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SCHOLL Ingrowing Toenails

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Less common is a fungal infection or in some cases particular types of medication, for example isotretinoin. Who gets it? Gerritsma-Bleeker CL, Klaase JM, Geelkerken RH, et al. Partial matrix excision or segmental phenolization for ingrowing toenails. Arch Surg. 2002;137(3):320-325.

Woo SH, Kim IH. Surgical pearl: nail edge separation with dental floss for ingrown toenails. J Am Acad Dermatol. 2004;50(6):939-940. High WA, et al., eds. Special considerations in skin of color. In: Dermatology Secrets. 6th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Oct. 12, 2021.Bostanci S, Ekmekçi P, Gürgey E. Chemical matricectomy with phenol for the treatment of ingrowing toenail. Acta Derm Venereol. 2001;81(3):181-183. Firstly, learn to cut your nails properly. Nail cutters aren’t a good idea because the curved cutting edge can cut the flesh, and nail scissors can slip. It’s best to use nail nippers (available from chemists) because they have a smaller cutting blade but a longer handle. Cut your nails straight across and don’t cut too low at the edge or down the side. The corner of the nail should be visible above the skin. Also, cut them after a bath or shower when the nail is much softer. Collins SC, Cordova K, Jellinek NJ. Alternatives to complete nail plate avulsion. J Am Acad Dermatol. 2008;59(4):619-626. Foot complications. American Diabetes Association. https://www.diabetes.org/diabetes/complications/foot-complications. Accessed Oct. 12, 2021. Lalonde D, Bell M, Benoit P, et al. A multicenter prospective study of 3,110 consecutive cases of elective epinephrine use in the fingers and hand. J Hand Surg Am. 2005;30(5):1061-1067.

Prepare the toe with povidone-iodine, chlorhexidine (Peridex), or alcohol. A Freer septum elevator or hemostat can be used to push the cuticle off the nail plate. Apply directly to the nail matrix at the lateral sulcus and under the proximal fold two to three times for 30 to 60 seconds each round. This is not a diagnostic tool. this healthcare professional does not endorse Scholl products and were paid by the makers of Scholl for their time in producing this video What is ingrowing toenail?For the most basic painful and irritable ingrowing toenail, the offending spike of nail will be removed and the toe covered with an antiseptic dressing An ingrowing toenail is where a piece of nail pierces the flesh of the toe. It can feel as if you have a splinter, and be extremely painful and inflamed or infected. In more severe cases, it can cause pus and bleeding. Ingrowing toenails most commonly affect the big toenail, but can affect the other toes too. A nail that is curling (involuted or convoluted) into the flesh, but isn’t actually piercing the skin, isn't an ingrowing toenail but can feel very painful and can also appear red and inflamed. What causes it? Ozdemir E, Bostanci S, Ekmekci P, et al. Chemical matricectomy with 10% sodium hydroxide for the treatment of ingrowing toenails. Dermatol Surg. 2004;30(1):26-31. Now that we’ve entered sandal season and are getting reacquainted with our bare feet, the issue of unsightly and painful ingrown toenails feels especially pertinent. Ingrowns occur when the corner of the nail (usually on the big toe) begins to grow into the skin, causing inflammation, pain, and potentially infection. As podiatrist Dr. Ernest L. Isaacson says, “If you think you have an ingrown nail, you’re probably right.”

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