Ingrown Toenails

Common causes and treatment
Helen in nail surgery

What are ingrown toenails?

An ingrown toenail occurs when the edge or corner of a toenail grows into the surrounding skin, causing pain, redness, and sometimes infection. Often, you may experience pain in the big toe nail that can impact walking or running. It most commonly affects the big toe but can occur on any toe Ingrown toe nails are very common and are conservatively and surgically managed by your podiatry team at East Kent Foot Care.

Signs And Symptoms Of Ingrown Toenails

  • Pain or tenderness along one or both sides of the nail
  • Redness and tenderness around the nail edge
  • Swelling of the toe or surrounding skin
  • Warmth in the affected area
  • Hardening of skin near the nail (hypergranulation tissue)
  • A curved, painful toe nail
  • Bleeding from the skin surrounding the nail
  • Overgrowth of skin over the nail edge
  • Difficulty wearing shoes due to pressure pain
  • Foul odour and thick, yellow discharge from the toe if infection is present

7 Causes of ingrowing toenails

1. Improper nail cutting
Rounding the edges or cutting nails too short encourages the nail to grow into the skin.

2. Tight or ill-fitting shoes
Shoes that squeeze the toes (especially high heels or narrow styles) can push the nail into the surrounding skin.

3. Toe trauma
Injuries like stubbing your toe, dropping something on it, or repetitive pressure from sports can trigger ingrowth.

4. Genetic predisposition
Some people inherit nail shapes or curvatures that make ingrown nails more likely.

5. Foot deformities
Conditions like bunions, hammer toes, or excessive pronation can alter nail growth and pressure patterns.

6. Poor posture or gait
The way you stand or walk may increase pressure on the toes, contributing to nail embedding.

7. Sweaty feet or poor hygiene
Moist environments soften the skin and make it easier for nails to pierce the tissue.

Nail Surgery FAQs

After an assessment for suitability for this procedure, two local anaesthetic injections will be injected into the toe/toe’s so as you wont feel pain during the procedure.

After a few minutes the toe/toe’s will be numb, The anaesthetic makes the procedure pain free.

The toe is cleaned with a disinfectant and a small tourniquet is used and either a portion of the nail or the whole nail will be removed.

A chemical (phenol) will be applied to prevent the troublesome nail regrowing (95% success).

The toe is then dressed with a large sterile bandage to protect the area.

After the procedure you are required to rest and take pain relief (if required).

This procedure takes around one hour. You can walk normally afterwards but are required to bring flip flops, and cannot drive for 24 hours.

Most patients report that they do not need pain relief medication following this procedure, however some people may experience mild symptoms. If the toe is painful it is advisable to take over-the -counter pain relief such as Paracetamol. Do not take anything which contains anti-coagulant medication such as Aspirin or Ibuprofen.

  • Elevate your foot when resting to reduce pressure and swelling.
  • Avoid strenuous activity for a few days.
  • Follow your podiatrist’s dressing and cleaning instructions carefully.

This procedure is considered a safe and effective way to treat in growing toe nails. Like any procedure there are minor risks involved which your podiatrist will discuss with you during the assessment and when gaining formal consent prior to booking this procedure.

First 24 hours:
You may feel a dull ache or mild throbbing as sensation returns. This is usually well-controlled with over-the-counter pain relief like paracetamol. Most people do not require stronger medication.

48 hours onward:
Discomfort tends to ease significantly. You might notice some weeping or tenderness around the site, especially if phenol was used to prevent regrowth.

Pain triggers:
Tight footwear, walking long distances, or knocking the toe can increase soreness. Wearing loose shoes and keeping the dressing dry helps minimize irritation.

Signs to watch for:
If pain worsens, becomes sharp, or is accompanied by redness, swelling, or pus, it could indicate infection. In that case, contact your podiatrist promptly.

OUR LOCATIONS

Find a clinic

Ingrown toenail assessments are available at Evegate and Folkestone clinics. Surgery is carried out at Evegate only.

call us

01233 234880

Email Us

reception@eastkentfootcare.co.uk

Opening Hours

Mon-Fri 08:30 AM - 16:45 PM
Sat-Sun Closed

Visit Us

1-2 Hembrow Evegate Business Park Smeeth Kent TN25 6SX

call us

01233 234880

Email Us

reception@eastkentfootcare.co.uk

Opening Hours

Tuesdays only
08.30 AM - 16.30 PM

Visit Us

The Annexe, 26 Cheriton Gardens Folkestone Kent CT20 2AS