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Ingrown
Nail Care |
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Ingrown nails can be one of the most
painful foot conditions. It is a very common complaint at the Podiatry
clinic. The medical terminology for an ingrown toe nail is Onychcryptosis,
for an infected toe nail the term is Paronychia.
The nail plate may be curved into the skin, or the skin may be enlarged
and folds into the nail plate. |
| Symptoms of an ingrown
nail usually start as a mild pain along the side of the toenail. In
time the soft tissue will start to swell and turn red in colour, there
may be an infection if it becomes warm, painful, with noted drainage
and bleeding from a granuloma along the side of the nail plate. An
Ingrown nail is more common in the big toe, but may occur in the lesser
digits. |
| Causes of an ingrown nail
may be multi-factorial. An ingrown nail may be caused by genetics,
improper shoe gear, foot biomechanics, diseased nail plate, improper
trimming of nails, and local trauma to the nail plate. |
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Podiatric Care of ingrown
nail may include the use of oral or topical antibiotics and soaking
the foot in Epsom salt in warm water to prevent or treat an infection
in the toe. For some ingrown nails the offending nail can be trimmed
back to see if it will grow straight but unfortunately more often
then not, if you have an ingrown nail, or history of a recurrent
ingrown nail a procedure may be required to remove the offending
nail corner permanently. |
Surgery to an ingrown is a common
procedure in podiatrist office. This is frequently performed under
local anesthetic in the podiatric office. The discomfort of having
an ingrown is much more unpleasant than having the injection to
the toe. A pre-anesthetic is topically applied prior to the injection
and after that the toe is completely pain-free. Today this procedure
can be done without cutting the skin avoiding scars, sutures and
post-operative pain. The ingrown nail border is removed non-traumatically
with preservation of most of the nail plate and then the nail matix
is destroyed not allowing for the re-growth of the offending nail
border. After the procedure, the toe is wrapped with sterile gauze
with instruction to soak in Epsom salt and application of an antibiotic
cream. There are little restrictions post-operatively, and you literally
walk away pain- free.
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