Ingrown toenail

Ingrown nails into the nail fold area, mainly on the side and on the big toe, are called onychocryptosis in traditional medicine. A common problem at any age causes a lot of discomfort and pain, damaging the soft tissues of the finger, causing inflammation and suppuration.

Failure to properly trim the nail plate, wearing tight shoes and, as a result, an ingrown nail with a focus of pathological granulation, often pose a danger to the patient's health. Causes of ingrowth can also be: fungal infection, injury, flat feet and other orthopedic disorders. The fungus deforms and thickens the nail plate, which contributes to its penetration into soft tissue. Experts recommend avoiding socks and tights that are too tight and do not allow air to pass through. Full breathing and blood supply to the toes help the nails grow, taking the correct position.

An ingrown nail has its own risk group, which doctors include:

• people suffering from diabetes, atherosclerosis, varicose veins;
• elderly patients due to age-related deterioration of blood circulation in the extremities;
• pregnant women, for whom the load on their legs increases as the fetus grows.

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Why does a toenail become ingrown?

There are quite a few factors that influence the penetration of the nail plate into the surrounding tissues. According to statistics, the main reason is incorrect, careless cutting of the nail. During a manicure/pedicure, do not expose the nail lunula, do not give the nail plate an oval or wedge shape. Cut the nail straight, and round off the sharp edges with a file. Correctly cut the nail plate no deeper than the top of the pad.

A problem such as an ingrown toenail occurs as a result of:

• wearing tight shoes that don’t fit (this is especially true for those who love high heels);
• longitudinal/transverse flatfoot and characteristic external deformation of the big toe;
• injuries, frostbite;
• hereditary predisposition;
• weight gain (for example, during pregnancy);
• fungal infection lesions.

Why do pregnant women have ingrown toenails? In addition to the increased load on their feet, women in later stages of pregnancy cannot trim their nails themselves, and their husbands are often ignorant of these intricacies.

Symptoms of an Ingrown Toenail

The main complaint of patients with ingrown nails is constant pain concentrated in the nail fold area, which increases when wearing shoes and moving.

The disease begins with a small ulcer at the site of constant trauma to soft tissues by the nail. An infection quickly joins the process, and purulent discharge begins to ooze from the wound. The body's response will be increased tissue growth in the wound surface area - pathological granulation, the color of which resembles raw meat (hence the name "wild meat"). From this point on, the disease is considered chronic, when walking becomes difficult.

Ingrown toenail

Such a trifle as an ingrown toenail causes a lot of problems, inconveniences, and sometimes does not allow you to lead your usual way of life. As it turns out, many people suffer from this disease.

Home therapy in the form of lotions, ointments, baths, etc. is effective only at the beginning of the pathological process, when there is no abundant accumulation of pus and tissue growth outward. Severe cases, especially if the ingrown nail is a consequence of mechanical or any other damage, require the help of a qualified specialist.

Based on the patients' own reviews, folk and conservative treatments do not bring the expected results. Oddly enough, but surgical nail removal also has many opponents. Firstly, the operation itself, despite local anesthesia, is quite unpleasant due to the large blood loss and pain during the healing period of the wound surface. Secondly, a finger without a nail plate loses its aesthetic appearance, causing discomfort when wearing shoes. Thirdly, surgical intervention without nail correction gives a high percentage of relapses.

According to patients, the most acceptable method of treating ingrown toenails of the lower extremities is laser correction. The therapy is considered to be the most gentle, is characterized by a minimum rehabilitation period, and helps to align the direction of nail growth.

If you have discovered the first signs of alarming symptoms, namely: pain when walking and wearing shoes, slight swelling on the side of the toe, do not put off the problem saying "it will resolve itself", but go to a specialist for a consultation. This will allow you not only to save money, but also reduce the labor intensity of treatment.

Ingrown fingernail

Ingrown nails on the fingers are a fairly rare pathology. Symptoms of the disease include swelling, redness, and pain in the nail fold area. This phenomenon can be provoked by:

• damage or injury;
• incorrect nail cutting;
• insufficient blood supply to the nail bed area;
• excess calcium;
• individual features of the structure of the nail plate (thick, curved shape, etc.);
• mycosis;
• hereditary predisposition;
• failure to comply with personal hygiene standards.

