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This article was co-written by Mark Co, DPM. Mark Co is a podiatrist who runs a private practice in San Francisco, California. Co specializes in treating big toe deformities, ingrown toenails, toenail fungus, warts, plantar fasciitis and other causes of foot pain. He also provides chiropractic services for the treatment and prevention of foot and ankle problems. Dr. Co holds a master’s degree in business administration from New York University and a master’s degree in Electrical Engineering and Computer Science from Johns Hopkins University. He earned his MD from the California School of Medicine, completing his residency and internship at Kaiser Permanente Medical Center, Santa Clara, California. Co was awarded San Francisco’s “Top 3 Podiatrists” in 2018, 2019 and 2020. Co is also a member of the American Association of Departmental Medicine.
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This article will show you many ways to relieve the pain of an ingrown toenail. On the other hand, you should seek medical attention if symptoms do not improve after 2-3 weeks.
Steps
Try home remedies
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Soak your feet in warm water. Use a large bowl or tub to soak your feet. This helps reduce swelling and pain. Soak your feet for 15 minutes. Repeat 3-4 times per day. [1] X Trusted Source Mayo Clinic Go to Source
- Add Epsom salt to the water. Epsom salt is well known for its ability to relieve pain and reduce swelling. Salt also helps soften toenails. Add 1 cup of Epsom salt to a tub of water a few inches deep or a foot bath.
- If you don’t have Epsom salt, you can use regular salt. Salt water helps reduce the growth of bacteria at the site of the ingrown toenail.
- Gently massage your toes. This helps the water penetrate deeper into the ingrown toenail to eliminate bacteria and reduce swelling and pain.
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Use cotton or dental floss to gently pick up the edge of the nail. After soaking, the toenails will be softer. At this point, you can gently use a clean dental floss to pick up the edge of the nail. Care should be taken to avoid causing the nail to penetrate deeper into the skin. [2] X Trusted Source Mayo Clinic Go to Source
- Try this every time you soak your feet. Use clean floss every time.
- Depending on the extent of the ingrown toenail, this can be a bit painful. You can take pain relievers to ease the discomfort.
- Do not insert the thread into the nail too deeply. This will cause the nail to become more infected and require medical intervention.
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Take pain relievers. Over-the-counter pain relievers can help reduce discomfort. You can take a non-steroidal anti-inflammatory drug (NSAID) such as Ibuprofen, Naproxen, or aspirin. NSAIDs can help relieve pain and reduce inflammation. [3] X Trusted Source Mayo Clinic Go to Source
- If you can’t take NSADI pills, you can take acetaminophen.
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Try a topical antibiotic cream. Antibiotic creams help fight the infection. This cream is available in drugstores. [4] X Trusted Source Mayo Clinic Go to Source
- Antibiotic creams may contain a local anesthetic such as Lidocaine. This medicine provides temporary pain relief.
- Follow the instructions on the product packaging
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Bandage to protect the toe. To protect your toes from further infection or getting caught in socks, you should wrap a bandage or gauze around your toe.
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Wear open-toe sandals or wide shoes. Wear shoes, open-toed sandals, or loose-fitting shoes to give your feet more room for comfort. [5] X Research Sources
- Wearing shoes that are too tight can cause ingrown toenails or make the condition worse.
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Try homeopathic therapy. Homeopathy is an alternative remedy from herbs and other natural ingredients for the treatment of many health problems. [6] X Research Source To relieve the pain of an ingrown toenail, you can try one or more of the following homeopathic remedies:
- Astragalus, silicea terra, nitric acid, phosphoric acid, aluminum, potassium-carb, Graphites, Magnetis Ppus Australis, Thuja, Causticum, Natrum Mur. [7] X Research Sources
Helps toenails heal
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Soak your feet for 15 minutes. Use warm water mixed with Epsom salt to soak your feet with ingrown toenails for 15 minutes. This softens the nail and makes it easier to pull it out of the skin.
