. Try soaking your affected foot in warm salt water for 20 minutes at a time, 2-3 times a day, to relieve discomfort.

To prevent the nail from settling back into the skin, you can try to relieve the pressure by placing a piece of a dry cotton under the semi-ingrown corner of the nail. You can also use antibiotic cream on the irritated area — this can help prevent infection.

If the pain persists or seems to be getting worse, contact a doctor ASAP.

What's Up, Doc?

With something that seems as minor as an ingrown toenail, it may seem like overkill to visit the doctor. But once infection sets in, ingrown toenails can be very serious and almost always require medical attention.

Prevention Is Key

If you start to notice any of the signs of infection, like discharge or smell, contact your doctor, who may refer you to a podiatrist (foot specialist). A podiatrist will determine what action will be taken on your nail. The most minor of surgeries is sometimes required to remove the embedded corner of the nail and to drain the pus or liquid that has built up in the skin. Not to worry, though — you won't be knocked out for the surgery but a local anesthetic will be used to numb the toe.

If the nail persists in growing into the skin, slightly more drastic measures might be required. Certain cases involve removal of a larger portion of the nail, or even the entire nail permanently. The podiatrist will decide what course of action is best for your situation.

Follow-up care after surgery is almost as important as the surgery itself. Make sure you do exactly as your doctor says after surgery to help prevent infection and recurrence of the ingrown nail.

Reviewed by: Steven Dowshen, MD
Date reviewed: January 2014





Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.

© 1995-2014 The Nemours Foundation/KidsHealth. All rights reserved.





Bookmark and Share

Related Resources
OrganizationAmerican Academy of Dermatology Provides up-to-date information on the treatment and management of disorders of the skin, hair, and nails.
Related Articles
Blisters, Calluses, and Corns Blisters, calluses, and corns can be uncomfortable, but they're also pretty common and easy to prevent. Find out what to do in this article for teens.
Athlete's Foot Although the name athlete's foot sounds funny, if you have this skin infection, you're probably not laughing. The good news is that it is generally easy to treat.
Skin, Hair, and Nails Our skin protects the network of tissues, muscles, bones, nerves, blood vessels, and everything else inside our bodies. Hair and nails are actually modified types of skin.
Tips for Taking Care of Your Skin Sometimes it may seem like your skin is impossible to manage, especially when you find a huge zit on your nose or a cold sore at the corner of your mouth. Here are ways to prevent and treat common skin problems.
Hygiene Basics Puberty causes all kinds of changes in your body - and some may not make you feel very desirable. Read this article for information on dealing with greasy hair, perspiration, and body hair.
Why Should I Care About Germs? Germs are tiny organisms that can cause disease - and they're so small that they can creep into your system without you noticing. Find out how to protect yourself.
iGrow iGrow
Sign up for our parent enewsletter