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Ingrown Fingernail: Symptoms, Causes, and Effective Treatments

By Dr. Nayana Shetty +2 more

Key Highlights: 

  • Ingrown fingernails occur when the edge or corner of a nail grows into the soft flesh, causing pain and discomfort. 
  • Recognizing symptoms like pain, tenderness, swelling, and possible infection helps address it promptly. 
  • Common causes include improper nail trimming,  nail-biting, ill-fitting shoes or gloves, and genetic factors. 
  • Management options range from home remedies like warm water soaks to medical interventions such as draining an abscess or nail surgery.  
  • Avoiding ingrown fingernails involves proper nail care, choosing appropriate footwear, and managing underlying medical conditions. 
     

Introduction 

An ingrown fingernail occurs when the corner or edge of the nail burrows into the flesh around it. This can lead to unwanted problems like pain, redness, and even infections if not managed on time. It’s crucial to know the symptoms, causes, and management of ingrown nails to avoid such issues. 

In this article, we will discuss regarding ingrown fingernails, from how to identify them to the common causes, and from management options to tips on reducing their risk.  Lastly, we will answer some frequently asked questions regarding this topic.  

ingrown fingernail

Did you know?

  • Cyanoacrylate glue is a novel, noninvasive option for treating early stage ingrown fingernails. Source: NCBI
  • Ingrown fingernails can be caused by external pressure on the nail plate during activities such as writing, sewing, or typing. Source: NCBI
  • Ingrown fingernails are more common in the ring and middle fingers than in the index finger. Source: NCBI
  • Change in finger usage and avoiding repeated trauma are necessary for remission in cases of ingrown fingernails. Source: NCBI

Symptoms of Ingrown Fingernails 

Noticing the signs of ingrown fingernails early may help avoid any nasty complications.  

1. Pain and Tenderness 

When a nail digs into the surrounding skin, pressure builds up. This pressure causes pain and discomfort. The pain level can vary depending on how bad the condition is. 

2. Swelling and Redness 

Once a nail pierces the skin, it can lead to redness and swelling around it. This is the body’s natural way of fighting the injury. As the nail digs deeper, you may notice more flare-ups. 

3. Pus Accumulation 

In some cases, pus may build up around the ingrown nail. If an infection arises due to the ingrown nail, an abscess may develop.  Pus is an amalgamation of dead tissue, bacteria, and white blood cells. It is a sign of ongoing conflict between your body’s defenses and the invading bacteria. 

4. Possible Inflammation 

If your whole fingertip has become inflamed, it’s time to take action. Your finger may be sore, warm, and throbbing with pain. If any of these symptoms crop up, it’s best to seek medical help. 

Causes of Ingrown Fingernails 

1. Improper Nail Trimming 

How you cut your nails can make a difference. Cutting nails too short or at a slant can persuade the nail to grow into the skin. Try to cut your nails straight over and softly round the tips to keep ingrown nails at bay. 

2. Nail Biting and Injury 

Hurting Or bitten your nails too much could lead to uneven breaks or tears, increasing the odds of ingrown nails. Try to take care of your nails and fight the urge to bite them. 

3. Genetics and Nail Shape 

Some people are born with a higher risk of getting ingrown nails. They might have naturally bent nails or thick ones. In cases like these, asking a doctor for advice would be a good idea. 

4. Ill-fitting Shoes or Gloves 

Ill-fitting shoes or gloves can push your nails into the skin around them. Aim for footwear and gloves that offer a comfortable fit and adequate room for your fingers and toes.  

5. Medical Conditions 

Certain health issues can play a part in forming ingrown nails. Diabetes, peripheral artery disease, or fungal infections can alter nail growth. Early management of these conditions may help fight off ingrown nails. 

Effective Management for Ingrown Fingernails 

1. Home Remedies 

In mild cases, when the symptoms aren’t too bad, you may try some home remedies which are as follows.

  • Warm Water Soaking 

Immerse your finger in a warm water bath several times a day. This softens the nail and surrounding skin, making it easier to lift it away from the irritated area. 

  • Cotton or Gauze Insertion 

After the warm water bath, use a small piece of cotton or gauze. Tuck it under the ingrown nail to guide its growth and keep it off the skin. 

  • Over-the-counter Topical Therapies 

Non-prescription creams may help manage an infection. Be sure to follow the product’s instructions and discuss with a healthcare professional if needed. 

  • Pain Relief Measures 

If the pain is too much, try over-the-counter pain killers. You can use meds like acetaminophen or ibuprofen. Remember to stick to the dose guidelines and ask a healthcare professional for advice if you’re unsure. 

2. Medical Interventions 

In home remedies are not working, or an infection has set in. Medical therapy may be the way forward.  

  • Oral Antibiotics and Antifungal Medications 

Your doctor may ask you to take oral drugs for managing an infection. Don’t forget to take the full course of medication to fight off repeated infections. 

  • Topical Antibiotics and Antifungal Medications 

Sometimes, your doctor might suggest antibiotic or antifungal creams or lotions. Use these as directed to manage the infection. Consult a healthcare professional if the infection persists. 