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Break the toenail off the skin. Gently pull apart the skin surrounding the toenail so that the edge of the nail can be seen. Use a dental floss or nail file to pluck the edge of the nail away from the skin. You may need to start from the side of the non-ingrown nail. Push the floss or file toward the edge of the nail. [8] X Trusted Source Mayo Clinic Go to Source
- Disinfect nail files with alcohol or hydrogen peroxide before use.
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Disinfect toes. While plucking your toe off the skin, you can put a small amount of clean water, rubbing alcohol, or disinfectant under the nail. This helps prevent bacteria from accumulating under the nail.
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Tuck gauze under the edge of the nail. Take a small, clean piece of gauze and tuck it under the plucked nail. The purpose is to prevent the edge of the nail from touching the skin. From there, the nail can grow without piercing the skin, avoiding ingrown. [9] X Research Source
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Apply antibiotic cream around the nail. After inserting gauze under the nail, you should apply antibiotic cream around. You can choose an ointment containing Lidocaine that has a mild local anesthetic effect.
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Toe bandage. Wrap a strip of gauze around the toenail. Or you can use a bandage or a flip-flop designed to cover and separate the ingrown toe from the other toes. [10] X Research Source
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Repeat the process daily. Use this method to heal ingrown toenails. As the toe heals, the pain and swelling caused by the ingrown toenail should subside.
- The gauze should be changed every day to prevent bacteria from entering the toenail.
Seek medical help
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Get medical care after 2-3 days. If home treatments don’t help ingrown toenails after 2-3 days, you should see your doctor. Patients with diabetes or a problem that causes nerve damage should seek immediate medical attention and consider seeing a podiatrist. [11] X Research Source
- If you notice red streaks appearing from the ingrown toenail, you need to see a doctor right away. That is a sign of a serious infection.
- You should also see your doctor right away if pus develops near an ingrown toenail. [12] X Trusted Source Mayo Clinic Go to Source
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Talk to your doctor about your symptoms. Your doctor will ask you when the ingrown toenail started, and when it started to become swollen, red, or painful. In addition, your doctor may also ask if you are experiencing other symptoms such as a fever. You should provide complete symptom information to your doctor. [13] X Trusted Source Mayo Clinic Go to Source
- Your doctor can help you treat an ingrown toenail. However, for severe or recurrent complications, you should see a podiatrist. [14] X Trusted Source Mayo Clinic Go to Source[15] X Research Source
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Ask for an antibiotic prescription. If the toenail is infected, your doctor may prescribe oral antibiotics or topical medications. Antibiotics help prevent infection and prevent new bacteria from getting under the nail.
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Have your doctor try a thin pluck. Your doctor may want to try the least invasive procedure of plucking the nail from the skin. If the nail can be plucked out, the doctor will insert gauze or cotton under the nail. [16] X Trusted Source Mayo Clinic Go to Source
- Your doctor will instruct you on how to change the gauze every day. Always follow your doctor’s instructions to ensure the nail heals quickly.
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Ask your doctor about removing part of the nail. If the ingrown nail is infected or deeply embedded in the skin, your doctor may choose to remove part of the nail. The doctor will inject a local anesthetic and then cut along the edge of the nail to remove the ingrown nail from the skin. [17] X Trusted Source Mayo Clinic Go to Source
- Toenails will grow back in 2-4 months. Some patients often worry about the shape of the nail after removal. However, you can rest assured that the ingrown nail will grow straighter and more visible after partial removal.
- Removing part of a nail may sound like a big deal, but it actually relieves pressure, irritation, and pain from an ingrown nail.
