Having our 11 techniques on how to treat an ingrown toenail, the problem will no longer give you discomfort. On the first day, as soon as the nail has grown, begin treatment. Better yet, remember about the prevention of disease, because methods of preventing the disease is much easier than treating an ingrown nail.
Traditional medicine uses two methods to treat an ingrown toenail: a surgical operation or the use of a special medical plate. But traditional healers have come up with a lot of methods to get rid of an ingrown nail quickly and reliably, using the gifts of nature. If you have a nail, it is not necessary to panic and go to the hospital. We recommend the treatment of ingrown nail folk methods.
What to do if the nail is grown
The treatment of an ingrown nail is carried out by a complex of measures. But in fact, everything is simple. Only 3 points will indicate how to get rid of an ingrown nail for a long time:
Every day, wash your feet, at least 2 times. To do this, use a good soap. It is best to use laundry soap 72%. A solution of soap will help not only perfectly clean the feet of dirt, but also relieve pain in the legs.
Stop wearing uncomfortable shoes. If there is an inconvenience in the thumb - change your shoes. A high heel also contributes to the ingrown finger.
Treatment of ingrown nail home methods. To date, a lot of ways have been invented on how to treat an ingrown toenail. You can try homemade ointments, solutions, infusions or even butter.
Let's talk more about the most effective ways how to get rid of an ingrown nail.
How to 100% eliminate ingrown toenail
No less important than knowing how to treat an ingrown toenail, familiarize yourself with and how to prevent it. After all, prevention is better than cure anyway. Well, so that you do not have to look for ways to get rid of your ingrown nail, you need:
Wear exceptionally comfortable shoes.
Cut nails gently, not too short.
Cut nails after showering or bathing when they are softer.
The upper edge of the nail plate should be cut smoothly.
It is not necessary to round the plate in the corners.
Of course, if the problem has acquired a large scale, be sure to contact a medical institution to conduct a full-fledged treatment of the ingrown nail.
Having our 11 techniques on how to treat an ingrown toenail, the problem will no longer give you discomfort. On the first day, as soon as the nail has grown, begin treatment. Better yet, remember about the prevention of disease, because methods of preventing the disease is much easier than treating an ingrown nail. Take care of yourself and be healthy! Published by econet.ru.
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Ingrown toenail - the main causes
Contribute to the ingrowth of the nail can a variety of reasons. Here are the most common ones:
- Photo: Inconvenient toe shoes
Mechanical damage to the nail plate, which further leads to its wrong growth. The most common cause of this condition becomes unsuccessful pedicure. Too short trimming of the nail leads to the fact that its sharp edge damages the periungual roller and provokes its ingrowth.
How the pathological process looks like can be seen in the photo of an ingrown nail on the big toe, which is abundant on thematic sites on the Internet devoted to this problem.
Symptoms of ingrown nail - photo
Ingrown nail - a defect in the formation of the nail plate, in which its part is under the periungual roller. This violates the microcirculation of blood in the soft tissues and in the nail itself. The degree of damage can be different, up to almost complete care of the nail plate under the soft tissue of the periungual roller.
In the early stages, this condition does not cause inconvenience, the only problem is an unaesthetic appearance, since the nail plate is thickened and deformed. With a long course of pathology, pain appears when walking, then the pain becomes constant and manifests itself even at rest. Most often, such changes occur on the big toe or little toe, other toes are less frequently affected. Sometimes it is possible for the nail to grow on the arms One of the outer edges of the nail plate usually grows into soft tissues, much less often both edges. Experts distinguish 3 degrees of the pathological process:
- Photo: Ingrown toenail
First degree - around the growing nail there is a reddening and puffiness of the roller, inflammation gradually develops in the soft tissues, and there is a slight soreness during walking.
An ingrown nail is a health hazard because, due to its improper location, it damages the surrounding tissues and becomes an entrance gate for infection. The impaired blood microcirculation in the periungual roller prevents the rapid healing of injuries, which ultimately can lead to the fact that the ingrown nail on the thumb fester, become inflamed and burst. If you start this condition, it can threaten severe purulent lesions of the foot and even sepsis.
Treatment and correction - what to do?
There are quite a few methods for treating an ingrown nail. Some of them allow you to quickly solve the problem, others take time, but reliably prevent relapses, others well help in the early stages, preventing the development of severe pathologies. Both conservative and surgical methods are used, and folk remedies can help to prevent and treat the early stages of an ingrown nail.
With the question of what to do if the nail on the big toe is ingrained, first of all, you should consult a doctor so that he chooses the most optimal treatment option taking into account the patient's individual characteristics. Consider the treatment of an ingrown nail.
Such a pathology as an ingrown nail is difficult to treat, as in almost half of the cases the disease returns to relapses. Depending on the severity of the lesions and the causes of ingrown nail plate, experts select the scheme of complex therapy. All existing methods of treatment can be divided into conservative, orthopedic and surgical.
Conservative treatment methods are aimed at reducing pain and preventing purulent-inflammatory processes in the surrounding soft tissues. They can be used as an independent type of therapy for relatively minor lesions or to complement surgical intervention.
The patient is recommended to make hot foot baths with a solution of potassium permanganate or calendula extract, which will provide anti-inflammatory and disinfecting action. Affected nail should be treated daily with antiseptic solutions and anti microbial ointments or creams (Levomekol, Baneotsin). This will help prevent bacterial infection.
Simultaneously with the treatment of the affected area, apply gauze rollers or place gauze strips impregnated with antiseptic solutions under the sharp edge of the nail. In the process of treatment it is necessary to ensure proper care of the nail plate and very carefully cut its edges.
Conservative treatment in most cases is ineffective, so it is justified only at the initial stage of the disease. With the further development of the pathological process, they switch to orthopedic techniques.
Orthopedic treatment is aimed at changing the direction of growth of the nail plate due to the gradual extension and increase in the radius of curvature of the problematic nail. The use of these methods helps to lift the edges of the growing plate and separate it from the tissues of the nail roll. Before the procedure, hard areas of the nail are treated with a special softening compound. A good result gives hardware manicure, but the greatest effect of this procedure will still be at the initial stage of the disease.
- Apparatus or medical pedicure. This procedure is carried out in specialized clinics using special tools. It allows you to remove ingrown parts of the nail and the affected soft tissue, if the area of ingrowth is small. It is also a good prophylactic, which prevents the development of an ingrown nail.
