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(/* Surgery and Device Based Therapy {{cite journal |author=Rounding C, Bloomfield S |title=Surgical treatments for ingrowing toenails |journal=Cochrane Database of Systematic Reviews (Online) |volume= |issue=2 |pages=CD001541 |year=2005 |pmid=1584...)
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'''For patient information, click [[Ingrown nail (patient information)|here]]'''
'''For patient information, click [[Ingrown nail (patient information)|here]]'''


{{CMG}}
{{CMG}}; {{AE}} {{Ochuko}} {{KS}}


{{SK}} Ingrown toenails; ingrowing nails; ingrown nails; unguis incarnatus
{{SK}} Ingrown toenails; ingrowing nails; ingrown nails; unguis incarnatus


==Treatment==
== [[Ingrown nail overview|Overview]] ==
Treatment of ingrown nails ranges from soaking the afflicted area to surgery. The appropriate method is dictated by the severity of the condition. In nearly all cases, drainage of blood or watery discharge should mean a trip to the doctor, usually a [[podiatrist]], a specialist trained explicitly to treat these conditions. Most practitioners agree that trying to ''outwait'' the condition is nearly always fruitless, as well as agonizing.


===Pharmacotherapy===
== [[Ingrown nail historical perspective|Historical Perspective]] ==


====Acute Pharmacotherapies====
== [[Ingrown nail classification|Classification]] ==


When the case of an ingrown nail is not severe, there are treatments that can be completed at home without a doctor's help. In mild cases doctors recommend daily soaking of the afflicted digit in a mixture of warm water and [[Epsom salts]] and applying an [[Over-the-counter drug|over-the-counter]] [[antiseptic]]. This might allow the nail to grow out so it may be trimmed properly and the flesh to heal. A simple yet extremely painful procedure for mild ingrowth (i.e., where infection is absent) requires small scissors to trim the nail completely along the nail margin down to the lateral base. This hopefully allows the embedded piece of nail to be pushed back and out from the toe tissue. It should be noted that infection may be somewhat difficult to prevent in cleaning and treating ingrown nails owing to the warm, dark, and damp environment in shoes. [[Peroxide]] is immediately effective to help clean minor infections but [[iodine]] is more effective in the long term as it continues to prevent bacterial growth even after it is dry. Iodine should not be used on deep wounds. In such cases a physician or podiatrist should be consulted. Also, bandages can help keep out bacteria but one should ''never'' apply any of the new types of spray-on bandages to ingrown nails that show any discharge - preventing drainage will likely cause intense swelling and pain.
== [[Ingrown nail pathophysiology|Pathophysiology]] ==


It is also advisable to walk around barefoot so that air has a chance to circulate. Infections often become more painful when they are not exposed to air because bacteria grows more quickly in warmer conditions such as when the foot is impacted tightly in a shoe.
== [[Ingrown nail causes|Causes]] ==


These home remedies are, in serious cases, ineffective: when the flesh is far too swollen and infected, it will not allow for these procedures to work. Thus, these more severe cases, such as when the area around the nail becomes infected or the nail will not grow back properly, must be treated by a professional and the patient should avoid repeated attempts at this type of 'bathroom surgery.'
== [[Ingrown nail differential diagnosis|Differentiating Ingrown nail from other Diseases]] ==


====Chronic Pharmacotherapies====
== [[Ingrown nail epidemiology and demographics|Epidemiology and Demographics]] ==


For long term treatment, [[Iodine]] would be the more effective treatment. Iodine continues to prevent bacterial growth even after it has dried.
== [[Ingrown nail risk factors|Risk Factors]] ==
==References==
{{Reflist|2}}


[[Category:Primary care]]
== [[Ingrown nail natural history, complications and prognosis|Natural History, Complications and Prognosis]] ==
[[Category:Nail diseases]]
 
[[Category:Dermatology]]
== Diagnosis ==
 
[[Ingrown nail history and symptoms|History and Symptoms]] | [[Ingrown nail physical examination|Physical Examination]] | [[Ingrown nail laboratory findings|Laboratory tests]]
 
== Treatment ==
 
[[Ingrown nail medical therapy|Medical Therapy]] | [[Ingrown nail surgery|Surgery]] | [[Ingrown nail primary prevention|Primary Prevention]] | [[Ingrown nail secondary prevention|Secondary Prevention]] | [[Ingrown nail cost-effectiveness of therapy|Cost Effectiveness of Therapy]]
 
==Case Studies==


[[Ingrown nail case study one|Case #1]]
{{WH}}
{{WH}}
{{WS}}
{{WS}}


[[ru:Онихокриптоз]]
[[ru:Онихокриптоз]]
[[Category:Nail diseases]]
[[Category:Dermatology]]

Latest revision as of 22:24, 29 July 2020

Ingrown nail

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ogheneochuko Ajari, MB.BS, MS [2] Kiran Singh, M.D. [3]

Synonyms and keywords: Ingrown toenails; ingrowing nails; ingrown nails; unguis incarnatus

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Ingrown nail from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory tests

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost Effectiveness of Therapy

Case Studies

Case #1 Template:WH Template:WS

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