Does My Ingrown Toenail Require Medical Treatment?
An ingrown toenail occurs when the edge of the nail pushes into the surrounding flesh of the toe, causing pain and swelling. It’s a common problem that usually resolves quickly, but ignoring a worsening infection could jeopardize your foot health.
When your condition progresses beyond at-home care, see our team at Ahwatukee Foot & Ankle Center for specialized treatment. We provide effective solutions to alleviate pain, combat infection, and help prevent future issues.
How can you tell when an ingrown toenail requires medical intervention? Here’s what you should know to avoid complications and keep your feet healthy.
What causes ingrown toenails?
Poor trimming technique is the primary cause of ingrown toenails. In fact, studies show that improperly cut nails — either too short or with rounded corners — are responsible for up to 88% of cases.
Ill-fitting footwear is another major trigger, as shoes with a tight or narrow toe box can force the nail into the surrounding tissue.
While anyone can develop an ingrown toenail, athletes, dancers, and others who experience repetitive stress or frequent toe injuries have a higher risk. The natural shape of your nail may also play a role.
When to seek medical treatment for an ingrown toenail
In its early stages, an ingrown toenail typically causes tenderness, sensitivity, and swelling where the nail digs into the skin. But when the pressure continues and the nail breaks the skin’s surface, it creates an entry point for infection-causing bacteria.
See our team if your ingrown toenail persists for several days without improvement or if it shows signs of infection, such as:
- Intense, throbbing pain
- Redness or warmth that spreads beyond the toe
- Pus, fluid, or discharge at the ingrowth site
- An unpleasant smell
If you have an existing condition like diabetes, high blood pressure, or neuropathy (nerve damage), make an appointment as soon as you notice an ingrown toenail. Such conditions impair your ability to heal and fight off even minor infections, which raises the risk of developing more serious complications.
For example, without timely medical treatment, the infection can spread and lead to ulcers, cellulitis, and osteomyelitis (a bone infection). In rare cases, a severe infection may result in tissue death, making amputation necessary to save the foot or leg.
At-home care and prevention for ingrown toenails
If you feel the telltale pain and pressure of an ingrown toenail, you can try to gently help the nail grow out on its own. To care for a mild ingrowth, follow these steps:
- Soak your foot in warm water with Epsom salts twice daily; otherwise, keep the area clean and dry
- Apply an antibacterial ointment and clean bandage
- Choose roomy or open-toed shoes
Never attempt to cut or dig out the nail yourself, as this greatly increases the risk of infection and often makes the issue worse.
You can help prevent future occurrences by prioritizing proper nail care and wearing footwear that fits well. Always cut your toenails straight across — don’t tear, round, or taper the corners — and clean your nail clippers before and after each use.
Don’t let an ingrown toenail compromise your foot health. If pain and swelling persist despite at-home care, contact Ahwatukee Foot & Ankle Center in Phoenix or Maricopa, Arizona, to schedule an appointment. Book online or call today to speak with our team.
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