- Gel coating allows you to cope with the early stages of ingrowth of the nail. The gel is applied to the nail plate, creating the desired shape of the nail. After hardening, it maintains the specified characteristics, protects the nail from the negative effects of the external environment, protects against infection. In this case, the gel is completely transparent, so the appearance of the nail is preserved. Over time, the gel helps to restore the normal shape of the nail. Another advantage of this method is that further relapses of the disease are practically excluded.
- Supporting brackets or plates (identical to the braces) are placed on top of the nail. They create pressure on soft tissues, moving them away from the growing nail and provide conditions for its normal growth. It is used not only in the early, but also in the middle stage of the disease, if there is no infection. Plates can have a different appearance and in addition to their main function, they also perform cosmetic.
- Nail prosthetics. This method is similar to gel correction. It is used either to give the nail the necessary form, or to replace the removed along with the nail matrix after the operation. In this case, a special gel is applied to the affected skin of the finger, forming an artificial nail plate.
If these methods do not give the desired result - there is only one way. This is removal of the problematic nail surgically.
Surgical treatment - when surgery is necessary
Surgical treatment of the ingrown nail on the thumb is carried out if the area of soft tissue damage is large and the patient develops inflammatory complications. Surgery allows you to radically remove the affected area and stop infectious complications. But the method has its drawbacks. So, after surgical removal of the ingrown nail, there is a long recovery period and the risk of recurrence and re-ingrowing of the new nail remains. In order to avoid negative consequences, conservative methods are used along with surgical methods.
Surgery. Surgical treatment involves removing the nail along with soft tissue under local anesthesia. The nail is removed completely, but its matrix - the source of growth - is not damaged, so the nail grows again after the operation. Even after a radical removal of the nail, the risk of recurrence is not excluded, since surgical intervention does not affect the causes of its ingrowth. In the postoperative period, the patient should regularly do bandaging, if necessary - with the use of antibiotics. After the wound surface heals, nail prosthetics or the use of various conservative techniques to prevent re-ingrowth is possible.
Surgery is characterized by a high degree of trauma, a long period of rehabilitation, preservation of pain and sensitivity of the tissues even with slight pressure, which in some cases does not allow the patient to wear familiar shoes and interferes with walking. Moreover, even such a radical treatment does not eliminate the recurrence and in almost 50% of cases the growing nail again begins to grow into soft tissues. Therefore, now classical surgical intervention is rarely used, preferring more advanced techniques.
Photo: hardware procedure
In addition to surgical treatment, there are modern hardware procedures that minimize the risk of recurrence and significantly reduce the rehabilitation period.
Laser removal. This is the most modern and gentle method, during which a special medical laser is used. The procedure aims to remove the ingrown part of the nail and soft tissues around it, allows you to remove inflamed tissue and prevent re-ingrowth. The laser can destroy fungal spores and prevent the development of complications. The procedure is distinguished by bloodlessness, a pronounced bactericidal effect and minimal damaging effect. As a result, the healing of tissues after the procedure is two times faster than with the classical surgery. The disadvantage of the method is that the nail matrix is damaged, so the shape of the nail is not restored, the appearance of the nail is no longer aesthetic. In this case, partial nail prosthetics are applied.
Photo: apparatus Surgitron
Radio wave radiation renders various effects on the damaged nail - removes the damaged areas, disinfects, promotes more rapid healing of the postoperative wound. The procedure is performed under local anesthesia, the rehabilitation period after it is rather short. The nail is restored independently, the risk of complications is minimal. The intervention is carried out using the Surgitron apparatus, which generates radio waves of a certain frequency. The advantage of this method is in higher accuracy and controllability of exposure, as well as in the absence of thermal damage to surrounding tissues.
Traditional methods of treatment can cope with the disease at an early stage. They are permissible only if the ingrown nail is not complicated by inflammatory diseases and is not affected by the fungus. There are several methods to cope with the problem at home.
Photo: compresses for the night on the affected finger
The easiest of them - compresses for the night on the affected finger. Vishnevsky ointment, butter or aloe juice diluted with water can be used as a therapeutic component. The therapeutic composition is applied to gauze, which is then tightly pinned to the finger. To enhance the effect, you can wear a sock on the affected leg. In the morning, the compress is removed and the ingrown part of the nail is removed with manicure scissors as far as possible. If necessary, the procedure is repeated several times. After removing the ingrown part, the edge of the nail should be carefully trimmed with a nail file.
Get rid of the growing nail help bath with potassium permanganate, salt, soda, furatsillinom, chamomile, or St. John's wort. The water for the baths must be warm or hot (so as not to cause discomfort), this gives an additional steam effect, makes the nail more malleable. After the baths, you must carefully remove the ingrown part of the nail, trim it with a nail file and put on a sock. Furatsillinovye or salt baths can help with purulent lesions, they accelerate the discharge of pus, have an antiseptic and disinfecting effect and facilitate the healing of tissues around the nail.
An ointment consisting of equal parts of garlic, onion, aloe, butter and honey may also be useful. It is applied on the nail in the evening as a compress, has a softening and antiseptic effect, prevents the development of infection.
Another effective recipe that is best applied overnight. First you need to melt a small piece of butter. Then take the fingertip, fill it with warm butter and put it on your big toe. As soon as the pain subsides, the finger is released, under the edge of the softened nail, slip the gauze roller soaked in an antiseptic (hydrogen peroxide, chlorhexidine) and finger firmly bandaged.
Another common method is based on trying to deceive the body. To do this, begin to regularly handle sawing the middle part of the nail plate. Cutting is performed after a hot foot bath. In this case, you need to act carefully, removing not more than 2/3 of the thickness of the nail. As a result, the sawed central part of the nail will begin to thicken, it will, as it were, contract to the edges, and the lateral edges will stop growing.
Popular recipes are good help, if the process has not passed into the neglected stage. But before using them, you should consult a doctor. This will help avoid undesirable consequences.
Experts say that before treating an ingrown nail on the thumb, it is necessary to eliminate the cause of its ingrowth. It is necessary to examine and cure fungal diseases, if any, to develop the habit of wearing comfortable shoes - with a wide enough toe, so as not to squeeze your fingers. The heel should not be too high, the shoes should be chosen exactly in size. After surgery to remove the nail, you must use conservative methods of correction to prevent its re-ingrowth.
