Are you dealing with an ingrown toenail? Have you ever wondered, ‘Will an ingrown toenail eventually grow out?

Unfortunately, the answer is not always what you wish to hear. An ingrown toenail is unlikely to resolve itself without intervention. Depending on its severity, an ingrown toenail requires active measures to remove the offending nail, correct its growth and alleviate pain.

In this article, we explore more about ingrown toenails, their causes, symptoms and the various treatment options available to bring relief to those suffering from this painful affliction.

Will an Ingrown Toenail Eventually Grow Out? A Quick Answer

No, an ingrown toenail will not typically grow out on its own. Generally speaking, ingrown toenails develop due to factors like trauma, incorrect nail cutting or a naturally wide nail plate, which causes the nail to dig into the surrounding flesh. 

To address this painful condition, the problematic portion of the nail often needs to be removed. This can be done conservatively by your podiatrist to promote straighter growth and reduce inflammation. For more persistent or severe cases, treatments like nail bracing or even surgical intervention may be necessary to provide relief and prevent further complications.

Ready to Relieve Your Ingrown Toenail Pain?

Are you tired of dealing with the discomfort and appearance of ingrown toenails? At Lidcombe Podiatry, our expert team is committed to providing personalised care that targets the root cause of your nail issues. 

Let us help you walk with confidence and comfort! For a consultation or to learn more about our services, call us today at (02) 8745 6297 or visit our Contact Us page.

Causes of Ingrown Toenail

An ingrown toenail occurs when the edges or corners of a nail grow into the soft flesh of the toe, leading to pain, redness and swelling. Various factors contribute to this uncomfortable condition, which makes awareness and prevention crucial.

Trauma

Injuries, such as stubbing your toe or dropping something heavy on your foot, can alter the growth pattern of your toenail and cause it to grow into the surrounding skin. These incidents can cause immediate and noticeable changes, leading to an ingrown toenail.

Poor Nail Cutting Techniques

Improper nail care, such as cutting toenails too short or in a rounded fashion, can encourage the sides of the nail to curl downward and dig into the skin. 

Nail Plate Too Wide

Some people naturally have wider nail plates, which increases the risk of the nails growing into the surrounding tissue. This genetic trait can make certain individuals more prone to developing ingrown toenails than others.

Tight Footwear

Wearing shoes that are too tight or that press against the toenails can force the nails into the surrounding soft tissues. This pressure can be particularly problematic for individuals who are active or who spend a lot of time on their feet.

Genetic Predisposition

Genetics can play a significant role in the likelihood of developing ingrown toenails. The natural shape and thickness of your nails, inherited from your parents, can predispose you to this condition.

Symptoms of Ingrown Nails

Recognising the symptoms of an ingrown toenail is key to addressing the problem before it worsens. Prompt treatment can prevent infection and more severe complications. 

  • Pain and Tenderness: The most common symptom, often felt along the nail edges.
  • Redness: The affected area typically appears red and inflamed.
  • Swelling: The toe may become swollen due to the irritation and infection.
  • Infection Signs: If an infection is present, you might notice pus or drainage, accompanied by increased tenderness and warmth.

Stages of Ingrown Toenails

Understanding the stages of an ingrown toenail can help in identifying the appropriate treatment approach and in preventing progression to more serious stages. Check them out below:

  • Stage 1: This is characterised by mild redness and swelling without pus or severe pain.
  • Stage 2: At this stage, symptoms include more pronounced swelling, redness and pain. Signs of infection, such as pus, may begin to appear.
  • Stage 3: This severe stage involves significant pain, inflammation and the discharge of pus. Professional help is often necessary.

How to Check if an Ingrown Nail is Infected

Detecting an infection early can be crucial for effective treatment and avoiding complications. Here’s how to check if an ingrown nail is infected:

  • Pus and Odour: The presence of pus or a foul odour is a strong indicator of infection.
  • Increased Pain and Swelling: These symptoms often worsen with infection.
  • Red Streaks: Red streaks extending from the toe towards the foot or ankle signify a spreading infection and require immediate attention.

What to Do in Case of an Ingrown Toenail

Soak the Foot

Soaking the affected foot in warm, salt water several times a day is highly beneficial. This simple, yet effective, method helps reduce swelling and soothe pain. It also softens the toenail and the surrounding skin, flushes out debris and makes the nail easier to treat.

Apply Antiseptic and Breathable Dressing

Applying a topical antibiotic ointment or Betadine liquid is a preventive measure against infection and can soothe the irritated area. After each soaking, gently dry the toe and apply the antiseptic directly to the affected area. Cover it lightly with a sterile breathable bandage to keep the area clean, which helps in quicker healing without trapping excessive moisture.