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Consider removing part of the nail permanently. In the case of a recurring ingrown toenail, you may want to have part of the nail removed permanently. During this procedure, the doctor removes part of the nail along with the nail bed underneath. This will help prevent an ingrown toenail from recurring. [18] X Research Sources
- This procedure is carried out with lasers, chemicals, electric currents and other surgeries. [19] X Trusted Source Mayo Clinic Go to Source
Prevent ingrown toenails
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Cut nails properly. Many cases of ingrown toenails are caused by improper nail trimming. You should cut your nails straight, neat and not cut around the corners. [20] X Trusted Source Mayo Clinic Go to Source
- Use sterilized nail clippers.
- Do not cut nails too short. You can also leave your nails a little longer so that they don’t grow back and pierce the skin. [21] X Trusted Source Mayo Clinic Go to Source
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Go to a medical facility that specializes in foot care. If you can’t cut your nails yourself, you can go to a specialist medical facility for help. Try to find a hospital or wellness center that offers regular pedicure services. [22] X Research Source
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Avoid wearing shoes that are too tight. Shoes that squeeze the toe will increase the risk of an ingrown toenail. The sides of the shoe can put pressure on the nail and cause the nail to grow incorrectly. [23] X Trusted Source Mayo Clinic Go to Source
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Protect your feet. Wear protective footwear when participating in activities where there is a risk of injury to the foot or toe. For example, wear specialized shoes when going to the construction site. [24] X Research Sources
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Get help with an ingrown toenail for diabetics. People with diabetes often experience numbness in their feet. If you trim your toenails yourself, you could accidentally cut your toe without even knowing it. Therefore, you should go to the clinic or ask someone else to cut your toenails for you. [25] X Research Sources
- In addition, you should see a podiatrist regularly if you have diabetes or other problems that can cause nerve damage.
Diagnosis of an ingrown toenail
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Note the signs of swollen toes. Ingrown toenails often cause small bumps near the nail. Compare the toe to the same toe on the other foot to see if the swelling is larger than usual.
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Feel for pain or sensitivity. The skin around the nail will be softer or more painful to the touch or press. You can gently press the area where the discomfort occurs with your fingers or use a nail clipper.
- Ingrown toenails may contain some pus.
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Check where the nail is swollen. When the toenail is ingrown, the skin around the edge of the hook will grow over the nail. Or the nail looks like it’s growing under the surrounding skin. It may also be difficult to locate the upper corner of the nail. [26] X Research Source
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Pay attention to health problems. In most cases, an ingrown toenail can be treated at home. But if you have diabetes or another health problem that’s causing your neuropathy, you shouldn’t treat an ingrown toenail yourself, but should see a doctor right away. [27] X Trusted Source Mayo Clinic Go to Source
- If you have nerve damage or poor blood circulation in your legs or feet, you need to see a doctor to have an ingrown toenail checked right away. [28] X Research Sources
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Talk to your doctor. If you’re not sure if you have an ingrown toenail, it’s best to see your doctor. Your doctor will diagnose and advise on treatment.
- If the situation is too bad, your doctor may refer you to a podiatrist.
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Don’t let your toe problem get worse. If you suspect an ingrown toenail, you should start treatment right away. Without treatment, the toenail can have more serious problems such as an infection.
- See your doctor if symptoms persist for more than 2-3 days. [29] X Research Sources
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This article was co-written by Mark Co, DPM. Mark Co is a podiatrist who runs a private practice in San Francisco, California. Co specializes in treating big toe deformities, ingrown toenails, toenail fungus, warts, plantar fasciitis and other causes of foot pain. He also provides chiropractic services for the treatment and prevention of foot and ankle problems. Dr. Co holds a master’s degree in business administration from New York University and a master’s degree in Electrical Engineering and Computer Science from Johns Hopkins University. He earned his MD from the California School of Medicine, completing his residency and internship at Kaiser Permanente Medical Center, Santa Clara, California. Co was awarded San Francisco’s “Top 3 Podiatrists” in 2018, 2019 and 2020. Co is also a member of the American Association of Departmental Medicine.
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This article will show you many ways to relieve the pain of an ingrown toenail. On the other hand, you should seek medical attention if symptoms do not improve after 2-3 weeks.
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