Cure Ingrown Toenail


Cause Of Ingrown Toenail

Ingrown toenails can be caused by abnormal nail structure, irritation and pressure from poorly fitted shoes, and most commonly by improper nail trimming where the corners of the toenails are rounded off. Once the nail begins to grow into the skin, the body will begin to treat the nail as a foreign object, which results in pain and redness in the soft tissue on the side of the nail. If left untreated, the ingrown nail can begin to cut into the skin, which can lead to a skin tissue infection with oozing or a granuloma formation. (Granuloma is tissue around the ingrown toenail that is red, moist, and increases in size.

Treatment Of  Toenail

Non-Surgical Treatment if     the ingrown nail is at the end of the toe, a simple procedure called a partial wedge resection (also called a slant back procedure) can be performed. This is performed by using a nail clipper in a slanted approach to clip off the offending portion of nail. Proper subsequent and routine nail trimming after a partial wedge resection can prevent the ingrown nail from recurring in most cases.

Surgical:
In most cases, simply removing a wedge of nail at the tip does not completely resolve the problem, especially if the toenail is severely embedded within the skin. Surgical procedures for treating ingrown nails are performed in the office. With the exception of the injection to deliver the local anesthetic, there should be no pain during the procedure. There are two major ways to remove the nail surgically. The first is a complete or partial nail removal. In this case the nail will grow back over the course of the next 9 to 12 months. In most cases as long as the causing factor (e.g. improper nail cutting or tight shoes) is avoided, the ingrown nail should not reoccur.

The second method is a partial or total chemical matrixectomy. With this method, a portion of the nail or the entire nail may be removed permanently. The nail matrix is a thin tissue layer under the nail fold that produces new nail; when this tissue is removed the nail no longer grows.


Nail Avulsion:

In this procedure, the nail root, known as the matrix and found beneath the cuticles, is left alone. This will allow the nail to completely grow back. This procedure requires a local injection to numb the toe, a specially designed nail splitter to separate the nail from the nail bed, and a small clamp to remove the nail.

Local injection: Local anesthetic is injected into the toe to numb the area around the nail. The injection is not performed at the location of the ingrown nail but is injected at the base of the toe. Most patients describe the injection as a burning and stretching sensation.

Nail Removal: Once the toe is adequately numbed, the attachment of the nail to the soft tissue and cuticle is released. The portion of nail to be removed is then spilt from the nail plate using a blade and nail splitter. This is followed by removal of the nail with a thin clamp. Antibacterial cream is applied to the area, and the toe is dressed with bandages. It may take the toenail about 8 to 10 months to grow back to its original length.

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