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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] The condition is caused by a microbial inflammation of the paronychium causing a granuloma within which the nail is buried. [ 3 ]
An ingrown toenail is sometimes treatable at home using soaks and antiseptics to soften the nail. Learn when a provider visit would be in order. How to Fix an Ingrown Toenail With or Without Surgery
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 ]
Onychomadesis is the separation and falling off of a nail from the nail bed. Common causes include localized infection, minor injury to the matrix bed, or severe systemic illness. It is sometimes a side effect of chemotherapy or x-ray treatments for cancer. A new nail plate will form once the cause of the disease is removed.
Recurrence may occur following treatment, with a 20-25% relapse rate within 2 years of successful treatment. [13] Nail fungus can be painful and cause permanent damage to nails. It may lead to other serious infections if the immune system is suppressed due to medication, diabetes or other conditions.
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Athletes, especially runners, may be more likely to experience toenail involvement. [10] A portion of patients have onychomadesis recurrently without an obvious cause. [11] One of the most frequent causes of single-digit onychomadesis is local damage to the nail bed. [12] When more than one finger is involved, it may indicate a systemic cause. [13]
Cleaning under the nail is not recommended as this only serves to separate the nail further. Bandages are also to be avoided. [11] When kept dry and away from further trauma, the nail will reattach from the base upward (i.e., from proximal to distal). The aim of treatment is also to eliminate onychomycosis that is a major cause of onycholysis.