Choose Appropriate Footwear

Sandals or shoes with ample room around the toes can reduce pressure on the nails, significantly alleviating pain and preventing further damage to the nails. If you must wear closed shoes, opt for those with a wide-toe box and soft materials.

Use Pain Relievers

For immediate pain relief, over-the-counter medications can be effective. These medications not only alleviate pain but also help reduce inflammation. Follow the dosage instructions on the package carefully, and consider consulting with a healthcare provider if the pain persists.

Things to Avoid in Case of an Ingrown Toenail

Do Not Cut the Down the Side of Nail

It might be tempting to cut out the painful ingrown portion of the nail, but this often leads to a worsening of the condition. Improper cutting can result in a sharper edge, which can more easily pierce the skin and exacerbate the problem.

Avoid Tight Shoes

Shoes that are tight, narrow or ill-fitting can increase pressure on the ingrown toenail, intensifying pain and encouraging the nail to grow into the skin. Always choose footwear that provides enough room to move your toes freely, thus reducing pressure on the toenail.

Do Not Ignore Symptoms

Ignoring the early signs of an ingrown toenail, such as pain, redness and swelling, can lead to severe infections and other complications. Early intervention is key to managing the condition effectively without the need for surgical treatment.

Avoid Home Surgery

While it might seem like a quick solution, attempting to perform any sort of surgery on the nail at home is risky and can lead to serious infections and further complications. If the toenail does not improve with home treatment, it is crucial to seek professional help.

Do Not Cover with Tight Bandages

Avoid covering the ingrown toenail with tight bandages. While a light, breathable bandage can protect the area after applying antibiotic cream, a tight or heavy bandage can restrict airflow and create a moist environment that promotes bacterial growth, potentially leading to an infection.

How to Take Care of Ingrown Toenails at Home

Cleanliness Is Key

Maintaining cleanliness helps prevent an ingrown toenail from becoming infected. Regularly clean the foot, especially the affected area, using warm salt water. This routine helps remove any bacteria-laden dirt and debris that might accumulate around the toenail and potentially cause infection. Additionally, always ensure that any tools used for foot care, such as nail clippers or files, are sterilised before use.

Regular Soaking

Soaking the affected foot in a warm saltwater solution can significantly ease the pain and reduce inflammation. The salt acts as a natural disinfectant and also helps to soften the toenail and the surrounding skin, making subsequent treatments more effective. For optimal results, soak the foot for about 10 to 15 minutes three to four times a day. This regimen not only soothes the area but also keeps it clean and reduces the risk of infection.

Dryness

Ensuring the toe is thoroughly dried after each soak is essential. Moisture can create a breeding ground for bacteria, leading to infections. Pay special attention to drying the space between the toes and the area around the ingrown toenail. Using a clean, dry towel, carefully pat the area until it’s completely dry.

Monitor for Changes

It’s vital to closely monitor the condition of an ingrown toenail during home treatment. Take note of any changes in colour, swelling, pain or signs of infection such as pus or an increased warmth in the area. Keeping a record can help in assessing whether the condition is improving or worsening and will be helpful information to provide to a healthcare provider if needed.

When to See a Podiatrist

While many ingrown toenails can be managed effectively at home, there are situations when it is necessary to seek professional help:

Severe Pain and Symptoms

If the pain becomes severe and is not alleviated by over-the-counter pain relievers or home treatments, it’s time to consult a healthcare professional. Severe pain might indicate that the toenail has caused more damage or that an infection is present.

Signs of Infection

Signs, such as pus, significant redness, swelling and an increase in local temperature, are clear indicators of an infection. If these symptoms are present, it’s crucial to seek professional help promptly to receive appropriate antibiotic treatment and further care.

Diabetes or Circulation Problems

For individuals with diabetes or circulation issues, even a minor foot problem like an ingrown toenail can lead to serious complications. Such conditions can impair healing and increase the risk of infections, making early professional intervention essential.

No Improvement

If there is no improvement in the condition after a week of diligent home care, professional evaluation is necessary. A podiatrist can assess the situation and may recommend procedures, such as lifting the nail or even partial nail removal, to prevent further ingrowth and complications.

Recurrent Ingrown Toenails

If ingrown toenails recur frequently, it may indicate an underlying issue with the way the toenail grows or how it is being cared for. A podiatrist can offer treatments, such as partial or total nail avulsion, which permanently resolves the tendency of the nails to become ingrown.

Final Thoughts

Ingrown toenails, while common, should not be overlooked as they do not resolve on their own and can lead to more serious issues if untreated. Proper care, starting with preventative measures and proper nail-cutting techniques, is essential to manage and potentially overcome this condition. 

If you’re experiencing persistent pain, signs of infection or have conditions like diabetes that complicate foot health, seeking professional advice is critical. With the right approach, you can relieve the pain of an ingrown toenail and ensure your feet remain healthy and ready to carry you forward in style and comfort.