Ingrown Toenail Treatment

There are two main types of treatments for ingrown toenails. The non-surgical conservative treatment and the surgical treatment. Both can be very effective and must be selected based on the type of ingrown toenail you have developed and the underlying cause.

1. Conservative Treatment:

For mild cases of ingrown toenails or for first time sufferes, conservative treatment is the first line of defense. This approach may involve either using a specialised nail nipper to clip out the nail spike that is growing in. One could also use techniques like placing cotton under the nail to help it grow above the skin. While this method can be effective, it often requires consistent care and monitoring. According to studies, conservative treatment can achieve success rates of approximately 70-90%, particularly when the condition is addressed early (Eekhof et al., 2012; Yang et al., 2018). It is also more likely to be effective if there are no genetic nail issues or permanent nail damage from shoes or nail fungal infections.

For more severe or recurrent cases, a minor surgical procedure may be necessary. The most common procedure is a partial nail avulsion combined with nail root/matrix ablation, which involves removing a portion of the nail and applying a chemical to prevent regrowth. This method has shown a high success rate of 95-98%, significantly reducing the likelihood of recurrence (Bostanci et al., 2001; Romero-Pérez et al., 2017).  

Early treatment can prevent complications and ensure a faster recovery. When the condition persists extra skin develops and grows over the ingrown toenail leaving the toe deformed. Self treatment by cutting down the side of the nail leaves broken shards of nail behind that encourage deeper infections.

Find out what causes ingrown toenails.

• Bostanci, S., Ekmekçi, P., & Gürgey, E., 2001. Chemical matricectomy with phenol for the treatment of ingrowing toenail: a review of the literature and follow-up of 172 treated patients. Acta Derm Venereol, 81(3), pp.181-183.

• Eekhof, J.A.H., van Wijk, B., Knuistingh Neven, A., & van der Wouden, J.C., 2012. Interventions for ingrowing toenails. Cochrane Database of Systematic Reviews, Issue 4. Art. No.: CD001541. DOI: 10.1002/14651858.CD001541.pub3.

• Romero-Pérez, D., Betlloch-Mas, I., & Encabo-Durán, B., 2017. Onychocryptosis: A long-term retrospective and comparative follow-up study of surgical and phenol chemical matricectomy in 520 procedures. International Journal of Dermatology, 56(2), pp.221-224.