An ingrown toenail occurs when the toenail grows into the skin next to the nail. In this current study, we have found the frequency of presentation of ingrowing nails to podiatric surgeons to be higher (21.7% or all presenting conditions). Additionally, those who underwent radical excision were more likely to have the procedure performed in an office setting. Many people try to curve their nails to match the shape of their big toe. 2008;1:110. As a result, they can make it easier for bacteria and other microbes to get in, which increases the risk of infection. People are more likely to pick up an infection if they have diabetes. The nail and nail folds have been identified as the most heavily contaminated area of the foot and ankle and are difficult to decontaminate [23]. If you have any sensation, you might receive more anesthetic medication, and your practitioner will wait until you can't feel anything in the surgical area to ensure that the anesthetic has taken effect. Foot. https://doi.org/10.1097/00000542-197810000-00003. Australian Government Department of Health. Interventions for ingrowing toenails. Usually, ingrown toenails start with minor symptoms. As such, if you need ingrown nail surgery on both feet or hands, two separate procedures need to be scheduled. Clopper and Pearson exact method was used to calculate 95% confidence intervals for infection rates. Most of the time, the procedure is done with local anesthesia for pain control. Place a small piece of cotton or waxed dental floss underneath to hold the nail away from your skin. This includes people with HIV, or those who've had an organ transplant. Careers. A retrospective audit reviewing the postoperative infection rate over a 6-year period after excisional nail matrixectomy in 111 patients was undertaken. Disclaimer. Menz HB, Morris ME. If you have a bacterial infection near your ingrown nail, you might need that infection treated with antibiotics before having ingrown nail surgery. But your healthcare providers may proceed with your ingrown nail surgery along with surgical management of the bacterial infection if it isn't responding to medication and requires such intervention. Contact your doctor if your ingrown toenail does not improve or gets worse. Learn how we People should also seek medical care for an ingrown nail if they have a health condition such as diabetes, nerve damage, or poor circulation that makes home treatment risky. Could it be infected? National Health Survey 1990. It most commonly affects the big toe, with the corner of the nail growing into the nail bed. You should be able to walk and maintain routine activities, but use sound judgment and avoid activities that could cause injury or contamination. The skin and the nail should grow back over the wound. A Cochrane review revealed that the use of antibiotics has not been shown to result in a difference in infection rates [22]. Ingrown Toenail Infection: Symptoms and Treatments When you go to your surgery appointment, you will register and sign a consent form. Males were represented in greater numbers under the age of 40 and females were represented in greater numbers over the age of 40. Fungal infections are treated with antifungal pills or cream. However, due to the low rate of infections, we were unable to perform multivariate regression analysis to control for other factors. 1978;49:23943. Toenail Problems
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