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Patient education: Ingrown toenail (The Basics)

Patient education: Ingrown toenail (The Basics)

What is an ingrown toenail? — 

This is when the side or corner of the toenail grows into the flesh around it. It usually affects the big toe.

What are the symptoms of an ingrown toenail? — 

The symptoms include pain, redness, and swelling where the nail has grown into the flesh.

Is there a test for an ingrown toenail? — 

No. Your doctor or nurse should be able to tell if you have it by learning about your symptoms and doing an exam.

What can I do on my own? — 

You might feel better if you:

Place a small piece of a cotton ball or some dental floss underneath the nail to take pressure off the toe (figure 1).

Soak the foot in warm, soapy water. Do this for 10 to 20 minutes, 2 to 3 times a day for 1 to 2 weeks. You can also use 1 to 2 teaspoons of Epsom salts (available in pharmacies) in the water instead of soap.

Should I see a doctor or nurse? — 

See your doctor or nurse if the redness and swelling get worse and there is pus.

How is an ingrown toenail treated? — 

If the treatments you tried on your own don't help, your doctor might cut away part of your toenail. They will first inject a medicine to numb your toe. Afterward, you need to:

Clean the area 2 to 3 times a day. Make a mixture of equal parts water and hydrogen peroxide, and dab it on your toe with a cotton swab.

Put antibiotic ointment on your toe. Examples include bacitracin or mupirocin (brand name: Bactroban).

Can an ingrown toenail be prevented? — 

You can reduce your chances of getting an ingrown toenail if you:

Wear shoes that are not too tight around your toes (figure 2).

Cut your toenails straight across and not too short (figure 3).

More on this topic

Patient education: Common toe injuries (The Basics)

This topic retrieved from UpToDate on: May 11, 2025.
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