It is important to learn how to properly care for your nails - do not cut them too short, trim them with a nail file so as not to leave a sharp edge, use steaming foot baths in front of a pedicure, use skin-softening creams. Personal hygiene, regular washing of the feet and cleaning of the nails also plays an important role.
Professional pedicure in beauty salons helps keep your toenails in order, allows you to notice a possible threat in time and consult a doctor promptly. For greater effectiveness, it is useful to visit the procedure of a medical pedicure from time to time - it prevents the problem and prevents the ingrowth of the nail.
Ingrown nail: causes, symptoms, diagnosis and treatment
Onychocryptosis is called the ingrowth of a part of the nail plate into the tissue of the nail roll (if, precisely, the side edge). Most often the ingrown nail is found on the big toe.
There are inflammation, swelling, redness and pain. Often, only pain causes the doctor to turn when it is impossible to endure and suppuration occurs. Because of this, the problem becomes chronic. According to statistics, chronic oniocryptosis is acquired by half of the patients.
- Ignorance and non-compliance with the rules of a pedicure.
The main reason for the development of onychocryptosis is precisely the inability to handle manicure scissors and inaccuracy when cutting nails. You can accidentally cut a corner, leave a burr or a sharp edge, rub the skin around with the edge of a scissors, cut the nail too short. All this is dangerous and in most cases provokes ingrowth. Too much stress on the legs.
- Inconvenient (not your size) and narrow shoes (including a narrow nose).
- Valgus feet and flat feet. The foot is deformed, and because of the pressure of the second finger, the big one is bent.
- Pregnancy and postpartum period. To grow a nail in women is able both at late periods of pregnancy, and during lactation, or one and a half to two months after childbirth.
- Diseases associated with improper nutrition of the nail plate. Among them are diabetes, vascular and heart diseases, all kinds of endocrine pathologies and obesity.
- Conducting radiation or chemical therapy in oncology.
What symptoms say about onychocryptosis
There are five main signs, some speak directly about a certain stage of the disease:
- Constant pain in the nail, which becomes especially strong if you don’t wear home shoes and walk.
As soon as suspected ingrown nail, be sure to contact a specialist in diseases of the feet or a surgeon.
Doctors will be asked to undergo several simple laboratory tests to make the diagnosis as accurately as possible.These are blood tests:
- Overall. It helps to understand at what stage the inflammation.
- On glucose. To exclude the presence of diabetes.
If you have a fungus, show your dermatologist and follow a comprehensive treatment regimen. One method is clearly not enough. Any complications? Then without additional diagnostics is necessary.
The surgeon will certainly tell you to do an X-ray of the foot, with it you can see suppurations on the bone, and you can examine the bone outgrowth (osteophyte) on the finger.
- Laser cautery
Typically, this procedure is resorted to if the nail is ingrown at the level of the cuticle. Refers to high-tech and allows you to achieve a stable remission. With the help of a laser beam, a part of the problematic nail and germ cells are burned, granulations and inflamed tissue are removed.
Resection of the nail plate or ingrown edge
Surgical intervention performed under local anesthesia. When suppuration in most cases, you have to remove the entire nail plate, the new one appears after about ninety days. The technique does not give a long-term result, often four months later, people may again face signs of onychocryptosis.To prevent the risk of disease, preventive measures are provided: so that the nail cushion does not touch the plate, a portion of the skin is removed from the side of the finger, and in addition they get rid of the granulations.
This technique is considered benign. The operation in very rare cases provokes complications and any relapses. A positive feature is the absence of traces of interference (scars, stitches). The procedure consists of the elimination of the ingrown part and the treatment of the sprout, matrix zones.
How to behave after surgery
Resection is a rather serious operation that requires a long recovery. At first, the treated area will be sick. Complete healing occurs within a month, and all the time control is required: as much as possible to protect the nail bed from infection. Still resort to such measures:
- For three to five days, the surgical site is treated with antiseptic agents, for example, hydrogen peroxide or chlorhexidine, antibacterial ointments (Gentaxan, Levomekol, etc.) are used, and a finger is bandaged with sterile materials. Further ligation every other day.
- In the first days it is advisable not to step on the foot at all, and then to follow a gentle regime and avoid loads.
- If unpleasant sensations bother you, you can take painkillers.
- Shoes are allowed only wide, so that the materials do not touch the sore finger.
State of the art non-surgical and safe methods
This is the best solution, because it is carried out under the supervision of specialists using the latest equipment. Fast and safe.
Subfix — This is a non-surgical treatment of ingrown nails, developed by German experts. For the correction, small braces are used on the nail, which can be varnished. They are almost invisible, do not cause discomfort, do not require abandonment of an active lifestyle. This glue-based bracket is also shown for core calluses, hypergranulation, nail curl, for cosmetic purposes.
Learn more and price
The combined technique, the design combines the plates of Subfix and ZTO brackets (metal bracket and adhesive plastic pad). Easily installed, straightens the nail, relieves pain.
Full description of the method and price
Possible negative consequences if not to start timely treatment
- Finger abscess
Purulent process with redness and swelling.
Blackening and dying off of tissues. The process is irreversible.
Infection through the lymphatic vessels moves to neighboring lymph nodes.
Abscess running. Inflammation is already spreading to the bone.
How to prevent the ingrowth of the nail
First of all, learn the basics of a pedicure. There are not so many rules, here are the main ones:
- Make a warm foot bath to soften your nails.
- Cut straight, do not round out.
Causes of ingrown toenail
The primary cause of the disease is a hereditary factor. The disease occurs after 30 years, in rare cases, children and the elderly are exposed.
- wrong shoes chosen.Constant squeezing leads to the ingrowth of the nail into the skin. Experts do not recommend wearing shy shoes or narrow-cut models, high heels. The disease is formed in closed shoes when used in summer. Humidity causes softening of the nail plate, swelling of the epidermis and abnormal growth of the nail,
Nail fungus - the main cause of ingrown toenail
An ingrown nail on the big toe can form from excess weight and heavy exercise. At the initial stage, the disease can be cured at home by conservative means.
Human fingers have strong sensitivity. There are many nerve endings on the tips. The disease is caused by severe pain when you press the nail.
The main symptoms are:
- pain sensations
- the formation of redness, spots, color change,
- sealing the nail plate,
Experts define 3 stages of disease progression:
- When moving a person feels a weak pain, which subsides when removing shoes. There is a slight swelling, redness,
- The state of the nail changes - an acute angle on the nail plate increases, swelling and redness intensify, throbbing pain is accompanied by rotting,
- The disease turns into a chronic form, the neglected process is intensified by swelling, pain, a change in the natural color and compaction of the nail.
