The penetration of a fragment of the nail in the flesh is embarrassing, painful and can make the bed of an infection. What are the solutions? When and whom to consult for an ingrown toenail ? We spoke with Dr. Philip Abimelec *, dermatologist and expert on the nail.
What are the characteristics of so-called juvenile ingrown toenails?
Dr. Philip Abimelec: This form of ingrown nail is the most common, it occurs particularly among adolescents and young adults.
The ingrown toenail juvenile-onset with pain at the slightest pressure from the edge of the nail and then formed a bead red and painful that may become infected.
Care use antiseptics (foot baths with chlorhexidine diluted) is sufficient at this point. That's when the podiatrist may remove the small fragment of ingrown toenail in the flesh.
Taking antibiotics topically and / or oral becomes necessary if the ingrown toenail gets infected (red bead and painful, purulent). At this stage, the pedicure can not intervene and he should see a dermatologist.
The ingrown nail can also complicate a granuloma which forms a piece of flesh on the protruding edge of the ingrown toenail. Again, the dermatologist should intervene to treat the ingrown toenail and the fleshy bud.
The ingrown toenail juvenile-onset with pain at the slightest pressure from the edge of the nail and then formed a bead red and painful that may become infected.
Care use antiseptics (foot baths with chlorhexidine diluted) is sufficient at this point. That's when the podiatrist may remove the small fragment of ingrown toenail in the flesh.
Taking antibiotics topically and / or oral becomes necessary if the ingrown toenail gets infected (red bead and painful, purulent). At this stage, the pedicure can not intervene and he should see a dermatologist.
The ingrown nail can also complicate a granuloma which forms a piece of flesh on the protruding edge of the ingrown toenail. Again, the dermatologist should intervene to treat the ingrown toenail and the fleshy bud.
If ingrown toenail beginner, regular visits to a podiatrist is often sufficient. If the visits become too frequent or pedicure if the nail becomes infected regularly, it should consider intervention. Patients with diabetes should pay special attention to the care of their nails and seek advice from their doctor at the slightest problem.
What are the different types of intervention to treat an ingrown toenail?
Dr. Philip Abimelec: If an ingrown toenail, three types of interventions can be performed. The most classic is often performed by orthopedic surgeons. It involves removing an area of nail and flesh. This technique often involves postoperative pain and usually involves a work stoppage of one to three weeks.
The destruction of the root of the nail laser is more interesting because the suites are much simpler. However, it requires an incision with a scalpel and a suture which also involves unnecessary pain.
The third possibility is based on phenol. She has big interests in relation to the two alternatives. Indeed, this procedure is painless, there is almost no postoperative and it often requires no work stoppage.
To learn more: read on e-health "ingrown toenail, effective treatment and absent: phenolization"
The ingrown toenail of the senior is treated there in the same way?
Dr. Philip Abimelec: The ingrown toenail of the senior is very common. It is the consequence of the distortion that occurs with bone rubbing in shoes and bone changes induced by age. The nail clip deforms and penetrates the skin at the two corners of the toe. The treatment is identical, but must be made on both sides. Recurrences after surgery are more frequent in cases of nail clip because bone changes may continue to worsen with age.
* Dr. Philip Abimelec is a dermatologist, former attaché at the Hopital Saint-Louis, Medicine and Surgery of the skin, nails and hair, and a member of the French Society of Dermatology.
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