SCHOLL Ingrowing Toenails

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Yang KC, Li YT. Treatment of recurrent ingrown great toenail associated with granulation tissue by partial nail avulsion followed by matricectomy with sharpulse carbon dioxide laser. Dermatol Surg. 2002;28(5):419-421. Sweaty feet can lead to softer skin around the nail, and a softer nail, so it becomes easier to bend the nail into the skin. Di Chiacchio N, Di Chiacchio NG. Best way to treat an ingrown toenail. Dermatol Clin. 2015;33(2):277-282. Activate the electrode for 3 to 10 seconds. A short sizzling sound may be heard, and a small puff of smoke may be seen. Dinulos JGH. Nail diseases. In Habif's Clinical Dermatology. 7th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Oct. 12, 2021.

An ingrowing toenail typically affects teenagers and young adults the most. A number of things can cause an ingrowing toenail to develop and if left untreated, could pierce the skin. Espensen EH, Nixon BP, Armstrong DG. Chemical matrixectomy for ingrown toenails. J Am Podiatr Med Assoc. 2002;92(5):287-295. Placing a gutter splint under the nail. With this method, your health care provider numbs the toe and slips a tiny slit tube underneath the embedded nail. This splint stays in place until the nail has grown above the skin edge. This method helps ease the pain of an ingrown nail as well. An ingrowing toenail is where a piece of nail pierces the flesh of the toe. It can feel as if you have a splinter, and be extremely painful and inflamed or infected. In more severe cases, it can cause pus and bleeding. Ingrowing toenails most commonly affect the big toenail, but can affect the other toes too. A nail that is curling (involuted or convoluted) into the flesh, but isn’t actually piercing the skin, isn't an ingrowing toenail but can feel very painful and can also appear red and inflamed. What causes it?Byrne DS, Caldwell D. Phenol cauterization for ingrowing toenails: a review of five years' experience. Br J Surg. 1989;76(6):598-599. Another approach, which minimizes the need for daily replacement, uses cotton coated with a solution that fixes it in place and makes it waterproof (collodion).

Ingrowing toenails are not usually serious, however in some cases without treatment, an ingrown toenail could become infected. The following steps can help avoid developing an ingrowing toenail: Serour F. Recurrent ingrown big toenails are efficiently treated by CO2 laser. Dermatol Surg. 2002;28(6):509-512. For involuted nails, part of the nail that is curling into the flesh is removed and then the edges of the nail are filed to a smooth surface High WA, et al., eds. Special considerations in skin of color. In: Dermatology Secrets. 6th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Oct. 12, 2021.

Apply directly to the nail matrix at the lateral sulcus and under the proximal fold two to three times for 30 to 60 seconds each round. After the nail has been removed, examine the lateral sulcus beneath the proximal nail fold to ensure no pieces of nail remain within the corner. Also examine the part of the nail removed. If part of the nail plate is missing, it must be identified and removed, or it will heal slowly and cause pain. Prepare the toe with povidone-iodine, chlorhexidine (Peridex), or alcohol. A Freer septum elevator or hemostat can be used to push the cuticle off the nail plate. Nazari S. A simple and practical method in treatment of ingrown nails: splinting by flexible tube. J Eur Acad Dermatol Venereol. 2006;20(10):1302-1306. Andreassi A, Grimaldi L, D'Aniello C, et al. Segmental phenolization for the treatment of ingrowing toenails. J Dermatolog Treat. 2004;15(3):179-181.

Eekhof JA, Van Wijk B, Knuistingh Neven A, et al. Interventions for ingrowing toenails. Cochrane Database Syst Rev. 2012(4):CD001541. Bos AM, van Tilburg MW, van Sorge AA, et al. Randomized clinical trial of surgical technique and local antibiotics for ingrowing toenail. Br J Surg. 2007;94(3):292-296. Korkmaz M, Cölgeçen E, Erdoğan Y, et al. Teenage patients with ingrown toenails. Indian J Dermatol. 2013;58(4):327. Travers GR, Ammon RG. The sodium hydroxide chemical matricectomy procedure. J Am Podiatry Assoc. 1980;70(9):476-478. Woo SH, Kim IH. Surgical pearl: nail edge separation with dental floss for ingrown toenails. J Am Acad Dermatol. 2004;50(6):939-940.Collins SC, Cordova K, Jellinek NJ. Alternatives to complete nail plate avulsion. J Am Acad Dermatol. 2008;59(4):619-626.

For any bleeding or discharge from an infection, or even excessive healing flesh (hypergranulation tissue) around the nail, antibiotics will be prescribed to manage the infection as well as having the offending spike removed This is not a diagnostic tool. this healthcare professional does not endorse Scholl products and were paid by the makers of Scholl for their time in producing this video What is ingrowing toenail?Rigopoulos D, Larios G, Gregoriou S, et al. Acute and chronic paronychia. Am Fam Physician. 2008;77(3):339-346. Gerritsma-Bleeker CL, Klaase JM, Geelkerken RH, et al. Partial matrix excision or segmental phenolization for ingrowing toenails. Arch Surg. 2002;137(3):320-325. Please see a healthcare professional if home treatments are not helping, if the toe is very painful, bleeding or infected and if you have a high temperature. If you experience any foot care issues that do not resolve themselves naturally or through routine foot care within three weeks, you should seek the help of a healthcare professional.