In the third stage, there are bloody discharge. The initial forms are amenable to conservative treatment. When running, surgery will be required.
How are the nails in humans: a brief digression to the anatomy
Nails - skin appendages, horn formations. They have the same structure as the hair, the top layer of the skin.
Each nail of a person consists of the following parts:
- Nail bed. Place on the finger, which is the nail.
- Nail root. It is 30% of its length, hidden under the skin.
- Body nail. The main part, which is located on the nail bed.
- Free edge. The part of the nail, which stands for the limits of the nail bed.
- Nail rollers. Small nodules on the skin that limit the nail behind and from the sides.
At the root of the nail is matrix - due to it the growth of the nail. If the matrix is damaged, the growth of the nail may become abnormal or stop altogether.
Interesting facts about the growth of the nail:
- On average, during the day, the length of the nail increases by 0.15 mm.
- Nails grow faster on hands than on legs.
- On the hands of a complete update of the nails occurs every 3 months, on his feet - once in 4.5 months.
- In men, the nails grow on average by 3.9 m over the course of their life, and by 4.3 m in women.
Causes of ingrown toenail
The main reason for an ingrown nail is incorrectly chosen shoes. Worst of all for nails are hard shoes with narrow toes, too short tight shoes. If the finger is constantly experiencing pressure from the side and top, it contributes to the ingrowth of the nail into the skin. Another common reason is wearing closed shoes in hot weather, when wet conditions are created inside to help soften the nail plate and swell the epidermis - the upper layer of the skin. As a result, the nail starts to grow wrong.
Other causes of ingrown toenail:
- Wrong pedicure. If you cut off the corner of the nail, it can lead to its subsequent wrong growth.
- Flatfoot and valgus foot (wrong position of the foot with a deviation out). It is difficult for people with these violations to find comfortable shoes, it squeezes the fingers, and the risk of an ingrown nail increases.
- Onychomycosis (nail fungal infection). The fungus causes an ingrown nail due to the fact that it leads to deformation, thickening of the nail plates.
- Congenital predisposition. Some people have irregular nail shape, an excessive amount of tissue on the nail bed.
- Finger injuries. A damaged nail may start growing incorrectly, unevenly.
- Bacterial, purulent infections that affect the nails.
- Wearing high heels. In this case, during each step, the foot tends to "move down", the fingers are clamped in a sharp sock.
Characteristic symptoms of an ingrown nail:
- Usually the first symptom of an ingrown nail is pain. It increases when wearing uncomfortable shoes, sometimes it can occur even from a minor impact, for example, when a person touches a finger while covering with a blanket. Pain can be very strong, as if the finger "pierced with a nail."
- The periungual roller turns red, swells up.
- Over time, near the nail begins to grow new tissue - granulation - it has a characteristic appearance, for which it received the figurative name “wild meat”.
- With an ingrown nail there is a high risk of infection. If an infection gets under the nail cushion, it becomes even more red and swollen, pus starts to stand out from under it, pains increase, and body temperature may rise.
Stages of ingrown toenail:
- First, a slight swelling and soreness appear near the affected nail. Gradually, these symptoms are increasing.
- Then infection occurs. This is usually manifested in the form of a significant increase in symptoms, discharge of pus from under the nail.
- In the end, the inflammatory process goes into a chronic stage. There is a proliferation of "wild meat". In this case, you can talk about running ingrown nail.
Photo of ingrown toenail on big toe:
Appearance of ingrown nail:
Infected sore ingrown nail:
What are the possible consequences of an ingrown nail?
The main danger for ingrown nails is infection. It can spread to surrounding tissues, to the foot, to the bone, leading to severe purulent complications. In the worst case, the purulent process may be complicated by gangrene.
The nail on the leg has grown: what to do, what doctor should I contact?
If you have symptoms similar to an ingrown nail, contact your surgeon. The child must be taken to the pediatric surgeon. For the diagnosis of the disease does not require additional research, external examination is enough. Do not engage in self-diagnosis and self-treatment, especially if you suffer from diabetes or other diseases that worsen the blood flow in the lower extremities.
The doctor may prescribe a general blood test to assess the activity of inflammation, laboratory examination of pus for the selection of effective antibiotic therapy. X-ray helps to identify the purulent process in the bones of the foot.
Ingrown nail treatment
Treatment of ingrown nail - a rather difficult task. There are many methods, but none of them are perfect, relapses occur. There are three main areas of treatment for an ingrown nail.:
- surgical interventions
- conservative (non-invasive) methods,
- orthopedic methods.
The operation to remove the ingrown nail
Surgical treatment completely eliminates the ingrown nail, but does not always guarantee relief from this condition forever. After the operation, there may remain a cause that led to the pathology, as a result, the ingrown nail may arise again on the same or on the other finger.
There are three main types of surgical treatment for an ingrown nail.:
- removal with a scalpel,
- removal of ingrown nail with a laser
- radiowave treatment of ingrown nail.
Schmieden's surgery for ingrown nail
The Schmieden operation is a fairly popular way of treating an ingrown nail, as it is characterized by a low probability of recurrence (about 5-10%). But the intervention is quite traumatic, after it recovery takes a long time.
Indications for surgery Schmieden:
- large size of the periungual roller,
- unsuccessful treatment of ingrown nail, after which there was a relapse.
Course of operation:
- Usually, the intervention is performed under local anesthesia (small children under general anesthesia). On the finger impose a tourniquet, which helps reduce blood loss.
- The surgeon cuts the nail lengthwise with scissors with sharp ends, makes a small incision on the soft tissues with a scalpel, and removes the granulations.
- Then, using a special spoon with sharp edges, the doctor removes the matrix of the nail, which is responsible for its growth.
- The final destruction of the nail matrix is made with the help of special chemicals electrocoagulator or laser.
- After the ingrown part of the nail plate and all the “extra” tissues are removed, the surgeon applies stitches and a bandage. Sometimes they do without seams - this will not affect the healing process.
How does ingrown nail heal after surgery?
