- It hurts to walk because of the ingrown toenail
- Nails are digging in and turning red
- It is difficult to cut the nail because it is curled
- The nail is repeatedly suppurating and settling
What is an ingrown toenail?/Machinoki acupuncture&ostheopathic clinic
An ingrown toenail is a condition in which the end of the nail curves inward on the toe.
Most ingrown toenails occur on the thumb nail. As the condition progresses, the nail digs into the skin, causing pain.
Inflammation can occur, and swelling can cause the nail to dig in even more, making the inflammation more severe. In rare cases, however, the nail may be curved so severely that it does not cause pain or inflammation. In many cases, the patient's posture and gait may deteriorate in an attempt to avoid pain, causing knee pain, joint pain, and back pain. It is important to heal quickly while symptoms are mild.
Causes of Ingrown Nails/Machinoki acupuncture&ostheopathic clinic
There are three main causes of ingrown toenails.
Insufficient force to stop the nail from curling.
Nails have a natural tendency to try to curl so that they do not peel off from the fingers. When the toes are used to walk, the force of repulsion from the ground balances the force of the nail trying to curl, and the nail flattens out. However, if the time spent walking is too short or the toes are not used properly, the force of the nail trying to curl becomes stronger, resulting in an ingrown toenail.
Pressure on the nail due to ill-fitting shoes
Wearing shoes that are too small or too narrow will put pressure on the nail and cause ingrown toenails. High heels or shoes that are too large can also cause the foot to move forward in the shoe as you walk, putting pressure on the tip of the nail each time you walk.
When a nail is cut too short, the force of the nail curling becomes stronger due to the principle of leverage. In addition, the exposed skin, which has lost the nail, rises up to cover the nail due to the repulsive force from the ground, preventing force from being transmitted to the nail in the direction of spreading.
Other causes include
Bad posture and habitual walking
Weak finger muscles
Stiff ankles and toes, etc.
What are the symptoms of an ingrown toenail? | Machinoki Acupuncture and Osteopathy Clinic
When the nail becomes ingrown, the nail digs into the skin, causing inflammation around the nail, which leads to redness, swelling, and pain, and then to the suppuration phase, when the nail sinks into the skin and pus accumulates. If left untreated, the nail reacts to irritation and a red flesh rises up, which is called the granulation phase.
Pyogenic periungual infection
The skin is damaged and bacteria enter, causing a secondary infection. The skin around the nail becomes red, pus accumulates and appears yellowish, and the finger swells severely, resulting in severe pain. In severe cases, the patient may be unable to put weight on the toes and may even be unable to wear shoes, walking on his or her heels.
A benign skin tumor. It is triggered by a minor scratch or infection caused by a fingernail, which has caused the capillaries to react and dilate. There are no symptoms such as pain or itching, but because it is a mass of blood vessels, it bleeds easily when injured, and the bleeding does not stop easily.
It rarely heals spontaneously and requires some form of treatment.
How to treat ingrown toenails? | Machinoki Acupuncture and Osteopathy Clinic
There are two types of treatment for ingrown toenails: conservative treatment and surgical treatment.
Taping is a method of creating a gap between the ingrown nail and the skin that is in contact with the nail.
The pain is reduced because the nail is kept from digging in, and mild granulations shrink in size.
It is a simple method that requires daily reapplication of tape.
However, it does not eliminate the cause of the ingrown toenail, so it is not a fundamental solution, but only a stopgap symptomatic treatment.
Cotton packing is a method of inserting a cotton pad to create a gap between the skin and the area where the nail is ingrown. As with the taping method, this is not a fundamental solution and is a symptomatic treatment.
It is necessary to be careful because it may become painful if the position is not appropriate or if the cotton is packed too much.
・Shape Memory Plate Therapy
A plate is attached to the surface of the nail, and the nail is corrected by the force of the plate trying to return to its original shape.
