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Sometimes, a baby can have a defective formation of toenail while still in the womb as a foetus. Activities that repeatedly put pressure on the toenails can lead it to grow in a deformed manner.
Picture 3: When the nail starts growing into the flesh, it soon leads to inflammation in the affected toe. Picture 5: Slipping in a toothpick between skin and nail is seen as a good home remedy for in growing toenail problems. Picture 6: Phenolisation of Toenail can solve abnormal nail growth in a quick and effective way.
I have found your aticle very helpfull, for some months i didnt know what was wrong with my big foot toe. For those who cannot (or prefer not to) go to a professional, if you have an antibiotic capsule such as Amoxycillin in your medicine cabinet, you can open it up and tap a little of the powder onto the infection.
If you have ever suffered with problems associated with your toenails and had them incorrectly cared for, then you can certainly appreciate how excruciatingly painful and debilitating they can be. If an ingrown toenail is simply viewed as nothing more than an infection or nothing more than a foreign body reaction on their own, then even the most experienced surgeon can be defeated by this troublesome complaint.
For example, I have performed surgery on a number of patients who have received multiple courses of antibiotics by their family doctor in a failed attempt to try and treat this stubborn condition. Conversely, I have also seen patients who have been assured by their chiropodist that the spickule causing the foreign body reaction has been removed, only to present to my office with pus still oozing from the toenail demonstrating clearly the infection has not been addressed.
When the processes of infection and foreign body reaction together are fully addressed only then is curative surgical treatment for ingrown toenail successful.
Chemical destruction of the nail bed using 80% strength phenol, is my surgical procedure of choice for problem ingrown toenails. A rubber bandage (tourniquet) is applied to the toe in such a manner as to squeeze the blood out of the toe and back into the body.
The toe is carefully checked for total numbness and then attention is drawn to the affected nail border. The open wound of the nail border is thoroughly dried and the section of removed nail plate is checked to insure that its root is intact. When healed the toenail is narrower and over the next several months the soft flesh reforms itself into a new nail border (Fig 15).
Ingrown toenail develops due to number of factors, but in majority wearing small sized shoes is the common cause.
Whenever you walk or run, it puts some amount of pressure on the toes and gradually toenail suffers. For diabetic people, treating ingrown toenail may create some problem and continuous monitoring is needed. Before trimming the nails, you should keep the foot in warm water so that the nails would soften.
An ingrown toenail is a medical condition where the outside edge(s) of the toenail becomes embedded into the soft tissue of the toe, causing irritation, pain, hypergranulation tissue or infection.
Ingrown toenails are relatively common, and can affect people of any age, however they tend to have a higher incidence in active teenagers, and also the elderly. There are several well known causes for ingrown toenails, and sufferers may have one or more reasons why they have developed problems.
This is often present from birth (congenital) and means that one or more nails have become involutedor convoluted. Any injury to the toe that damages the nail and the growth area of the nail (the matrix), can cause the nail to begin to grow in an unusual manner that can lead to the nail to be deformed, thickened or grow in an irregular direction. When the nail is cut too aggressively into the corners or down the side, it is possible to either leave an irregular edge to the toenail, or even have a small piece of nail come away and become stuck into the side of the toe causing a foreign body reaction (or granuloma).
The culmination of years of wearing enclosed footwear, and repeated small knocks and bumps to toes and toenails can cause the toenail to gradually become deformed and have irregular growth.
If you suffer from hammertoes, bunions, very high arched feet and many other conditions, the position of the toe (and toenail) can be altered from its most ideal alignment.
Please noteThe information on this website is intended as a guide for patients who have ongoing problems with ingrown toenails, and emphasises the role of minor surgery to resolve this issue. If you are like most people, you are used to piercing areas of the skin filled with pus to drain it out. This is especially critical for people with diabetes and those suffering from vascular disorders or numbness in the toes.
Surgery to remove a partial portion of the toenail or the whole of it may be necessary in some more severe and chronic cases of ingrown toenail. As your ingrown toenail heals, you may want to consider wearing shoes that place little pressure on the toes such as open shoes and sandals.
If you are wondering what to do to that ingrown toenail pus pocket that has formed on the skin fold next to your toenail, you should avoid the temptation to prick it with a sharp object e.g.
Instead you should go see your doctor since it often an indication that you are dealing with a bacterial infection.


