An ingrown toenail develops when the edge of a toenail grows into the surrounding skin. This can cause pain, swelling, redness, and drainage around the nail. Several factors can contribute to an ingrown toenail, including improper nail trimming, tight shoes, and injury to the toe or nail. Fungal infections and increased sweating can also play a role. When an ingrown toenail remains untreated, the surrounding tissue can become irritated and swollen. In rare, advanced cases, excess tissue can grow around the nail and form a bridge across part of it. This condition is called skin bridging. The bridge can develop when long-lasting inflammation causes the tissue around the nail to become thicker and more fibrous.
A podiatrist can examine an ingrown toenail and determine how advanced the condition has become. The examination can include checking the nail edge, surrounding skin, and tissue for signs of inflammation or infection. A podiatrist can also look for excess tissue that has grown around or across the nail. Skin bridging is rare and has been reported in severe, long-standing cases of ingrown toenails. The condition can make the nail difficult to see and can cause significant swelling around the toe. An evaluation is important because treatment depends on the severity of the ingrown toenail and the amount of tissue involved.
A podiatrist can provide treatment based on the severity of the ingrown toenail. Less advanced cases can be treated with professional nail care and treatment of the affected tissue. More advanced cases can require removal of part or all of the affected nail, along with treatment of the nail-producing tissue to reduce the chance of the problem returning. When skin bridging has developed, a podiatrist can remove the excess tissue and treat the underlying nail problem. Prompt evaluation can help prevent an ingrown toenail from progressing into a more complicated condition. If you have symptoms of skin bridging and ingrown toenails, it is suggested that you make an appointment with a podiatrist for diagnosis and treatment.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact one of our podiatrists of Bruening Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
- Improper toenail trimming
- Genetics
- Improper shoe fitting
- Injury from pedicures or nail picking
- Abnormal gait
- Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
If you have any questions, please feel free to contact our offices located in Covina and Alta Loma, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