The development of a small ulcer will be the body's response to a foreign body - an ingrown fingernail. The inflammation that has begun develops into tissue granulation, which interferes with daily work due to severe pain syndrome.

If you cannot cope with the problem on your own or the process becomes severe, it is better to visit a competent surgeon. The doctor will examine the hand, prescribe additional examination and prescribe the necessary treatment. Laboratory diagnostic methods will be a general blood test and a sugar level check. If there is obvious inflammation, X-rays will be required.

An ingrown fingernail is treated with laser therapy, which has a maximum therapeutic effect with a minimum of relapses. The method is characterized by a short recovery period.

Why does an ingrown toenail hurt?

The pain syndrome when the nail plate grows into the surrounding tissue is caused by a rupture in the integrity of the skin. This discomfort can be compared to a splinter or a piece of glass that gets into the finger. The degree of pain varies depending on the stage of the pathological process, the nature of the disease, and the individual characteristics of the patient. At the first stage, the pain is insignificant, similar to a pressing, bursting feeling. The addition of infection, which is observed at the second stage, increases the pain. Patients complain of pulsation, and limping occurs when walking. The third stage is the transformation of acute inflammation into a chronic form, when the pain syndrome is especially acute, and movement is sometimes completely impossible.

If you have a painful ingrown nail, seek medical help immediately. An advanced inflammatory process is difficult to treat and can lead to serious consequences, including amputation of the finger.

Ingrown toenail in a child

Cases of onychocryptosis in children are detected as a result of wearing improperly selected shoes. It is equally harmful for babies to buy excessively narrow, pressing and non-breathing shoes, as well as open rubber flip-flops. Factors for the ingrowth of the nail plate can be injuries, bruises, congenital or acquired orthopedic disorders, infections, and heredity. Among the reasons causing the nail to penetrate the skin fold are: incorrect nail trimming and failure to follow basic hygiene rules.

An ingrown toenail in a child should be shown to a doctor immediately. As a rule, attempts at home treatment do not give any effect at all or bring temporary relief. Surgeons recommend surgical intervention or laser correction.

In a baby who cannot walk yet, an ingrown nail must be operated on. In this situation, the cause lies in a congenital defect and conservative methods will definitely not help here. For children under 10, the operation is performed under general anesthesia. The nail plate is removed completely only in cases of emergency. After surgical manipulations, a series of dressings follows. In order to reduce pain, relieve swelling and inflammation, warm salt baths are used at home at least once a day. After manipulation, a cotton turunculum is placed between the nail and the skin fold. As prescribed by a doctor, local ointments are sometimes used.

Of course, it is better not to let things get to the operating room, so it is important to monitor the condition of the nails, check the shoes for comfort and whether the size fits the growing foot. Parents of teenagers need to be constantly on guard, as shoes have to be changed often and control the cutting of nails.

At the initial stage, a pedicure specialist can correct an ingrown nail using modeling materials. For example, put something similar to braces on the nail. With such a corrective plate, you can safely wear shoes, play sports, and the result will be amazing - a correctly growing nail that no longer digs into the skin.

Ingrown toenail during pregnancy

Pregnancy is often accompanied by swelling of the legs, and wearing tight shoes during this time can lead to thickening, deformation of the nail plate and ingrowth of the nail.

Factors that provoke the problem:

• unskilled nail cutting, improper care;
• tight shoes with high heels;
• hereditary causes;
• deformation, various forms of flat feet;
• fungal disease;
• pathologies of finger blood circulation;
• trauma.

With the intrauterine growth of the baby, it is increasingly difficult for the expectant mother to do a pedicure, and expectant fathers do not always know how to cut their nails correctly. Therefore, in order to avoid such a nuisance as an ingrown nail, it is better to go to a cosmetology office.

The presence of discomfort when moving, swelling and redness near the nail plate is a reason to start timely gentle treatment. Pregnant women are not given local or general anesthesia, which makes surgery very painful in advanced cases. The best way to treat an ingrown nail during pregnancy is with a laser method, which is considered the most effective and gentle. The heat beam acts briefly, almost painlessly (however, everyone has their own pain threshold), evaporating the pathological focus on the skin, treating the nail plate from fungal infection and removing the ingrown tip.

