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Posts for category: Ingrown Toenails

By Dr David Ehrlich
September 15, 2020
Category: Ingrown Toenails

                       Ingrown Inculcated Nails

Ingrown toe nails are a common foot condition that affectadults and children alike. As a nail grows out, it may become curved and latch onto the skin, causing significant pain. We call these nails “incurvated” and the condition of the nail becoming ingrown we refer to as “onychocryptosis”.

Signs and symptoms of an ingrown toe nail include redness around the nail, pain, clear or yellow drainage around the nail, and a curved appearance to the edge of the nail. This condition most commonly affects the great toe nail, but any toe can be involved. If left untreated, an ingrown toe nail can lead to a localized skin infection with to potential to spread to the surrounding areas of the foot.

Luckily, there are a several ways to manage this painful condition. If the nail is only partially ingrown, then the tip of the nail may be clipped to relieve symptoms and prevent infection. In these milder cases, it is also important to soak the involved foot in warm water with Epsom salts which act as an astringent to soothe the skin and decrease swelling. If the entire border of the nail is ingrown with signs of infection, it may be necessary to remove the entire border of the nail. This relieves the pain and also allows the area to drain any fluid or pus and thus prevent infection.

Once an individual has an ingrown nail, they may be predisposed to having subsequent ingrown nails. If this disease process recurs multiple times, one may consider nail cauterization. In this procedure, a special chemical is applied around the root of the nail to prevent that segment of the nail from regrowing.

No one should have to suffer any pain from an ingrown nail. Please do not hesitate to schedule an appointment and have the experts at Advanced Podiatry evaluate and manage any of your nail conditions! 


By Dr Arden Smith
August 17, 2020
Category: Ingrown Toenails
Tags: Ingrown Toenails  
For some folks, frequent ingrown toenails might be dictated by genetics. The nails may grow thicker, or just grow a certain way that then causes a corner, or the border of the nail to grow into the skin.
If you have a tendency to get ingrown toenails frequently, one of our expert podiatrists at Advanced Podiatry of Manhasset, Huntington, Plainview, and Maspeth may recommend an in-office procedure to correct the problem. 
There is a permanent procedure that we can do where you can permanently remove the border of the toenail that keeps ingrowing. One of our expert podiatrists will numb the area and cut out the problematic part of the toenail. An acid is applied to prevent the nail from growing back. Full recovery usually takes between 2 to 4 weeks with no loss of function. It’s an easy procedure that can be done right in our office and takes about 10 minutes.
If you suffer from chronic ingrown toenails speak to one of our expert podiatrists at Advanced Podiatry of Manhasset, Huntington, Plainview, or Maspeth.
By Dr Arden Smith
July 20, 2020
Category: Ingrown Toenails
Tags: Ingrown Toenail   Golf  
In golf there are usually less traumatic foot injuries and overuse foot injuries than in other sports. Believe it or not,the most common injury in golf Is a painful ingrown toenail. Golf players often pronate, turning their feet, or rolling their feet in, when they swing; and their nails get injured.
There are several causes of an ingrown toenail. Among them are incorrect cutting of the toenail, trauma, foot deformities such as bunions which can cause the big toe to rotate on its side. The rotation pushes the toe tissue up around the nail, forcing the nail edge into the flesh. After a few weeks, or months, when the injury is forgotten, an ingrown toenail might develop. As continuous pressure against the soft tissue progresses, there is a decrease in blood supply to the area under the nail border and that creates tissue breakdown, leading to bacterial growth and an infection.
Treatment is directed to removing the ingrown part of the nail. This is the only way to cure the infection.
If someone suffers from repetitive ingrown toenails, the affected nail border can be removed permanently. If you suffer from an infected ingrown toenail, or even a painful ingrown toenail before it becomes infected, one of our expert podiatrists at Advanced Podiatry of Manhasset, Huntington, Plainview, and Maspeth are here to help you.
By Dr Aarti Kumar
May 23, 2020
Category: Ingrown Toenails

                            Infected Ingrown Toenails

Ingrown toenails occur when a toenail starts to grow into the surrounding skin and cause irritation. Ingrown toenails can occur due to many reasons-tight and narrow shoe gear, pedicures/improper nail cutting techniques, foot deformities such as bunions and flat feet, sports and trauma. When an ingrown toenail goes unattended to, an infection of the surrounding skin commonly occurs. Some of the common signs and symptoms of ingrown toenails are localized redness, swelling and milky drainage with pain around the area. When an infected ingrown toenail is long standing, the appearance of a pyogenic granuloma can occur. A pyogenic granuloma appears as a round, small skin growth which is reddish-pink in color. 

