Carefree walking and running are fundamental prerequisites for our well-being. In addition to numerous conditions that specifically affect the well-being of our lower extremities, there is also the problem of an ingrown toenail. Most often, the big toe is affected.
Such a condition can primarily be caused by improper nail cutting, tight shoes, or excessive pressure on the foot. Typically, the side edge of the nail penetrates the surrounding tissue, leading to redness, pain, and swelling. In some cases, an infection can develop, which is noticeable through pus formation. Therefore, it is extremely important to pay attention to proper foot care and to consult a specialist immediately at the first signs of an ingrown toenail.
Wearing shoes that are too tight or pointed for extended periods can cause the nail to change its growth direction. It presses into the nail bed, causing pain or inflammation. Similarly, improper nail cutting or the use of unsuitable tools can contribute to the problem. Patients who suffer from severe pain tend to shorten their nails, often in an oval shape, which accelerates the abnormal growth. Additionally, excessive sweating worsens the situation by softening the skin around the nail.
Over time, the skin becomes irritated, making it susceptible to bacteria and causing further inflammation. A wide nail bed is also predisposed to ingrown nails. These factors create a vicious cycle that patients often cannot break on their own. In such cases, it is advisable to seek the help of an orthopedist.
Due to the irritated tissue, even slight pressure can cause significant pain. It can even reach the point where a light touch is painful. The edges of the nail are usually red and warm due to inflammation. Sometimes, there is also a localized throbbing sensation. Even wearing socks can become unbearable, not to mention shoes.
Initially, conservative treatment should always be attempted. Foot baths relax and soften the skin around the nail, allowing anti-inflammatory iodine ointments to be effectively applied. Afterwards, the toe is treated with a pressure-relieving bandage.
If conservative treatment does not lead to the desired result or if the nail is already too deeply ingrown, a surgical procedure becomes necessary. Under local anesthesia, the ingrown nail edges and the surrounding granulation tissue must be removed.
A nail bed reduction can also be performed, where the nail fold and the affected part of the nail are removed in a wedge shape. This makes the nail overall narrower and reduces the risk of it growing in again.
Overall, it can be said that the treatment success under the care of an experienced specialist is very good. In any case, patience on the part of the patient is also required, as well as strict attention to suitable footwear and good foot care, otherwise an ingrown nail will keep recurring.
If you have further questions about ingrown nails in Düsseldorf, please feel free to contact us and schedule an appointment online or call us directly during our office hours at the respective practice phone number. We can help you and look forward to seeing you.
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