Consequences of an ingrown toenail

Long-term onychocryptosis is accompanied by compaction of the granulation zone, the nail plate undergoes structural changes, its shape is distorted. Advanced stages of the disease are difficult to treat, the inflammatory process spreads to the bone. Often the nail peels off, and the pathology covers the entire foot.

For patients with diabetes, the consequences of an ingrown nail, even at an early stage, can result in gangrene. Onychocryptosis is dangerous in cases of a weakened organism susceptible to infectious damage.

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Inflammation of an ingrown nail

An ingrown nail manifests itself as pain in the corner of the finger during movement. Uncomfortable shoes aggravate the problem - redness and swelling appear. Untimely treatment can lead to suppuration, which threatens to transition to a chronic stage. At the site of deformation, connective tissue will begin to grow and a granulation focus will form.

Inflammation of an ingrown nail can spread to the tissues of the finger, and then the entire foot. The most serious consequences of chronic inflammation are periostitis (damage to the periosteum) and osteomyelitis (damage to bone structures). Sometimes the process of penetration of the nail plate into the skin fold provokes the addition of a fungal infection, when the nail thickens, changes shape, begins to turn yellow and crumble.

Mild inflammatory process is subject to conservative therapy. The patient should wear comfortable, loose shoes, and take herbal baths to relieve pain. In complex cases, antibiotics, surgical and laser treatments are used.

Ingrown nail suppuration

The appearance of pus in the area of the ingrown nail is the most uncomfortable moment, indicating the neglect of onychocryptosis. An inflamed wound is most susceptible to infection. The presence of suppuration characterizes tissue necrosis. In addition to a severely swollen finger, any movement causes incredible suffering.

Suppuration of an ingrown nail makes the surgeon's job extremely difficult. Particularly advanced cases require cutting out the entire nail plate, which in turn increases postoperative rehabilitation. The nail takes a long time to grow back, usually ends up having an irregular shape and requires special care.

The inflammation that has appeared should not be allowed to develop into pus; it is better to immediately contact a specialist who will carry out the necessary treatment, and the healing process will be easy and short. Modern techniques will help to quickly cope with the pain syndrome and correct the growth of the nail plate.

Complications of ingrown toenails

Chronic course of the disease has a greater number of complications. Provocateurs are often such diseases as: diabetes, atherosclerosis of the vessels of the extremities of the obliterating type, disrupting the blood supply to soft tissues. As a result, the regenerative capacity and immunity decrease.

The following complications of an ingrown nail are distinguished:

• lymphadenitis/lymphangitis – involvement of the lymphatic system in the infectious process with inflammation of the lymph nodes and vessels. The lymph nodes become enlarged and painful;
• development of an abscess - characterized by swelling, redness and suppuration of soft tissues. Surgical intervention is mandatory;
• osteomyelitis - a purulent infection of bone structures. It is difficult to treat and may require finger amputation. The diagnosis is made on the basis of radiography;
• gangrene – blackening of the skin, indicating irreversibility of soft tissue necrosis. Requires amputation of part or all of the finger.

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Recurrence of ingrown nail

Today, there are over a hundred modifications of surgical treatment of onychocryptosis in clinical practice. Re-ingrowth of the nail plate after surgery is observed in 40% of cases. The return of the problem is due to:

• incorrectly selected surgical tactics (for example, if there is a large periungual fold, an operation with fold correction is recommended; if in this case only marginal resection is performed, the recurrence of an ingrown nail is very high);
• unprofessionalism of the doctor, who cut the nail incorrectly and did not sufficiently treat the growth zone of the nail plate, etc.;
• failure of the patient to comply with postoperative rules (inability to give up tight shoes, improper nail trimming);
• trauma, fungal infection.

As can be seen from the above, an ingrown nail occurs due to the fault of both the doctor and the patient. It is very important not only to find a competent surgeon, but also to follow all his recommendations during the rehabilitation period.

Pedicure and ingrown nail

Agree that it is impossible to give the nail the correct position for growth after a bruise, injury or correct a congenital defect on your own. For this reason, you should resort to the help of professionals. Every pedicure master has encountered the problem of an ingrown nail at least once. To achieve a prolonged effect, it is not enough to trim the ingrown edge of the nail plate, so the specialist must know the method of tamponing the nail from the side, be able to install Fraser staples.

