Soaking your feet in warm water with Epsom salt added may reduce inflammation and ease the pain. When an individual experiences an ingrown toenail, it is not uncommon for them to attempt to rectify the problem themselves to alleviate their discomfort. In this example the nail is cutting into the nail wall causing inflammation of the nail bed and surrounding tissues. Ingrown toenails are one of the more common foot problems treated by a chiropodist or podiatrist. When a toenail becomes ingrown the nail usually curves downward at the side and grows into the flesh at the nail borders which are the sides of the nail. Improper or incomplete trimming of the toenails can cause a sharp spike of nail to penetrate the skin. Some nail conditions such as fungal toenail infections or if you have lost a toenail due to trauma can cause ingrown nails as the new nail grows back.

Initial treatment of mild ingrown toenails can be done at home however if you suspect you have an infection home treatment is not a good idea especially if you have a medical condition that puts your feet in a high risk category such as diabetics, people with loss of feeling or nerve damage or people with poor circulation.
This patient illustrated below suffered from a chronic ingrown toenail on both borders of the large toe. When the nail begins to dig into the skin on either side of the nail swelling, pain and tenderness will likely develop. This will remove the pressure from the tender skin and allow it to heel.Doing this procedure at home can be painful and dangerous.
The compression of the nail pinches the nail bed resulting in pain or discomfort along the nail groove. The nail will penetrate the skin often creating redness, swelling, increased warmth and pain. This condition requires a procedure called a partial toenail removal, which permanently removes a narrow piece of the toenail from the sides of the nail.

The patient presents to the office with a chronic ingrown and painful nail on both borders of the great toe.
Liquified phenol (acid) is applied to cauterize the nail matrix (growth area) and the nail bed to prevent the sections that were removed from growing back again. With this condition many people believe they have an ingrown toenail and frequently dig down into the groove to cut the nail, which in turn causes an ingrown toenail.

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