Monday, July 20, 2009

Ingrown Toe Nail

Symptoms of an ingrown nail include pain along the margins of the nail (caused by hypergranulation that occurs around the aforementioned region). Some ingrown toenails are chronic, with repeated episodes of pain and infection. Irritation, redness, an uncomfortable sensation of warmth, as well as swelling can result from an ingrown toenail. Bumping of an affected toe with objects can produce sharp, even excruciating, pain as the tissue is punctured further by the ingrown nail. By the very nature of the condition, ingrown nails become easily infected unless special care is taken to treat the condition early on and keep the area as clean as possible. Signs of infection include redness and swelling of the area around the nail, drainage of pus and watery discharge tinged with blood. The main symptom is swelling at the base of the nail on whichever side (if not both sides) the ingrowing nail is forming. The infection can spread, making the toe red and inflamed (paronychia). A collection of pus may also develop.

Ingrown toenails should be treated as soon as they are recognized. Treatment of ingrown nails ranges from soaking the afflicted area to surgery. Sometimes antibiotics are used to help the infection clear after the nail has been removed. Peroxide is immediately effective to help clean minor infections but iodine is more effective in the long term as it continues to prevent bacterial growth even after it is dry. The problem is congenital, the best way to prevent ingrown toenails is to protect the feet from trauma and wear shoes with adequate room for the toes. Soak the foot in warm water 3-4 times daily. Bandages can help keep out bacteria but one should never apply any of the new types of spray-on bandages to ingrown nails that show any discharge - preventing drainage will likely cause intense swelling and pain. Cutting toe nails properly goes a long way toward the prevention of ingrown toenails. Using a safety nail clipper, cut the nails straight across, so that the nail corner is visible. Trim nails straight across. Don't pick at your nails or tear them at the corners. If the nail is not deeply ingrown, the edge of the nail can be lifted from the skin edge that it is irritating. A small piece of clean cotton can then be used to prop the nail's corner up and over the skin edge until the skin heals.

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