Usually, after a Schmiden operation, healing takes place within a week. During this time, you need to limit the load on the sick leg, daily change the bandage. If the ingrown nail is complicated by an infection, the doctor may prescribe antibiotics, ointments with healing and antibacterial components. The stitches are removed after 7 days after surgery. Complete healing occurs within 1-1.5 months. During this time, you can not visit the bath and sauna, you need to wear the most comfortable and spacious shoes with an open nose.
Video removal operation of ingrown nail:
Laser removal of ingrown nail
Treatment of an ingrown nail with a laser is characterized by high efficiency and safety, low risk of recurrence, a relatively short recovery period. The procedure, as well as conventional surgery, is performed under local anesthesia, with a tourniquet applied to the finger. The laser literally evaporates “excess” tissue, while it destroys the pathogens in the wound and stops the bleeding.
Video of ingrown nail removal with laser:
Radio wave treatment of ingrown nail (treatment of ingrown nail apparatus "Surgitron")
The method resembles the correction of an ingrown nail with a laser, only instead of laser radiation, special radio waves are used. In many clinics for this purpose they use modern apparatus for radio wave surgery "Surgitron". As well as the laser radiation, radio waves destroy all the "unwanted" tissue, the pathogens in the wound, stop the bleeding.
Video of the treatment of ingrown nail with the help of radio wave surgery:
Correction of ingrown nail without surgery
Treatment of ingrown nail plates and staples
There are special braces and plates for the treatment of the ingrown nail. They come in different shapes, they are made of various materials. But they all have about the same principle of action: a bracket or plate attached to the nail, one of its ends hooks the ingrown edge and brings it up.
Staples and plates for ingrown nail set under local anesthesia. Pre conduct hygiene measures that help soften the nail. The timing of wearing staples and plates is determined by the attending physician.
The procedure for installing the bracket or plate - ortonic - mainly carried out in the early stages of an ingrown nail.
The advantages of using staples and plates for ingrown nails:
- high efficiency - reaches 90%,
- non-invasive procedure, treatment is carried out without incision,
- the ability to accurately calculate the power of correction,
- the patient is not uncomfortable - most models of plates and staples are almost not noticeable, do not cause discomfort when worn.
The most common types of staples and plates for the treatment of ingrown nails:
|Fraser Staples||The staple is a thin wire. Its ends look like hooks, they are turned under the edges of the nail, after which an optimum tension is attached to the clip.Fraser's braces do not spoil the appearance: you can stick rhinestones next to them, it will give the impression that there is an unusual decoration on the nail. The bracket itself is practically not noticeable on the leg, does not interfere while wearing shoes.|
|Staples Combibed||Designed for the correction of ingrown nail on one side. At one end of the bracket has a hook that cling to the ingrown edge, on the other - a plastic platform for attaching to the nail with a special glue.|
|B /S-plates||Plates of different shapes (for each patient, you can choose the right one, depending on the width of the nail), made of elastic plastic. After installation, the plate gradually raises the ingrown edge of the nail, changes its direction of growth.|
|Goldstadt Half-Box||They are metal brackets that at one end have a hook for attaching to the ingrown edge of the nail, and at the other - a flat platform for attaching to the nail plate with glue.|
|Plates "Subfix" (Podofix)||A plate of soft plastic, inside which is an elastic wire. The doctor catches the plate by the edges of the nail, then gives the wire an optimal tension for correction. Plates "Podofix" are one of the most modern methods of treatment of ingrown nail. Indications for their use: |
|Plates "Oniklip"||A plate of medical steel in a plastic shell. The design allows the doctor to accurately determine the degree of tension. Indications for use: |
|ZTO brackets||The bracket is made of stainless steel and consists of three parts. The two side parts have hooks, with which they cling to the edges of the ingrown nail. Between them there is a loop, twisting which, the doctor regulates the degree of tension of the brace.|
|ERKI technology||It consists of two plastic hooks and a metal ring between them, thanks to which the doctor can individually select the degree of tension for each patient.|
Tamponade of ingrown nail capolin
During the tamponade under the ingrown edge of the nail injected capolin - A small piece of material that helps reduce the pressure on the nail roller and causes the nail to grow properly. Tamponade can be performed only in the absence of infection and severe inflammation. Pre-hygiene, nail correction with special tools.
Capolinum tamponade is usually carried out at the earliest stages of an ingrown nail, or as a prophylactic measure, with the bent nail plates, to prevent their ingrowth.
Correction of ingrown nail and tamponade capolin:
Ointments and gels for the treatment of ingrown nails
Ointments, like other conservative treatment methods, are used mainly in the initial stages of an ingrown nail or as an adjunct to surgical and orthopedic methods. They have a different effect: some soften the nail plate and normalize its growth, others contain antibiotics and help to cope with the infection.
Ointments and gels that are used for ingrown nails *:
|Nogtinorm from ingrown nail||Composition: palm oil, SC-CO2 extracts of licorice, mackley and St. John's wort, perfume, petroleum jelly, propyl paraben.|
Effects: softening of the nail plate, reduction of inflammation in the nail shaft, restoration of normal nail growth.
Mode of application:
Contraindication To the application of the ointment is individual intolerance to the components.
|Gel Dr. Scholl’s from ingrown toenail||Effects: softening of ingrown nail plate, reducing inflammation. |
Mode of application:
Contraindications: individual intolerance to the components of the gel.
Consult a physician before use.: during pregnancy and its planning, breastfeeding, while taking medications and dietary supplements, people with allergic reactions to drugs and food. Use with caution in children under 12 years.
|Vishnevsky ointment for ingrown nail||Effects: pulls pus, contributes to the destruction of pathogens, accelerates healing. |
Mode of application:
Contraindications: individual intolerance to the components of the ointment.
|Ichthyol ointment||Effects: reduction of inflammation, pain, extermination of pathogens. |
Method of use for ingrown nails:
|Levomekol with ingrown nail||Composition: |
Mode of application:
If under the nail roller there is a purulent cavity, the doctor can enter into it a certain amount of levomekol using a syringe.
Contraindications: individual intolerance to the components of the drug.
|Gel dimexide with ingrown nail||Composition: the active ingredient in the composition of the gel dimexide is dimethyl sulfoxide - medicinal substance with anti-inflammatory action.|
Mode of application:
** Information is provided for informational purposes only. Consult a doctor. Self-medication is unacceptable and can lead to negative health effects.
Treatment for ingrown nails
|Dimexide from ingrown nail||Composition: the active substance in the composition of the liquid dimexide is dimethyl sulfoxide - medicinal substance with anti-inflammatory action. |
Mode of application:
The doctor may recommend making compresses with dimexid for 2 hours for several days. Or wash the wound with a solution during dressings.
