Ingrowing toenails are a surprisingly common yet frustrating condition that can interfere with daily life, limiting mobility and causing ongoing discomfort. At M Maddocks Inc, we see many clients who come to us with questions, frustrations, and often a good deal of pain due to this issue. What’s important to know is that, while this condition can be uncomfortable, there are effective ways to manage, treat, and prevent it. Our focus here is to help you understand the underlying causes of ingrowing toenails and offer simple tips to reduce your chances of developing them.

Let’s dive into the main causes and, more importantly, what you can do to keep your toes comfortable and pain-free.

1. Understanding Ingrowing Toenails: Common Causes

Poor Footwear Choices

The shoes we wear are one of the biggest contributors to foot health problems, and ingrowing toenails are no exception. When shoes don’t fit properly—whether too tight, too narrow, or with excessive pressure on the toes—they can push your nails against the surrounding skin, leading to inflammation and, eventually, the nail growing into the skin. High heels, especially those with a narrow toe box, can be particularly problematic, as they create high pressure on the front of the foot, increasing the risk.

Choosing shoes that allow for enough toe space and proper ventilation can make a significant difference. As a rule of thumb, look for shoes that don’t squeeze your toes and ideally provide about a centimetre of space between your longest toe and the tip of the shoe.

Improper Nail-Cutting Techniques

One of the simplest ways to prevent ingrowing toenails is to cut your nails properly, yet it’s a step many overlook. When toenails are cut too short, especially at the edges, they’re more likely to grow into the skin as they start to grow out. Rounded or irregular cuts can also increase the chances of nails growing into the surrounding skin.

To prevent this, cut your toenails straight across, avoiding any angled or rounded cuts along the edges. Also, avoid trimming nails too short—keeping them at a natural length provides extra protection against improper regrowth.

Natural Foot Shape and Genetics

Some people are simply more prone to ingrowing toenails due to the shape of their feet or the way their nails grow. Those with naturally curved toenails, wide feet, or prominent toes may face a higher risk. Similarly, foot conditions like bunions can change the angle of the big toes, causing toenails to press into the skin. While you can’t change your foot shape, understanding your natural tendencies can help you make proactive decisions in your foot care routine.

If you suspect your foot shape may be contributing to recurring ingrowing toenails, it might be worth consulting a podiatrist to determine the best ways to manage and minimise risks.

2. Recognising the Signs of an Ingrowing Toenail

Recognising the early signs of an ingrowing toenail can prevent minor discomfort from escalating into an infection or severe pain. Here’s what to look out for:

  • Redness or Swelling Around the Nail: This is often one of the first signs that the nail may be pushing into the skin.
  • Tenderness Along the Nail Edges: A throbbing or sensitive sensation can indicate the beginning of an ingrowing toenail.
  • Pain When Wearing Shoes or Applying Pressure: If your nail feels painful when pressed or when you wear closed shoes, it could be growing improperly.

Identifying these symptoms early can help you address the issue before it worsens.

3. Effective Prevention Tips for Ingrowing Toenails

While it’s not always possible to prevent an ingrowing toenail, there are steps you can take to reduce the likelihood of developing one.

Choose Comfortable, Supportive Footwear

The right shoes make a world of difference. Select footwear that provides a snug but comfortable fit and has a broad toe box to avoid unnecessary pressure on the toenails. Shoes should be comfortable to walk in and give toes enough room to spread naturally. If you spend a lot of time on your feet or are involved in sports, consider shoes specifically designed for these activities.

Trim Nails Properly and Regularly

Make nail-trimming part of your regular foot care routine, aiming to trim your toenails straight across without cutting them too short. This simple step can significantly reduce the chances of your toenails growing inward.

If you find it challenging to cut your nails due to foot pain, reach, or stability issues, we recommend scheduling a regular visit with a podiatrist. Proper nail care not only keeps nails healthy but also prevents discomfort associated with improper cuts.

Practise Good Foot Hygiene

Maintaining clean, dry feet reduces the risk of ingrowing toenails, fungal infections, and other common foot problems. After washing your feet, ensure they’re dried thoroughly, especially between the toes, to prevent bacterial or fungal growth that can worsen ingrowing toenails.

Using antifungal powders or breathable socks can also help to keep feet dry and minimise risks.

Address Foot Shape Issues Proactively

If you know you have foot shape concerns that increase your risk of ingrowing toenails, speak to a podiatrist about custom orthotics or padding solutions. At M Maddocks Inc, we provide tailored solutions to help clients address these issues, from customised footwear recommendations to orthotic devices designed to reduce pressure and improve alignment.

4. When to Seek Professional Help

Ingrowing toenails are generally manageable with good foot care, but sometimes they require professional attention. If you’re experiencing persistent pain, signs of infection, or recurring ingrowing toenails, it’s best to consult with a podiatrist who can assess and treat the condition effectively.

At M Maddocks Inc, our team of specialised podiatrists can provide comprehensive treatments that include pain management, toenail restoration, and recommendations for long-term foot health.

FAQ: Common Questions About Ingrowing Toenails

Q1: Can I treat an ingrowing toenail at home?
While mild cases can sometimes be managed at home with proper foot care, persistent or painful ingrowing toenails should be examined by a podiatrist. DIY treatments can sometimes worsen the condition or lead to infection.

Q2: How can I know if an ingrowing toenail is infected?
If you notice swelling, redness, pus, or feel increased warmth around the toenail, these can be signs of infection. In this case, seeking prompt medical attention is crucial to prevent the infection from spreading further.

Q3: What treatments do podiatrists offer for ingrowing toenails?
Podiatrists can offer a variety of treatments depending on the severity of the ingrowing toenail. This may include trimming the affected area, placing protective padding to reduce pressure, or providing medication if there is an infection. In more persistent cases, they may recommend specialised treatments to prevent the nail from growing inward again.

Restoring Comfort and Confidence in Your Step

Ingrowing toenails may seem like a minor inconvenience, but if left unchecked, they can lead to discomfort, reduced mobility, and even infection. Fortunately, with a few preventative steps and a commitment to good foot care, you can significantly reduce your chances of experiencing this painful condition.

At M Maddocks Inc, we’re here to support you in all aspects of foot health. Whether you’re dealing with an ingrowing toenail or seeking advice on preventing future issues, our team is ready to assist you with expert care tailored to your needs. Call or WhatsApp us today at 078 060 6744 to book an appointment to see us at UMED Sandton Medical Suites, 134 Grayston Dr, Sandown, Sandton, 2196. Let us help you take confident, comfortable steps again!