Ingrown Toenail Removal and Treatment

Whether your ingrown toenail has just started to hurt or has become infected, our podiatrists can treat it, including ingrown toenail removal when it's needed.

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What Is an Ingrown Toenail?

An ingrown toenail is a nail whose side or corner curves down and presses into the skin of the toe. It most often affects the big toe. In mild cases it causes soreness along the nail edge. If the skin breaks, bacteria can get in and the toe can become infected.

Ingrown Toenail Symptoms and Signs of Infection

An ingrown toenail usually starts with tenderness along one side of the nail. Common signs include:

  • Pain when you press on the toe or wear closed shoes
  • Redness and swelling along the nail edge
  • Skin growing over the edge of the nail
  • Pus or drainage, warmth, or redness that spreads, which are signs of infection

If you have diabetes, nerve damage in your feet or poor circulation, don't treat an ingrown toenail at home. Have it checked right away, because a small infection can become serious more quickly.

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What Causes Ingrown Toenails?

Most ingrown toenails come from how nails are trimmed or how shoes fit. Cutting nails too short or rounding the corners lets the edge grow into the skin, and tight shoes press it there. A stubbed toe or picking at the nail can also start one. Some people have naturally curved nails that make ingrown toenails more likely, and these can't always be prevented.

Ingrown Toenail Treatment

We start with the simplest treatment that will work. For a mild ingrown toenail without infection, your podiatrist may gently lift the nail edge and place a small piece of cotton or a splint under it so the nail grows over the skin.

If you have chronic ingrown toenails or curved (pincer) nails, the KD Device is a nonsurgical option designed to treat both.

When an ingrown toenail keeps coming back or is badly infected, removing the ingrown part of the nail is usually the most reliable fix.

Ingrown Toenail Removal: What to Expect

Ingrown toenail removal is a short procedure done in the office. Your podiatrist first numbs the toe with a local anesthetic injection. Once the toe is numb, they remove the ingrown edge of the nail, or occasionally the whole nail.

For nails that keep becoming ingrown, your podiatrist can apply a chemical to the root of that nail edge so it doesn't grow back. The skin underneath heals into firm tissue.

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Recovery After Ingrown Toenail Removal

Most people go back to normal daily activities quickly. While your toe heals:

  • Apply antibiotic ointment as directed until the wound has fully healed
  • Showering is fine, but avoid baths, swimming and soaking the toe for about two weeks
  • Keep the toe clean, dry and bandaged for at least a week, and change the bandage if it gets wet
  • Wear loose, roomy shoes and avoid tight shoes and high heels
  • Skip running, jumping and other strenuous activity while it heals
  • Use over-the-counter pain relief as your podiatrist advises

Call our office if you notice more swelling, pain or drainage, since these can be signs of infection.

How to Prevent Ingrown Toenails

For most people, a few habits lower the risk:

  • Trim your nails straight across, level with the tips of your toes, not too short and not rounded
  • Choose shoes with enough room for your toes to move freely
  • Wear safety shoes or steel-toed boots if your work involves heavy lifting

These habits are especially worth keeping up after treatment, while the nail grows back.

Ingrown Toenail Care at Gulf South Foot & Ankle

Our podiatrists treat ingrown toenails at our offices in Metairie, Covington and Prairieville. For toenail fungus, nail injuries and other nail conditions we treat, see our nail care page.

Ingrown Toenail FAQs

Can you fix an ingrown toenail at home?

Mild cases without infection may improve with warm soaks, keeping the area clean and wearing roomy shoes. Don't cut out or dig at the nail edge yourself, because that can make it worse or cause an infection. If it doesn't improve in a few days, shows signs of infection, or you have diabetes or poor circulation, see a podiatrist.

What happens if an ingrown toenail gets infected?

An infected ingrown toenail often won't heal while the nail edge is still pressing into the skin. Your podiatrist will usually remove that edge so the area can drain and heal, and may prescribe an antibiotic if the infection has spread.

Does ingrown toenail removal hurt?

You'll feel a brief sting from the numbing injection. After that, the toe is numb, so you shouldn't feel pain during the procedure. Some soreness for a few days afterward is normal.

How long does it take to heal after ingrown toenail removal?

Most people are back to normal daily activities within a day or two, and the toe usually heals over a few weeks. Healing can take a little longer when the nail root was treated to keep the edge from growing back.

When should you see a doctor for an ingrown toenail?

See a podiatrist if the pain doesn't improve after a few days of home care, if you notice signs of infection, or if ingrown toenails keep coming back.

Get Your Ingrown Toenail Checked

If your ingrown toenail is painful, infected or keeps coming back, a visit with one of our podiatrists is the quickest way to find the right fix.

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