Contraindications: same as dimexide gel.
|Scholl liquid||Liquid intended for softening nails. |
Mode of application:
|Gehwol Liquid||Effects: softens the nail and okolonogtevogo roller, prevents ingrown nail, helps in the early stages of the disease. Helps to reduce pain. |
Mode of application:
Treatment for ingrown nails
There are oils that help to soften the ingrown nail, have an antiseptic, regenerating effect. For example, quite often used 100% ozonized olive oil. It is used during the tamponade procedure.
Baths for the treatment of ingrown nails
For ingrown nails various baths are used.:
- Baths with salt for ingrown nails. They relieve swelling, inflammation, help fight pain, are usually used in the early stages. Salt is taken at the rate of 2 tablespoons per liter of water. The water should be warm enough so that it can well steam legs.
- Baths with baking soda. Helps to reduce swelling and inflammation, soften the ingrown nail. Applied in the early stages of the disease. For three liters of water you need to take one tablespoon of baking soda. The foot bath is made for 15-30 minutes, after which you need to lift the ingrown edge of the nail with a clean toothpick and place it under a wad of cotton wool.
- Manganese baths with ingrown nails. Do three times a day for 10-15 minutes. Use a weak solution of pink manganese. It has antiseptic properties, helps to soften the ingrown nail.
Treatment of ingrown nail at home
Even if you are going to treat ingrown nail at home, be sure to come for a visit to the doctor. The surgeon will evaluate the presence and intensity of the infection process.
You can take the following steps yourself:
- Hold your feet in warm water.. Foot baths should be done for 15-20 minutes 3-4 times a day. This will help reduce swelling and pain.
- Lift the ingrown edge of the nail. Under it you can put a little cotton or a piece of dental floss so that it is above the skin.
- Use antibiotic ointment. Apply a small amount of ointment to the periungual roller and tie a finger.
- Wear loose shoes. Until the condition of the finger improves, it is worth wearing open-toed shoes.
- Pain relief can be used for severe pain.. Ask your doctor what preparations and in which form you should use.
If, despite the measures taken, the symptoms are increasing, contact your surgeon. Do not wait for the infection process to spread.
Do folk remedies help if the nail is ingrown?
Traditional methods can help, but before using them you need to consult with your doctor. Some of the most popular folk remedies for ingrown nails.:
- Butter. Pre-steam the leg in the baking soda bath. Put a small piece of butter on the nail, cover it with a gauze napkin, a piece of cellophane and tape it. The bandage must be worn during the day. After that, they make a soda bath for the feet again, lift the ingrown edge of the nail and place a cotton wool band soaked in butter under it. The procedure is repeated until the nail grows.
- Sea buckthorn oil and plantain. Stir your leg in a solution of soda or potassium permanganate. Place a few drops of sea buckthorn oil in the area of the ingrown nail and wrap it with a plantain leaf, perebinte. After the edema subsides and the inflammation subsides, the ingrown edge of the nail is lifted and placed under it a cotton bundle soaked in sea buckthorn oil.
- Calendula and Chamomile. You need to take 50 grams of dried flowers of calendula and chamomile, pour 1 liter of boiling water. Infuse for 2 hours, then strain and dilute the infusion with another liter of boiling water.Cool to an acceptable temperature, steam in the infusion leg. After that, the ingrown edge of the nail can be lifted and put under it a wad of cotton wool soaked in iodine, cream or sea buckthorn oil.
- Alum with ingrown nail. Pre leg steamed in a solution of salt, soda or potassium permanganate. Then, the area of the ingrown nail is carefully treated with burnt alum and bandaged. Usually the procedure is repeated within 2 weeks.
- Badger fat. You can put on the ingrown nail bandage with badger fat after steaming foot in the bath. You can also enclose a cotton wool cord soaked in badger oil under the ingrown edge of the nail.
Folk methods are not always effective, especially when running ingrown nails. Your doctor should be aware of all alternative treatments that you apply.
What to do to prevent the nail from growing: prevention methods
In order to prevent ingrown nails, follow the tips.:
- Cut your nails correctly. They need to be cut across, you can only slightly round. Do not seek to give the nail a semicircular shape. Do not cut corners. If you decide to do a pedicure in the salon, ask a specialist to cut your nails across.
- Do not cut toenails too short. No need to cut them "at the root", let their free edge protrude a little. Otherwise, due to the pressure of the shoe, the direction of growth of the nails may be disturbed.
- Buy comfortable spacious shoes. She should not push anywhere. Avoid shoes with high heels and pointed toes.
- Protect your fingers from injury. First of all, this applies to employees who work in conditions that are dangerous in terms of foot injury. Use shoes that protect your feet well.
- If you have diabetes - daily inspect your feet for ingrown nails.
What to do if an ingrown nail originated in a baby, a small child?
In young children, ingrown nails are mainly due to hereditary reasons, wearing uncomfortable tight shoes, improper cutting of nails. If the child has symptoms of an ingrown nail, contact a pediatric surgeon. Treatment methods are almost the same as in adults. Surgical intervention to remove an ingrown nail in young children is usually performed under general anesthesia.
How to cut the ingrown nail?
You can not give the edge of the nail shape of a semicircle and cut its corners. This can disrupt the growth of the nail plate and cause it to grow into the periungual ridges. Cut nails should be perpendicular (you can round out a little, but not cutting off the corners), not under the root, leaving a small protruding part of the free edge of the nail plate.
What to do with an ingrown nail during pregnancy?
If an ingrown nail occurs during pregnancy, you need to consult a doctor who will examine you, assess the situation correctly and prescribe the optimal treatment. It is not necessary to self-medicate, since not all drugs and folk remedies can be used in pregnant women. It is necessary to visit the surgeon as early as possible, since the infection that develops in the periungal roller can adversely affect both the body of the pregnant woman and the body of the fetus.
What is dangerous ingrown nail with diabetes?
Diabetes mellitus can lead to impaired blood circulation in small vessels, so infectious complications of the ingrown nail are especially dangerous for diabetics. The infection can quickly spread to surrounding tissues and bones, with the result that it can develop gangreneAmputation is required.
Also, diabetics should carefully inspect the toes on their feet every day: due to damage to the small nerves and reduced sensitivity, they may not feel pain during ingrown nails and not notice the disease until the purulent process develops.
