Table of ContentsView AllTable of ContentsSymptomsCausesRisksTreatmentWhen to See a Healthcare ProviderFrequently Asked Questions
Table of ContentsView All
View All
Table of Contents
Symptoms
Causes
Risks
Treatment
When to See a Healthcare Provider
Frequently Asked Questions
Ingrown toenails are very common. In fact, an estimated 20 out of 100 people who visit their healthcare provider because of foot problems have an ingrown toenail.
Because of the irritation and pain it causes, most people notice an ingrown toenail right away. Treating it early on is key to helping manageinflammationand preventinginfection.
When infection is present, it’s always important to speak with your healthcare provider orpodiatristto discuss treatment options. However, there are some well-known home remedies that can help relieve the pain.
This article will discuss what to do if your toenail is infected and ingrown and when to see a healthcare provider.
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An ingrown toenail happens when one or both sides of the nail begin to grow into the soft skin of the toe. One of the first signs of an ingrown toenail is pain around the affected area.
In addition to pain, signs and symptoms of an infected ingrown toenail include:
Stages of Ingrown Toenail SeverityStage 1: The nail has grown into the skin, causing pain and inflammation.Stage 2: New, inflamed tissue grows around the edges of the ingrown toenail. This can lead to drainage or pus.Stage 3: The skin surrounding the toenail is chronically inflamed and is oozing pus. The inflamed tissue begins to grow over the nail.
Stages of Ingrown Toenail Severity
Stage 1: The nail has grown into the skin, causing pain and inflammation.Stage 2: New, inflamed tissue grows around the edges of the ingrown toenail. This can lead to drainage or pus.Stage 3: The skin surrounding the toenail is chronically inflamed and is oozing pus. The inflamed tissue begins to grow over the nail.
Stage 1: The nail has grown into the skin, causing pain and inflammation.
Stage 2: New, inflamed tissue grows around the edges of the ingrown toenail. This can lead to drainage or pus.
Stage 3: The skin surrounding the toenail is chronically inflamed and is oozing pus. The inflamed tissue begins to grow over the nail.
Many things can cause ingrown toenails. The most common cause of ingrown toenails is improper nail trimming. Cutting your toenails too short can result in the skin on the sides covering the corners of the nail. This causes the nail to grow into the skin.
Other common causes of ingrown toenails include:
Paronychia often happens when the skin around a nail is injured or irritated. This can lead to bacteria entering the nail and causing bacterial paronychia.
If it is caught early, the condition can be treated at home. In rare cases, the infection may spread through the toe and into the bone. This is known asosteomyelitis.
A person withdiabetes, nerve damage, or poor circulation may be more prone to infection because their wounds heal more slowly.
An infection that is difficult to treat may lead togangrene, which causes the tissue to die due to a lack of blood supply. This condition often requires surgery or an amputation.
Soak in Epsom Salt
Try to soak your foot in warm salt water for 20 minutes. To make saltwater, fill your bathwater enough to soak your toe. You can also use a clean bucket. Add 1-2 teaspoons ofEpsom saltto the warm water. Repeat this two to three times a day to relieve discomfort. If it’s too painful, lower the amount of Epsom salt or just soak in warm water.
Nail Edge Separation With Dental Floss
After soaking your foot, wedge a piece of cotton or dental floss under the corner of the nail that’s growing into the skin. Put antibiotic ointment on the affected area two times per day to help prevent infection.
You can also take over-the-counter pain medications such as acetaminophen (Tylenol) or ibuprofen (Advil) to reduce inflammation and discomfort.
Can You Safely Remove Your Ingrown Toenail at Home?
Keep Your Feet Dry
Aside from daily soaks, your feet should remain dry. You should also wear loose-fitting shoes or sandals to prevent the area from becoming more irritated.
You should never attempt to cut out an ingrown toenail on your own. This can be very painful and lead to a serious infection.
Call your healthcare provider if your condition doesn’t improve within a few days. When ingrown toenails are not treatable at home, your healthcare provider may refer you to a foot doctor, or podiatrist, who can determine the best treatment option for your nail.
Treatments your healthcare provider may recommend include:
If your healthcare provider believes the infection has spread, they may order a blood test. They may also order anMRI,X-ray, orbone scan.