It is a treatment method that does not cause pain, but as a disadvantage, the force is weak, so the initial stage of ingrown toenails, the effect is not seen unless the nail is relatively thin.
This is the most effective of the conservative therapies and uses the principle of traction to correct the nail by hooking a wire to either end of the nail or to one side of the nail.
There are several types of wires, some of which correct only one side of the nail and some of which correct both sides at the same time.
Wire therapy has a moderate to strong corrective force, and too much force may cause the nails to detach.
・Inclusion Nail Surgery
Surgery is performed to remove the nail matrix (the base of the nail) and narrow the width of the nail to prevent the growth of deformed nails.
In this treatment, the nail that is cutting into the skin is partially removed, and the nail matrix cells are killed or denatured by a chemical (phenol) at the base of the nail to prevent the nail from growing in that part of the body.
Surgical therapy is covered by insurance, which reduces co-payments and often requires fewer hospital visits.
Although the pain of ingrown toenails disappears, the probability of recurrence is not small: the nail width becomes narrower, there is postoperative pain from the surgical procedure, the narrowing of the nail width causes more pressure than before, and the nail may begin to curl again or become thicker, resulting in severe deformity.
In addition, if bleeding or festering occurs, minimal surgical treatment is necessary, if not surgery.
Treatment at our clinic
Our clinic employs a German ingrown toenail care system, a wire therapy called ORA Spange. It adjusts the wire according to the shape of the person's ingrown toenail and hooks the wire to the edge of the nail without pain, and gently and firmly corrects the entire nail to a healthy state with traction and corrective force without stress to the nail.
It is effective for various types of ingrown nails, and there is little risk of flattening or peeling the nail more than necessary. It can be used for both right and left ingrown toenails, and can also be used for both types of ingrown toenails by adjusting the wire.
Features of our clinics Ingrown Nail Treatment
①No pain! Ingrown toenail correction
At Machinoki Acupuncture and Osteopathy Clinic in Yanai City, we provide "painless" and "no extraction" ingrown toenail treatment. We aim to improve pain in a single session by performing treatment tailored to the patient's condition.
②Treatment for all types of nails
Any type of nail can be treated
We can treat severely ingrown nails, deformed nails, nails that have been cut too far, nails other than the thumb, fingernails, and various other conditions. If you have been suffering from this problem for many years, please consult our clinic.
③Measures to prevent recurrence! Lifestyle guidance after treatment
The most important thing for ingrown toenails is to prevent them from recurring. At our clinic, we not only perform the treatment, but also provide guidance on what you should pay attention to in your daily life to prevent recurrence of ingrown toenails.
④Certified Licensed Specialists on Staff!
Our clinic has specialists who hold certified licenses as "Professional Foot Care Specialists" and "Aura Spange," and they sometimes perform treatments at the request of doctors. We are committed to providing safe and secure treatment, so please feel free to visit our clinic.
⑤Open on Saturdays and parking is available for your convenience!
We are open on Saturdays, so even those who have difficulty coming to our clinic due to work or school can come to our clinic with peace of mind. Parking is also available, making it convenient for those who need to drop off or pick up their children.
Frequently Asked Questions
- Can I take a bath on the same day?
- It is fine.
- I have an abscess. Can I have the procedure done?
- No, it is not possible to perform the procedure when there is an abscess. The procedure will be performed only after the festering has subsided. If you do not have a family dermatologist, we may refer you to a nearby dermatologist.
- Can you treat short (deep) nails?
- Yes, we can treat even those with deep nails.
- Will I feel any pain immediately after the treatment?
- No, there is no pain. In fact, many patients experience pain relief. We ask patients who are undergoing treatment for the first time to confirm before proceeding with the treatment. We do this only after the patient is satisfied with the results, so there are no regrets later on when the patient says, "That was painful.
- Do you see female patients with ingrown toenails?
- Yes, we do have female patients. In terms of ratio, men and women are about 4:6.
- What methods of payment do you accept?
- We accept cash, credit cards, and electronic payment.