Ingrown Toenails

By:  Robert H. Sheinberg, D.P.M., D.A.B.F.A.S., F.A.C.F.A.S. 

An ingrown toenail is the result of a nail growing into the skin.  It usually occurs at the inside or outside border of the big toe, but may occur in any nail.


  • Improper trimming of toenail.
  • Injuries.
  • Fungal toenail.
  • Pressure from shoes that are tight.
  • Inherited nail deformities. 


  • Pain is usually at the tip of the toe where the end of the nail meets the skin.
  • Pain is worse with closed shoes.
  • Redness around or at the tip of the toe.
  • Occasionally drainage (pus).
  • Foul odor.


  • The corner of the nail will need to be removed to relieve the pain, pressure and infection.
  • Occasional oral antibiotics.
  •  Permanent correction to prevent recurrence is done by removing a small piece of the edge of the toenail to lessen pain.  A local anesthetic is used.

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