Dr. Ertan Beyatlı

Ingrown Toenail-N

(Update: ) - Skin and soft tissue diseases

Ingrown nails is a very bad condition. Only the one who suffers this trouble knows. A person does not want to leave the house, he does not want to travel, and shoes become a torture for him. It is usually seen in women and toes.

What is Ingrown Toenail?

Nail edges growing towards the flesh cause ingrown skin. English "Ingrown Toenails, onicocriptosis"Is. in Turkish Onychocryptosis d.

As a result of the inflammation caused by the ingrown nail, the tissue on the edge of the nail also moves towards the nail.

nail anatomy
nail anatomy

Nails are normally found under the skin, at the root of the nail. germinal matrix They grow forward in the upper part of the finger, which we call the nail bed.

Sometimes the nail tips sink into the skin from the sides and react like a foreign body, sometimes the nail may become completely sunken into the nail bed, not just in the corners.

Why does ingrown toenail develop?

The most common cause is the false nail cutThe most common mistakes are to cut the nail too deep, to cut the nail tips too curved inwards; In this case, the regrowth nail will sink and grow.

Correct Nail Cutting - how to cut nails? Correct Nail Cutting - Extended nails should be cut as straight as possible.
Correct Nail Cutting - Extended nails should be cut as straight as possible.

Other causes of ingrown toenails are:

  1. the nail growing directly in instead of the outer part
  2. wearing shoes that are too tight or pointed
  3. thickening of the nail
  4. Trauma to the finger or directly to the nail (such as knocking, falling weight on it)
  5. fungal infections
  6. obesity
  7. excessive foot sweating
  8. some congenital anomalies
  9. some other diseases such as hyperthyroidism, diabetes, acromegaly, rheumatoid arthritis, gout
  10. For bedridden patients, the reasons such as blankets such as quilts and blankets are wrapped tightly.

Ingrown Toenail Symptoms

There may be extreme pain, infection, swelling, redness, and sometimes inflammation. Diagnosis is normally made only by examination. In some special cases, if it is suspected that the inflammation has progressed to the bone, an x-ray may be required. In the presence of excessive inflammation, it may be necessary to take a wound culture for appropriate antibiotic selection.

Ingrown Toenail Treatment

People with ingrown toenails often delay going to the doctor and consult a doctor in a more advanced and painful state. If left untreated, the inflammation progresses to the bone (osteomyelitis) and systemic infections may occur. Putting on shoes and walking can be very difficult.

In addition to the increasing pain as a result of trying to treat it on its own when it first occurs, the progression of the ingrown nail and infection, especially in those with circulatory disorders, arteriosclerosis and diabetes, may lead to bone inflammation, gangrene, finger and even foot cutting. complications may occur.

In the treatment of ingrown toenail that does not require surgical intervention:

  • Softening the nail with a hot saltwater bath
  • Placing a small piece of gauze under the sunken area with antibiotic cream.
  • Avoiding wearing shoes, reducing the pressure on the nails with sandals or open slippers
  • Use of antibiotics if there is too much infection
  • Methods such as foot cleaning and care are applied.

The doctor instructs the patient to place a sterile piece of gauze with antibiotic cream and how often it needs to be changed. Non-surgical treatment is sufficient in cases that present early. It is important that the nails are cut straight and the corners are not curved.

The main principle in the treatment of ingrown toenails is to ensure that the nail grows beyond the length of the finger without it once ingrown. For this, it is important to create the natural groove between the nail edge and the finger and to "give way" to the nail to grow properly.

Surgical Treatment of Ingrown Toenails

In the presence of excessive ingrown toenails, tissue progression and infection, surgical intervention will be required for treatment. Surgical treatment method varies from person to person according to the degree and form of ingrown toenail.

In ingrown nail, partial pulling on the sinking side, in other words, part of the nail or the whole nail may need to be pulled out. Medical name of the procedure "Nail recession and bed revision”Stop.

In addition to removing the nail, it is very important to remove advanced tissue and revision of the nail bed. In multi-turned nails, the edges of the germinal matrix where the nail is made can be destroyed with some drugs, cautery or laser, and the regrowth of the nail can be prevented from those parts. In very advanced cases, the nail can be completely removed by destroying the entire germinal matrix (Nail ablation).

Nail Pulling

Nail extraction local anesthesiaIt is a painless and painless procedure. Patients can go home by walking as a result of the procedure. Recovery time after ingrown toenail surgery is 7-10 days on average. It is not recommended to wear tight shoes for the first 2-3 days and it is recommended not to overload the foot side of the intervention. Stitches 9-10. can be taken per day. (related article: When Are Surgical Sutures Removed?)

The point that is much more important than nail extraction is the maintenance and normal growth of the newly growing nail. For this reason, it is important to follow the doctor until a normal nail is formed again. If there is a fungal disease in addition to ingrown toenails, this must also be treated. If there is a wrong shoe selection, this should be corrected according to the doctor's advice.

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Ingrown Toenails
Ingrown Toenails

How Can We Prevent Ingrown Toenails?

The first way to prevent ingrown toenails is to cut nails correctly. Toenails should be cut straight, very slight bends should be made in the corners.

- Avoid cutting nail corners too close to the skin.

It is also very important to wear the right shoes. Shoes that are too narrow or wide can both lead to ingrown toenails. If there is a low sole, foot dynamics should be corrected by using insoles.

If fungus, thickening, deformation is detected in the nail, a doctor should be consulted immediately. Excessive foot sweating should be treated.

In spite of all these measures, if ingrown toenail occurs, it is very important to spend too much time and consult a doctor before the event progresses, as it can provide the correction of the ingrown nail without surgical intervention with early diagnosis and treatment.

Ingrown Toenail Treatment - Watch video

SUMMARY
• Disease: INJURED NAIL
• Causes: Improper nail cutting, tight shoes, fungus, etc.
• Symptoms: Pain, swelling, redness.
• Diagnosis: Examination is sufficient.
• Treatment: Medication, Nail splint, Nail extraction, Revision.

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