Chronic and severe cases of ingrown toenails often require surgical intervention to remove the problematic nail or part of it. Coming back to our discussion (ingrown toenail infection pus removal), if an infected ingrown toenail requires surgery, any pus present is usually drained during the surgical procedure which is then followed with a prescription of oral antibiotics.
Although not very common, other species of bacteria such as Streptococcus species and Pseudomonas can also cause infection. In addition to treatment with antibiotics, your doctor might suggest warm soaks 2 to 3 times per day to promote drainage and relieve you of some pain. It is likely that the doctor will prescribe a dose of antibiotics (or cream) alongside other treatment option recommended, which could include surgery, or simple warm water soaks. Asked how to treat toenail with pus, my immediate response would be to stop treating the condition yourself.
Your doctor may also deem it necessary to have surgery to remove part or whole of the toenail as explained in a previous section of this article. Most such cases are treatable with antibiotics but surgery may be needed for particular cases such as thickening toenails. Many times, footballers suffer from this condition after they have kicked the ball too hard. If any of your family members have had a case of deformed nail shape, it may also appear in you.
People with congenital foot disfiguration can suffer from ingrown toenail conditions later in life.
The faster you treat the affected region, the faster and easier will be your chances of recovery. If you are beyond self treatment because an infection has started to set in then you need to book an appointment to see a podiatrist as soon as possible. The following article will inform serious tri-athletes about the condition of infected ingrown toenail and its correct treatment and care.
The pain experienced ranks up there with labour pains in women, toothache and slipped disc. People, who are into self-treatment for involuted and convoluted toenails, by digging down the border of the toenail, may often get away with it. As the toenail slowly grows out then this spickule cuts into the sensitive flesh of the nail border.
Chemical destruction of the nail bed treats both the infection and the foreign body reaction by permanently removing the offending nail. With careful selection of candidate, all instrumentation is sterilised and the foot is prepared with a surgical scrub.
This renders the toe white and bloodless for a controlled and short as possible period of time. A specialised surgical instrument is introduced to gently free the soft tissues attached to the top of the nail plate. This chemical application is carried out at least twice during the procedure with additional massaging of the phenol soaked tissues using a miniature surgical file (Fig 14), giving particular attention to the germinating matrix tissue where the nail grows from. An antiseptic compression dressing is applied and the patient instructed on after care with emphasis on foot elevation above the hip for the remainder of the day. Results look so good that it is difficult to see where the surgery took place but by comparing one toe with its opposite number on the other foot the difference in width is the only telltale sign.
As a podiatric surgeon I recommend early care at even the slightest sign of trouble is the best action to maintain good health of your toenails.
Scullion is a podiatric surgeon and has been in private practice in The Castleknock Clinic, 23 Castleknock Avenue, Castleknock, Dublin for 23 years. It very often develops on the corner of the nail and bends down touching the skin surface till the toe.
By wearing tight shoes, you are forcing the toes and in turn the nails forward and hence the skin gets infected and swelling develops. Once the nail has been damaged in this manner, it is unlikely to ever go back to its normal appearance. Leaving the nail slightly longer, cutting along the natural curve of the nail, and not cutting down the side of the toenail can prevent this occurring. This may cause the toenail to be frequently in direct contact with the ground, or in an unusual position which puts pressure of the soft tissues and the nail bed.
This information does not replace comprehensive assessment and advice given by a podiatrist or other health practitioner.
Here’s how to remove and treat pockets of toenail pus, including yellow, green and white pus on toe nails that grow back into the flesh.
As the WebMD puts it, such patients are at higher risk of developing serious complications and may even end up losing their limbs if immediate treatment is not sought. The doctor may as well refer you to a podiatrist, a medical practitioner who deals with diagnosis and treatment of foot related diseases and conditions. Such pockets often respond well to treatment with a round of antibiotics but severe cases may necessitate ingrown toenail surgery to remove a part or the whole of the problematic toenail.


This is especially commonly done for people whose natural nail shape is to blame for their condition (e.g. Both are performed at a doctor’s office or surgery center under local anesthesia but differ in that partial nail avulsion involves the removal of only a small section of the nail whereas full nail avulsion involves the removal of the entire nail. For partial avulsion, a chemical known as phenol is usually injected into the base of the nail to prevent a regrowth of the removed part.
It is found in abundance on human skin and is often harmless until a puncture in the skin (e.g.
As with green pus, yellow pus (or even greenish yellow pus) requires the attention of your doctor for proper diagnosis and treatment.
It is advisable to have your doctor look at the toenail for proper diagnosis and treatment. This is also a characteristic of stage 2 ingrown toenails according to the DermnetNZ website.
A low pain and sensitivity to pressure are usually the first symptoms for ingrown toenail disease. The information here is intended to help you understand about the disease, its causes and cures.
In the case of a minor infection your podiatrist may be able to prescribe some antibiotics and bandage the toe properly so that the toenail is not pressing on the skin.
Just ask anyone who has had this condition with someone having inadvertently stepped on it. In a recently published scientific paper the chemical destruction of the nail bed technique was deemed to have a success rate in the high 90% range. A cut is made at the free edge of the toenail to allow the insertion of a fine surgical chisel.
The patient is also instructed on twice-daily saline footbaths and strong antiseptic redressing.
He has also guest lectured over a 10 year period in lower limb biomechanics for the MSc in Sports Medicine at Trinity College, Dublin. Likewise, if you trim your nails too short, then it projects the toe outside subjecting it to wear and tear. Additionally the Podiatry Board of Australia guidelines recommend that all patients considering any surgical procedure should always seek a second opinion regarding their problem. On the same note you shouldn’t use some sharp object to dig out the ingrown toenail as that can as well cause more infection. All ingrown toenails with pus – signaling infection – should be treated by a doctor or a medical professional. Yellow colored pus is a sign of stage 2 of ingrown toenail according to the DermnetNZ website. Very short or too narrow footwear clusters the toes and hinders the growth of the toenails towards the top. Unless treated in time such problems can deteriorate and make the patient unable to walk for a long time. If you want to have specific details about medications, consulting a doctor would be the best idea.
However if the toenail is causing extreme pain and the swelling and infection are really bad, the doctor may have to perform surgery on the toe to remedy the situation. Another technique, surgical excision of the nail bed, was demonstrated to have a success rate only as high as 50%. The full operation takes less than 15 minutes and falls well within safe margins for circulation to be temporarily cut off from a healthy digit. This instrument is then pushed along the nail plate, under the soft tissue fold and down through the germinating matrix. For some patients, doctor may administer electric current or surgical tools for removing the part of nail that is bent. At this stage two definite disease processes have begun; Infection and foreign body reaction. This incision frees the troublesome section of nail, which is removed using a fine clamping forceps (Fig 12). Of particular note to athletes is the fact that most normal training activities can be continued with just 48 hrs following this surgery, however as much rest as possible will always insure faster healing. If you have a job that needs you to wear closed shoes, you can spend the time at home in bare feet or open-toed sandals. As the matrix area producing the nail is not taken care of, the nail may start growing again.



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