  • Draining an Abscess 

An abscess is a pocket of pus. If one forms due to an ingrown nail, a healthcare professional may need to drain it. They numb the affected area before making a tiny cut to release the pus. 

3. Nail Surgery 

In bad cases or if the issue keeps reoccurring, a minor surgery might be needed. This choice consists of two options. Either removing part of the problematic nail. Or, in extreme cases, removing the full nail. The doctor may also destroy the nail matrix (nail tissue) to stop it from causing more trouble. 

  • Partial Nail Removal 

Here, the healthcare professional numbs the affected finger. Then, they remove the troublesome part of the nail. This eases the pain and allows the nail to grow back correctly. 

  • Complete Nail Removal 

In worst-case scenarios, removing the entire nail may be the only option. Following this, the nail matrix is managed to stop the problem nail from growing back. 

  • Nail Matrix Destruction 

The doctor can use different methods to destroy the nail matrix. This can stop a problematic nail from growing back in the future. 

Risk Factors and Complications 

1. Ingrown Nail Recurrence 

Improper nail care, health issues, and your genes can raise the odds of repeated ingrown nails. Simple things like taking care of your nails and watching for triggers can reduce this risk. 

2. Infections 

Ingrown nails can cause small skin openings. Bacteria can enter these, causing infections. Keep the area clean and be on the alert for signs of infection like swelling, redness, and pus. 

3. Abscesses 

If you don’t manage an infection, an abscess might form. This is both painful and harmful. If you think you have an abscess, consult a doctor right away. 

4. Paronychia 

Paronychia is a tissue infection around a nail. An ingrown fingernail can lead to this issue. As the symptoms like redness, swelling, and pain are similar, proper health advice is necessary to avoid it from getting worse. 

Reducing the Risk of Ingrown Fingernails 

1. Proper Nail Trimming Techniques 

Always cut your nails straight and round the tips lightly. Don’t cut them too short or at a slant. This can help deter the nail from digging into the skin. 

2. Choosing Proper Footwear and Gloves 

Making sure your shoes and gloves are of the right fit can avoid pressure on your nails.  

3. Managing Underlying Medical Conditions 

Early management of health conditions like diabetes or peripheral artery disease helps avoid ingrown nails. These conditions can impact nail health and growth, leading to complications. 

4. Regular Nail Care and Hygiene 

Clean, short, tidy nails are less prone to becoming ingrown. Avoid biting or picking at your nails to lessen the risk of such issues. 

Conclusion 

Ingrown fingernails might seem minor but can cause a lot of discomfort. Additionally, they can lead to worse issues if not managed promptly. Early detection is key to dealing with symptoms like tenderness, swelling, and possible infections. 

By considering the causes of ingrown fingernails, adopting good habits, and seeking suitable  management, you may be able to avoid such pains. Always remember to keep your nails healthy and reach out to a healthcare professional if you have any worries.  

Frequently Asked Questions (FAQs) 

How do you get rid of an ingrown fingernail? 

You can try home remedies like warm water soaks, over-the-counter creams, or inserting cotton or gauze. But, if these don’t work, or you detect an infection, it’s best to seek medical help. 

Can I leave an ingrown fingernail alone? 

Ignoring an ingrown fingernail can lead to bigger issues like infections, abscesses, or persistently increasing pain. So, it’s vital you address it right away or ask for medical help if needed. 

What can be mistaken for an ingrown fingernail? 

Paronychia, a nail tissue infection, can look like an ingrown nail. As the symptoms are pretty similar, asking a healthcare professional for advice is a smart choice. 

Do ingrown nails go away on their own? 

A mild case of an ingrown nail can clear up on its own with proper care. But, if the condition worsens or there are signs of infection, ask a healthcare professional for the right advice. 

When should I see a doctor for an ingrown fingernail? 

Consult a doctor if home remedies don’t work, pain intensifies, an abscess forms, there are signs of infection, or you have health issues that raise the risk of complications. Related issues are diabetes or poor blood flow.      

References 

  1. National Health Service (NHS). Ingrown toenail [Internet]. [cited 2024 Jun 20]. Available from: http://www.nhs.uk/Conditions/Ingrown-toenail/Pages/Introduction.aspx 
  1. National Health Service (NHS). Ingrown toenail [Internet]. [cited 2024 Jun 20]. Available from: http://www.nhs.uk/conditions/ingrown-toenail/Pages/Introduction.aspx 
  1. National Center for Biotechnology Information (NCBI). Nail bed injuries and deformities of nail – PMC [Internet]. [cited 2024 Jun 20]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3193631 
  1. American Academy of Dermatology. [Internet]. [cited 2024 Jun 20]. Available from: https://www.aad.org/public/kids/nails/how-nails-grow 
  1. National Health Service (NHS). Ingrown toenail [Internet]. [cited 2024 Jun 20]. Available from: http://www.nhs.uk/Conditions/Ingrown-toenail/Pages/Treatment.aspx 
  1. American Academy of Dermatology. How to trim your nails [Internet]. [cited 2024 Jun 20]. Available from: https://www.aad.org/nail-care-secrets/how-to-trim-nails 

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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