Treatment options for ingrown toenails include warm water and Epsom salt soaks, topical/oral antibiotics and removal of the offending nail after local anesthesia. Please keep in mind that soaking and topical antibiotics can keep the infection at bay, but the pain is usually relieved from having the nail clipped out in the office. Some ways to prevent recurrent ingrown toenails are to wear wider shoe gear and trim nails straight across. If there is the presence of a pyogenic granuloma, the physician can cauterize the growth in order to remove it. Chemical procedures referred to as matrixectomies are considered if ingrown toenails become a recurrent problem. If you think you have an ingrown toenail, don't wait any longer and come into our offices so that our trained podiatrists can help you walk and feel better! 

By Dr Tyler Miranda
April 01, 2020
Category: Ingrown Toenails
Tags: Ingrown Toenails  
What is an ingrown toenail?
An ingrowing toenail when the nail plate itself curves down towards the soft tissue on the side of the toe. This position of the nail causes the nail plate to press on the skin and sometimes the nail can pierce the skin and the soft tissue. This can cause pain and soreness that can feel sharp and throbbing. An ingrowing toenail is at high risk for becoming infected and these conditions should be identified and treated promptly.
How do toenails become ingrown?
There are many reasons that a person gets an ingrowing nail. 
The anatomy of the foot and the toe are a large factor. A wide nail plate, a naturally curved nail plate, an enlargement of soft tissue at the nail borders, or an abnormality in the shape of the bone beneath the nail plate can all contribute to a patient getting an ingrown toenail. 
Poor cutting technique at home or in a nail salon
Poor shoe choices including ill-fitting shoes that are too short or too narrow
Trauma to the nail can change the trajectory of nail growth or cause alteration to the structure of the nail plate itself
Fungus can cause nails to become thick, brittle, weak, and generally abnormal which can each lead to an ingrowing nail.
Biomechanical problems are a major and frequently overlooked cause of ingrowing nails. Bunions and abnormal angles of toes and bones are a major factor when it comes to how the toe takes the pressure and if the nail will sustain abnormal forces that can lead to an ingrowing nail. Limited or complete loss of range of motion at the big toe joint can also cause abnormal pressures resulting in an incurvated nail. More general structural foot problems like flat feet, excess, pronation and collapsing arches are all significant factors that can determine if one is prone to ingrowing nails.
How can I treat an ingrown toenail?
The internet is crowded with suggested home remedies for ingrowing nails but the fact is that most of these ideas can make a situation worse.
Fist contact a podiatrist and left them to evaluate the toe to determine the proper course of treatment.
One your doctor evaluates you and the ingrowing toenail they will determine which of the treatment options are right for you. Your doctor may recommend a clip out of the offending portion of the nail plate, temporary removal of the incurvated portion of the nail plate, or permanent removal of the part of the nail that is causing the issue. If an infection is present the infected tissue and fluid can be removed and drained at this time. Your doctor will discuss these options and recommend the proper treatment for you as an individual. 
The vast majority of these treatments are quickly performed in the office and allow you to leave in normal shoes able to perform the normal activity. Any restrictions on activity will be based on specific treatments. Caring for the site after is easy and usually requires a basic band-aid dressing for a few days. If your toe was infected your doctor may advised you to apply antibiotic ointment on the site and or prescribe you a course of oral antibiotics.
How can I prevent getting an ingrown toenail?
Ensure proper cutting techniques. Cut the nails straight across, not down the sides. Don't allow the nail salon to cut too short or too deeply and do not allow any technique that causes pain or damage to the soft tissue around the nail.
Wear shoes that fit appropriately. If your shoes come to a point or are too narrow or short then they may need to be donated in exchange for something that appropriately accommodates your foot type.
Address underlying issues.
If you have fungal nails treat them. Your doctor can discuss with you the options of debridement, topical medication, oral medication, and laser therapy. 
If you have a structural abnormality like pronation, flat feet, or bunions, be sure to manage them with the appropriate treatment. Your doctor can advised you on the best course of action, whether it be conservative splinting and shoe modification, surgical correction, or simply a custom made orthotic to optimize your foot structure and mechanics. 
The take-home point here is that if you have pain in the toe get it looked at. Don't try to self treat it. At Advanced Podiatry, we are happy to discuss your issue, how it came about, how to treat it, and how to make sure you are walking pain-free as soon as possible. If you need anything or have any questions please give us a call. Our 10 doctors are all available to discuss your issue and we can even do the appointment virtually or over the phone to get things started! 
Stay safe, be well.

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