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Patient education: Ingrown toenail (The Basics)

Patient education: Ingrown toenail (The Basics)

What is an ingrown toenail? — An ingrown toenail happens 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.

Is there anything I can do on my own to feel better? — Yes. Some people feel better if they:

Place a small piece of a cotton ball or some dental floss underneath the nail to take pressure off of 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 redness and swelling become 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 will need to:

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

Put antibiotic ointment on your toe. Examples include bacitracin and 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.

Cut your toenails straight across and not too short.

This topic retrieved from UpToDate on: Feb 02, 2024.
Disclaimer: This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. The use of this information is governed by the Terms of Use, available at https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms. 2024© UpToDate, Inc. and its affiliates and/or licensors. All rights reserved.
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