Ingrown Toenails: Causes, Treatment and When to See a Podiatrist

A painful ingrown toenail can turn simple everyday tasks, like putting on shoes or going for a walk, into a real struggle. It is one of the most common foot problems we see, and the good news is that it is very treatable. In this guide, our podiatry team at Sidcup Foot Clinic explains what causes ingrown toenails, what you can safely do at home, which treatments are available and when it is time to see a podiatrist.

What is an ingrown toenail?

An ingrown toenail (onychocryptosis) happens when the edge or corner of a toenail grows into the soft skin beside it instead of over it. The big toe is most often affected. As the nail presses into the skin, the area becomes sore, red and swollen, and it can easily become infected if left untreated.

Painful ingrown toenail: signs and symptoms

Symptoms usually start mildly and get worse over days or weeks. Look out for:

• Pain or tenderness along the side of the nail, especially when pressure is applied
• Redness and swelling of the skin around the nail
• Skin that grows over the edge of the nail
• Fluid, pus or an unpleasant smell, which can signal an infection
• Pain when wearing socks, shoes or even under a bedsheet

What causes ingrown toenails?

Several everyday factors can make a nail grow into the skin:

• Cutting nails incorrectly: trimming too short or rounding the corners encourages the nail to grow into the skin.
• Tight or ill-fitting footwear: shoes that squeeze the toes press the nail into the skin.
• Injury: stubbing your toe or dropping something on it can change how the nail grows.
• Naturally curved nails: some people inherit nails that curl at the edges, so problems keep coming back.
• Sweaty feet and poor foot hygiene: softened skin is easier for the nail edge to pierce.
• Thickened or fungal nails: these can press on the surrounding skin. Read more about our fungal nail treatment.

What can you do at home?

If your ingrown toenail is mild and there is no sign of infection, these simple steps can ease discomfort:

• Soak your foot in warm, soapy water for 10 to 15 minutes a few times a day, then dry it thoroughly.
• Wear roomy, comfortable shoes or open-toed footwear while it heals.
• Keep the area clean and dry, and protect it with a clean dressing if needed.
• Take over-the-counter pain relief if it is suitable for you, following the packet instructions.

What not to do

Try to avoid “bathroom surgery”. Digging out the nail edge, cutting a V-shape into the nail or picking at it can push the nail deeper, cause infection and make the problem worse. If it is not settling, it is safer to have it looked at by a professional.

When to see a podiatrist

You should book an appointment with an ingrown toenail podiatrist in Sidcup as soon as possible if:

• The pain is severe or getting worse
• There is pus, spreading redness, heat or swelling, or you have a fever
• The problem has not improved after a few days of home care
• Your ingrown toenail keeps coming back
• You have diabetes, poor circulation, reduced feeling in your feet or a weakened immune system. In these cases, even a small problem can become serious quickly, so do not wait.

Podiatrists are regulated healthcare professionals. You can learn more about foot health and professional standards from the Institute of Chiropody and Podiatry.

Ingrown toenail treatment in Sidcup

At Sidcup Foot Clinic, our specialist podiatrists will carefully assess your toe, ask about your health and footwear, and recommend the most suitable ingrown toenail treatment in Sidcup for you. Depending on the severity, treatment may include:

• Professional nail care: gently and precisely removing the spike of nail that is digging in, which often brings immediate relief.
• Nail-edge support: in some cases, a small brace or packing can help guide the nail to grow over the skin.
• Minor nail procedure: for persistent or recurring problems, a podiatrist may recommend a short procedure under local anaesthetic to remove the problem edge of the nail so it does not grow back into the skin.
• Advice and aftercare: practical guidance on cutting your nails, footwear and keeping the area clean. If there is an infection, we may advise you to see your GP, as antibiotics can be needed.

Your podiatrist will explain the options clearly so you can decide what is right for you.

How to prevent ingrown toenails

• Cut your toenails straight across and avoid cutting them too short.
• Do not round or dig into the corners.
• Choose shoes with enough room for your toes.
• Keep your feet clean and dry, and change socks daily.
• Protect your feet during sport and check them regularly, especially if you have diabetes.

Frequently asked questions

Can an ingrown toenail go away on its own?

Very mild cases can settle with good home care, but many get worse without treatment. If the toe is painful, infected or keeps returning, see a podiatrist.

Is it safe to cut out an ingrown toenail myself?

We advise against it. Cutting into the nail or skin at home often leaves a sharp spike behind and can lead to infection. A podiatrist can treat it safely and comfortably.

Do I need to see a doctor or a podiatrist?

A podiatrist is a foot health specialist and is usually the best person to treat an ingrown toenail. If you have signs of a spreading infection or feel unwell, contact your GP or urgent care as well.

Book your ingrown toenail appointment in Sidcup

Do not put up with a painful ingrown toenail. Our friendly, specialist team at Sidcup Foot Clinic is here to help you get back on your feet comfortably. Book online or call us on 020 8302 5259.