Understanding ingrown toenails
An ingrown toenail (onychocryptosis) causes localized pain at the nail edge, redness, and sometimes discharge or secondary infection. Without treatment, pain may increase and walking becomes difficult. A clinical exam distinguishes mild nail irritation from a true ingrown nail requiring specific care.
Causes and contributing factors
Incorrect nail trimming, tight shoes, repeated trauma, or nail shape can promote ingrowth. Tel Aviv’s warm, humid climate, combined with sweating and sports activity, may worsen symptoms.
- Rounded or overly short nail trimming
- Tight or narrow footwear
- Repeated friction from sports or work
- Naturally curved nail shape
Podiatric management
Depending on severity, treatment may include nail edge relief, antiseptic care, orthonyxia (composite wire to straighten the nail), or partial matrixectomy for recurrent cases in the office.
When should I seek urgent care?
Seek prompt care for fever, severe pain, significant pus, or if you have diabetes or a weakened immune system.
Frequently asked questions
How do I recognize an ingrown toenail?
Typical signs include pain at the nail edge, redness, swelling, and sometimes pus or bleeding on contact. If pain persists beyond a few days or worsens, a podiatric consultation is advised.
Can I treat an ingrown toenail at home?
Avoid cutting the nail deeply or using non-sterile tools. A warm antiseptic soak may provide temporary relief, but a podiatrist should assess the nail for appropriate treatment.
What is orthonyxia?
Orthonyxia involves placing a composite wire on the nail to gradually straighten it and prevent re-ingrowth into the skin. It is an effective conservative option for recurrent ingrown toenails.
How long does treatment take?
Relief may be immediate after the first visit. Orthonyxia typically requires several weeks to a few months of follow-up, depending on nail growth and initial severity.