Summary
Most ingrown toenails aren’t serious and will resolve on their own with foot soaks, antibiotic ointment, and lifting the nail up from the affected area. Although rare, an infection can become severe and cause serious problems. If you do not notice improvement after a couple of days, you should speak with your healthcare provider to discuss treatment options.
A Word From Verywell
Ingrown toenails are painful and annoying. Thankfully, there are steps you can take at home to alleviate pain and inflammation and help get you back on your feet again. Once your ingrown toenail resolves, it’s essential to maintain good foot hygiene to prevent reoccurrences.
An infected toenail often appears red, swollen, and is painful to the touch. The toe may also drain liquid or pus.
9 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Ingrown Toenail: Overview.Institute for Quality and Efficiency in Health Care (IQWiG); 2024.Cleveland Clinic.Ingrown toenails.Nemours Kids Health.Ingrown toenails.MedlinePlus.Ingrown toenail.Majcen ME, Wilfinger CC, Pilhatsch A.Interpretation of radiologic abnormalities in patients with chronically infected ingrown toenails with regard to a possible exogenic osteomyelitis.Journal of Pediatric Surgery. 2009;44(11):2179-2183. doi:https://doi.org/10.1016/j.jpedsurg.2009.05.032National Institute of Diabetes and Digestive and Kidney Diseases.Diabetes and foot problems.Nemours Kids Health.Ingrown toenails.Intermountain Healthcare.Caring for an infected or ingrown toenail.Rapid Care Emergency Room.How to treat an infected ingrown toenail.
9 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Ingrown Toenail: Overview.Institute for Quality and Efficiency in Health Care (IQWiG); 2024.Cleveland Clinic.Ingrown toenails.Nemours Kids Health.Ingrown toenails.MedlinePlus.Ingrown toenail.Majcen ME, Wilfinger CC, Pilhatsch A.Interpretation of radiologic abnormalities in patients with chronically infected ingrown toenails with regard to a possible exogenic osteomyelitis.Journal of Pediatric Surgery. 2009;44(11):2179-2183. doi:https://doi.org/10.1016/j.jpedsurg.2009.05.032National Institute of Diabetes and Digestive and Kidney Diseases.Diabetes and foot problems.Nemours Kids Health.Ingrown toenails.Intermountain Healthcare.Caring for an infected or ingrown toenail.Rapid Care Emergency Room.How to treat an infected ingrown toenail.
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Ingrown Toenail: Overview.Institute for Quality and Efficiency in Health Care (IQWiG); 2024.Cleveland Clinic.Ingrown toenails.Nemours Kids Health.Ingrown toenails.MedlinePlus.Ingrown toenail.Majcen ME, Wilfinger CC, Pilhatsch A.Interpretation of radiologic abnormalities in patients with chronically infected ingrown toenails with regard to a possible exogenic osteomyelitis.Journal of Pediatric Surgery. 2009;44(11):2179-2183. doi:https://doi.org/10.1016/j.jpedsurg.2009.05.032National Institute of Diabetes and Digestive and Kidney Diseases.Diabetes and foot problems.Nemours Kids Health.Ingrown toenails.Intermountain Healthcare.Caring for an infected or ingrown toenail.Rapid Care Emergency Room.How to treat an infected ingrown toenail.
Ingrown Toenail: Overview.Institute for Quality and Efficiency in Health Care (IQWiG); 2024.
Cleveland Clinic.Ingrown toenails.
Nemours Kids Health.Ingrown toenails.
MedlinePlus.Ingrown toenail.
Majcen ME, Wilfinger CC, Pilhatsch A.Interpretation of radiologic abnormalities in patients with chronically infected ingrown toenails with regard to a possible exogenic osteomyelitis.Journal of Pediatric Surgery. 2009;44(11):2179-2183. doi:https://doi.org/10.1016/j.jpedsurg.2009.05.032
National Institute of Diabetes and Digestive and Kidney Diseases.Diabetes and foot problems.
Intermountain Healthcare.Caring for an infected or ingrown toenail.
Rapid Care Emergency Room.How to treat an infected ingrown toenail.
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