ONYCHOCRYPTOSIS (INGROWN TOENAIL)

Onychocryptosis, commonly called as ingrown toenail, is a common condition in which the toenail grows inwards into the nail bed. The toenail pressures and sets in nail plate into the nail groove. An onychocryptosis is an uncomfortable condition which causes pain, inflammation and even infection. Though ingrowth can happen to any toenail, it frequently affects the big toe and can recur. Onchocryptosis begins with a disproportion on the size of the nail and the enlargement of the nail skin edge. It is worsened by trimming of the toenail unfittingly, improper shoe gear, having injured toenail, and an inborn condition like having toenails that usually curl inside (known as pincer nails). 

If left untreated, an ingrown toenail can be a cause of many complications. It could affect the bone beneath the toenail leading to a severe bone infection. It could also cause open sores or a foot ulcer, and even decay of tissue or gangrene. People with diabetes and other conditions that ground them with poor blood circulation are more likely to acquire complications of an ingrown toenail.

SYMPTOMS

Signs and symptoms of Onychocryptosis are:

  • Pain and swelling of the toe and the toenail
  • Redness around the ingrown toenail site
  • Worsening pain when putting on a closed shoe
  • The sensitivity of the ingrown toenail to any pressure
  • Infection of the tissue- clear yellowish drainage of pus or watery discharge
  • For some, especially young children, they may be limping to avoid pressuring the ingrown toenail

DIAGNOSIS

Diagnosing ingrown toenail does not require complicated laboratory testing or imaging. The doctor would rely on the appearance of the toenail and its surrounding skin.

TREATMENT

A variety of treatment options are possible for an ingrown toenail. The method is selected depending on the severity of the condition. The main goal is to remove the embedded nail plate from the soft tissue. 

There are home remedies to lessen the pain caused by ingrown toenail:

  • Use warm water in soaking your feet for 15 to 20 minutes, four times a day. It lessens tenderness and relieves the swelling. 
  • Insert cotton or dental floss under the ingrown toenail edge every after soaking. 
  • Apply antibiotic cream or ointment on the ingrown toenail site, and bandage the toe. 
  • Avoid using closed shoes. Instead, use sandals, or open-toed shoes until ingrown toenail is treated. 
  • Over-the-counter pain relievers like Tylenol, Advil, Motrin, and others can be ingested to help alleviate pain.

If home remedies are not sufficient, the doctor may endorse:

  • Partially or permanently removing the nail. The doctor will cut the ingrown portion. But if the ingrowth happens persistently on the same toenail, the doctor may opt to remove the toenail along with the soft tissue beneath it. 
  • Nail Bracing. The doctor will lightly lift the edges of the toenail and set nail braces. Nail braces are either adhesive or hooked nail braces. Nail bracing will retrain the nail to grow flattered and uncurled. Nail bracing needs a year or more before you could get the result. 

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