What will happen if not treated?
If the ingrown nail is not treated, the disease can progress and cause serious complications. Prolonged inflammation in the nail phalanx can cause the addition of other, more severe infections.
The risk of inflammation of the phalanx of the finger or even gangrene increases. In the end, if you do not treat the ingrown nail, you may need amputation of the nail phalanx.
How to remove ingrown toenails?
If the process has gone far, then you have to resort to surgical methods for removing the ingrown nail. Operations are performed under local anesthesia. There are several methods of operations:
- Remove the nail plate completely or partially. At the same time, the overgrown granulations are removed and the plastics of the periungual roller is performed.
- Radio wave method. An effective way to remove a lesion of any size. Radionozh combines several factors. The technique is painless and low-impact. The treated area heals in a few days,
- Treatment of an ingrown nail on the thumb with a laser is the newest technique that helps to solve the problem forever. The fact is that the laser can remove simultaneously injured soft tissues, the growing part of the nail plate and, most importantly, part of the growth zone of the nail! In other words, subsequently growing nail will be a little bit already and will cease to grow. The operation itself takes less than an hour, and healing is much faster than with the use of traditional surgical instruments.
Any method of surgical treatment requires professionalism of the doctor and careful wound care. Postoperative care is to change dressings and prevent infection. Even after laser treatment of an ingrown nail, pains in the area of the wound can disturb, but they are removed by conventional painkillers.
Your fingernail has grown, what to do?
An alternative to surgical intervention is the use of special corrective devices, which are mounted on the nail plate and gradually level its deformed part. Metal or plastic plates, springs, brackets are attached to the nail.
They are small and do not interfere with a normal life, including wearing ordinary shoes and playing sports. They can be painted over with nail polish. With the help of such devices for the treatment of ingrown nails, the nail plate is completely straightened, and the inflammation and pain syndrome disappear. For such procedures for treating ingrown nails, you can contact the pedicure master.
However, the use of conservative treatment, as a rule, is ineffective. After it, frequent relapses reappear. Therefore, it is justified only in the initial stages of the disease, as well as in cases of patient’s refusal from more radical methods or the impossibility of using them for any reason.
How to treat ingrown nail at home
There are traditional methods of treating an ingrown nail on the big toe, they can give quite good results, especially in the initial stages of the disease.
- When the first signs of an ingrown nail appear, when the signs of inflammation are not great, and the pain is not of a pronounced nature, it is necessary to immediately abandon the narrow shoes in favor of a looser with a wide front part, this will eliminate the pressure on the finger. At every opportunity, it is advisable to go barefoot, or use shoes with an open nose.
- If the patient himself or his immediate family has basic medical skills, you can try to lift a fragment of the nail that hit the skin. Before that, you need to twist a gauze or a small piece of cotton between your fingers and make a homemade tampon. Place it in the resulting gap and after each warm bath try to move the tampon further and further. Change the gasket should be every day.The whole process of home treatment with this method sometimes takes from 7 to 15 days.
- Salt treatments. It is well known that ordinary rock salt is considered an excellent anti-inflammatory agent. Hot salt baths have a softening effect on the skin, and immediately remove unpleasant pain. For advanced cases of ingrown nails, salt baths are also suitable - they will help pushes to open.
- Baths with medicinal herbs. Prepare an infusion of chamomile, St. John's wort, calendula or succession. Proportions - 1 liter of water - 2 tbsp. l raw materials. Soak the herbs, let it brew for 30–40 minutes, strain. In a warm infusion hold your feet for 30 minutes, gradually pouring hot water. Lift the steamed skin, put a piece of gauze between the nail and the swollen tissue to reduce pain.
- Butter . Razarte fingers in soda solution, then the affected areas liberally smear with ordinary butter, cover with a napkin and polyethylene, then band the fingers. The next morning, remove the bandage, steam the nails in saline again, remove the ingrown nails and place a cotton wool or a bandage under them. This procedure should be done daily for two weeks, until ingrown nails grow back.
- Aloe. The healing power of fleshy leaves has long been known. This tool will help in the treatment of inflammation of the tissues on the finger. Cut a fresh sheet, attach it to the sore spot, tape it, but do not squeeze a finger. Do the procedure in the evening, in the morning cut off a sharp piece of the stratum corneum, apply a new bandage.
- Honey-onion compress perfectly softens the nail plate. To make it, mix the chopped onion with a tablespoon of honey. After the soda bath, apply the prepared mixture to the problem area of the leg, wrap in a film and tie it up. It is better to make such a compress at night, and in the morning try to bring out the ingrown edge of the nail.
- Compress for the night, made with Vishnevsky ointment, will also help soften the plate. Then you can easily remove the ingrown part of the nail.
Remember that curing an ingrown nail on the big toe at home is possible, but only if the problem has not gone too far, that is, there is a slight pain and swelling. In case of severe inflammation and suppuration, do not bother with the question of how to treat the nail of the nome, and immediately seek help from a specialist.
Radio wave method
The main advantage of the radio wave method is its painlessness. In addition, after the procedure, the risk of occurrence of the disease is unlikely again. Depending on the neglect of the disease is determined by the time of the operation - 3-5 minutes. Another advantage of the radio wave method - the patient is not transferred to the hospital, the procedure is performed on an outpatient basis.
Painlessness is characterized by local anesthesia. A finger is given an injection, after the tumor is removed and the radio-wave nail matrix and the germ zone are processed. At the end of the procedure, an antiseptic dressing is applied, and the patient is allowed to go home.
On returning home, dressing is not allowed. Change it in the first 5 days. The wound heals in a week. The patient may feel pain, but this is a completely normal condition.
Removal, in whole or in part, with a scalpel
Surgical method is used in the absence of a positive result of therapeutic treatment. Complete removal, or resection, is necessary when soft tissue suppuration occurs. If the nail does not fester, but only thickened, use partial removal.
The patient is given local anesthesia, the doctor with a scalpel cuts the sore area, treats the wound with an antibiotic. After surgery, a gentle regimen and dressings are recommended. Full recovery usually occurs in a month.
The advantage in surgery is the prevention of bone tissue suppuration. This method has many disadvantages. The most important is the long recovery process, healing takes place only after the complete growth of the new nail. This method is used very rarely, modern procedures are less painful.
