Onychocryptosis

Onychocryptosis, commonly known as ingrown toenail, is a condition where the edge or corner of a toenail grows into the surrounding skin, causing pain, inflammation, and sometimes infection.


🦶 What is Onychocryptosis?

  • The nail pierces the skin of the nail fold
  • Usually affects the big toe
  • Can lead to redness, swelling, and pus if infected

🔍 Causes

  • Improper nail trimming (cutting nails too short or rounding edges)
  • Tight or ill-fitting shoes
  • Trauma to the nail (injury or repeated pressure)
  • Genetic predisposition (curved or thick nails)
  • Poor foot hygiene

⚠️ Symptoms

  • Pain and tenderness along the nail edge
  • Redness and swelling of the nail fold
  • Infection signs: pus, foul smell, warmth
  • Difficulty wearing shoes or walking

🛠️ Stages of Ingrown Toenail

StageDescription
Stage 1Mild pain and redness, no infection
Stage 2Increased pain, swelling, possible infection
Stage 3Chronic infection, granulation tissue formation

🩺 Treatment

Conservative Care (Early Stages)

  • Soak foot in warm water 3-4 times daily
  • Keep foot clean and dry
  • Wear open-toed or loose-fitting shoes
  • Avoid cutting nail too short; trim straight across
  • Use cotton or dental floss under the nail edge to lift it gently

💉 Medical Intervention

  • Antibiotics if infection present
  • Partial nail removal (partial nail avulsion)
  • Nail matrixectomy (removal of nail root to prevent recurrence)
  • Surgery in severe or recurrent cases

🛡️ Prevention

  • Trim nails straight across, not too short
  • Avoid tight shoes or socks
  • Maintain foot hygiene
  • Avoid trauma to toes

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