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If conservative treatment of a minor ingrown toenail does not succeed or if the ingrown toenail is severe, surgical management by a podiatrist is recommended. [1] The initial surgical approach is typically a partial avulsion of the nail plate known as a wedge resection or a complete removal of the toenail. [ 1 ]
While ingrown nails can occur in the nails of both the hands and the feet, they occur most commonly with the toenails (as opposed to fingernails). [citation needed] A common misconception is that the cause of an ingrown toenail is the nail growing into the paronychium, but it can also be caused by overgrown toe skin. [2]
Toenails which protrude unevenly may concentrate force on the toenail; properly-cut nails are therefore also important. [4] Some susceptible runners may also have Morton's toe. In this variant of human foot anatomy, the second toe extends further out than the great toe. This can make it harder to find shoes with adequate space around the toes.
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Onychogryphosis demonstrating the characteristic ram's horn appearance Ram's horn toenails on a bedridden patient. Onychogryphosis may be caused by trauma or peripheral vascular disease, but most often secondary to self-neglect and failure to cut the nails for extended periods of time.
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