The most gentle method of removing ingrown nail - laser. The procedure has many advantages: there is no need to take a sick-list, the operation is done on an outpatient basis and does not require bed rest after. The procedure takes about 20 minutes. After the operation, the person does not experience pain. Laser removal reduces the risk of abnormal nail growth.
One of the popular methods is the Schmiden operation. Its main advantage is that after the procedure the risk of the disease reappears to a minimum. The operation is performed under anesthesia, the nail is cut with scissors, an incision is made on the soft tissues, and the granulation is removed. The infected area is removed, stitches or bandages are applied.
Full healing occurs after 7 days, during which you need to limit physical activity. It is also necessary to change the dressing. When a relapse occurs, antibiotic therapy is prescribed.
An ingrown toenail can be healed without surgery. Medical practice offers new methods for removing the ingrown nail - staples and plates. Adaptations fasten on a leg, without causing discomfort feeling. There is a quick rehabilitation period.
- Oniclip - device with epoxy coating. The main advantage is that the plate pressure can be adjusted by the patient himself. Used at all stages of the disease, even in the absence of a nail,
- gold goldspanga - The steel plate of small size is almost not noticeable when worn. It is bonded to the nail with glue, used at all stages of the disease,
- Subfix – after installing the device, the patient immediately feels relieved, painful sensations subside, there is no feeling of constriction.
In addition to plates, modern medicine offers as an alternative method of treating staples. They differ in the method of installation and construction. The staple is a device in the form of thin nickel or chrome wire. The procedure is painless, quick, practically does not cause complications.
The staple is made to the patient individually, depending on the shape of the nail. The disadvantage of the method is the need to make a correction - to tighten or loosen the bracket.
The most common brackets:
- Frazer - wire with hook-shaped ends of a thin form. Plant under the edges of the nail and fix it,
- Combo box - used in case of unilateral development of the disease. One end fixes the nail with a hook, the other is glued to the nail plate,
- 3TO - brace, consisting of 3 parts - side fastened with the edges of the nail, the loop formed between them regulates their tension.
Plates and staples look quite aesthetically pleasing, do not require long-term recovery, anesthesia, hospital sheet. After installing the device, the patient can do daily activities, sports, swimming and even paint the nails. The disadvantages include the high price and the inability to use the method when running stages.
Special material capolin prescribed to reduce pain and accelerate wound healing. A soft tissue device lifts the edges of the nail and fixes its position. Before using the fabric soften with saline. The tampon advances deep into the affected area and is fixed.
Capolin is changed daily until it is possible to cut the corner of the nail. Treatment refers to a long, but more gentle.This method is most effective in the early stages, as well as for prevention.
Pharmaceutical ointments and gels
Various gels and ointments are used in the therapeutic method.
The most effective drugs:
- Nogtinorm - The composition of this substance is added palm oil, extracts of licorice and St. John's wort, with healing effect. When applying the ointment, the nail plate softens, the inflammation is relieved, the growth of the nail is normalized. Use the tool daily after steaming the legs. The cost of ointment - 180-250 rubles.,
- Demixide in the form of a gel has anti-inflammatory action, applied to the affected area. The procedure does not take much time, does not require dressings, it is performed 1 time in 2 days. The gel can not be used for hypersensitivity, for diseases of the liver, kidneys, heart, eye diseases. Contraindicated in pregnant women and children. Cost - 50-230 rubles.,
- Vishnevsky ointment - stops the development of infection, kills the fungus, relieves swelling and pain. Means possesses sharp aroma at the expense of the birch tar which is a part. The ingredient is antimicrobial and antiseptic. Xeroform dries the inflamed area. Apply ointment on gauze and put it in place, fixed on top with plastic wrap and dressing. The cost of funds ranges from 50-70 rubles. for a tube
- Ichthyol ointment - reduces inflammation, pain, kills microbes. Apply to the affected area, covered with gauze (napkin), fixed with a bandage. Better to use at night. Repeat the procedure until complete recovery. The price of ointment - 30-120 rubles,
- Levomekol - It has a calming and antibacterial effect. Apply the same as Vishnevsky ointment. Allowed to use the tool during pregnancy and people with allergies. The price of the drug ranges from 80 to 140 rubles.
Pharmaceutical fluids for the treatment of ingrown nails
In addition to gels, various liquids are used:
- Dimexide - anti-inflammatory agent. On its basis, compresses are performed and applied to the affected area. The solution can wash the wound, the cost of the drug - 50-100 rubles.,
- Scholl liquid - softens the nail plate, removing microbes and fungus. Apply twice a day. The effect of the procedure is noticeable after 7 days. Means for the price ranges from 700-1000 rubles.,
- Gehwol liquid - effective at an early stage, prevents nail ingrowth, softens the plate, reduces pain. Before use, clean your finger, dry it, put 2 drops on the area. The price of the drug - 800-2500 rubles.
How to treat ingrown nail at home
Treatment and prevention of the disease can be performed independently at home.
- use baths at intervals of 20 minutes. in 3 days. The procedure reduces the symptoms of the disease,
- lift the ingrown edge with cotton,
- apply antibiotic ointment,
- choose the best shoes in size, avoid sharp-nosed forms and excessive heels,
- drink painkillers.
Ingrown toenails on big or other toes are treated with special baths:
- based on chamomile - 60 g plants per 1 liter of water. The grass is infused for half an hour, the procedure lasts 30 minutes. To reduce pain, put a piece of gauze,
- saline solution - 60 g of salt per 1 liter of water. Procedure time - up to 20 minutes. After using the bath, the swelling, pain, inflammation,
- with baking soda - 30 g of product per 3 liters of water. The procedure time is half an hour. Baking soda dries the skin, reducing pain, swelling.
For traditional folk remedies are considered more effective:
- aloe - the sheet is cut in half, applied to the required place at night,
- butter - rubbed after the use of the bath in the evening. You can put a piece of butter on gauze, wrap a finger. In the morning, a saline bath is recommended.
- onions and honey - chopped onion is combined with honey, applied to the affected place at night,
- plantain - after the bath wrap the finger with a plant, bandaged,
- badger fat - superimposed on gauze, and then on the affected area. Best used at night.
- potassium permanganate - combine a few drops with water, steam your feet,
- Castor oil - dissolved in 3 liters of water 100 ml of the drug. Feet immersed in the solution for 15 minutes.
- lemon peel - rubbed peel is combined with vegetable oil, applied to the affected area.