The simplest and at the same time most effective method at the moment is the method of modeling by means of B/S plates. The technology is similar to the installation of braces in dentistry. The corrective plate makes the ingrown nail lift up and grow in the right direction. The technique, originally developed for thin nails, gives excellent results, holds well on the nail, is hypoallergenic, is not noticeable, does not interfere with an active lifestyle (for example, playing sports) and does not injure soft tissues.

Applying acrylic to the nail surface lifts its corners and prevents ingrowth. The extension procedure is carried out twice every six months. The client does not feel any discomfort, and his nails look well-groomed.

Pedicure and ingrown nails have become synonymous with medical hardware correction, which excludes steaming feet in water. Hardware pedicure uses special disinfectant creams, suspensions for rough skin, hard and ingrown nails. Moreover, the effect of the products extends only to the dead layers of the epithelium. The advantages of hardware pedicure include the absence of trauma and infection. Medical pedicure is the only salvation for diabetic clients who have a decrease in temperature, pain and other sensitivity.

What to do if a toenail becomes ingrown?

If you have a family history of ingrown toenails, you may well suffer the same fate. According to experts, ingrown toenails are a problem that is often inherited.

What to do if a nail grows in? First of all, follow the basic rules that prevent this disease. Give preference to comfortable, "breathable" shoes, selected according to size and your individual characteristics. Use individual insoles if you have orthopedic foot diseases. Do not neglect hygiene standards - wash your feet before going to bed, do not use other people's shoes, wear rubber flip-flops in public places (bathhouse, swimming pool, etc.). Take care of timely and correct manicure and pedicure. If you cannot cut your nails neatly on your own, seek help from professionals.

How to care for an ingrown toenail?

In order to prevent the nail plate from growing into soft tissue, it is necessary to follow simple rules:

• in public places (bathhouse, swimming pool, etc.) wear appropriate footwear, do not use other people's flip-flops or slippers;
• Everyday shoes should be comfortable, loose, and made of breathable materials;
• don't forget basic hygiene rules;
• cut the nail carefully, not too deep and straight, if necessary, consult a professional;
• In case of finger injury, consult a specialist;
• Do not delay treatment when the first alarming symptoms are detected.

After treatment, be sure to ask how to care for an ingrown nail during the rehabilitation period. You will definitely need bandages. The doctor may prescribe the use of ointment, painkillers or antibiotics. Only by following all the instructions can you achieve a speedy recovery and prevent relapse.

Correction of ingrown nail

Modern correction of ingrown nails is performed with a carbon dioxide laser. The latest equipment allows for the removal of only the ingrown part of the nail plate with maximum precision and accuracy. The technique has a number of advantages:

• safe and bloodless;
• requires less anesthesia;
• the laser beam does not affect healthy tissue;
• thanks to the bactericidal effect, the laser provides absolute infectious sanitation;
• the treatment area is not sutured, there is no need for special care;
• the wound surface heals quickly;
• effective and aesthetic.

Laser treatment is not suitable for patients with blood clotting problems, diabetes, or elderly people with trophic changes in the epithelium.

Correction of ingrown nails is ensured by the use of special plates. The device is similar in principle to dental braces. Photopolymer glue is applied over the previously degreased nail plate and a hypoallergenic plate is attached, simulating nail growth. The device is fixed with gel. The progressive method is deservedly popular due to its convenience, effectiveness and painlessness. The patient with such a plate does not experience discomfort, wears his favorite shoes and leads a normal lifestyle.

The use of corrective plates is not recommended:

• children under 6 years of age;
• patients with mycosis, psoriasis and other diseases;
• Only with the doctor's permission is it installed in adolescence and for diabetics.

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Treatment of ingrown nail

Conservative therapy, in addition to warm baths with salt, soda and potassium permanganate, includes the use of a 0.5% aqueous-alcoholic solution of chlorhexidine. Gauze is soaked in the antiseptic and placed between the nail plate and the skin. The compress is changed as it dries, ensuring the constant presence of the composition in the wound area. Manipulation helps to reduce mechanical damage to the skin fold, reduce pain and speed up the healing process.

Previously, ingrown nails were fixed with X-ray film, which reduced the risk of mechanical injury and helped to straighten the nail plate. Nowadays, special clamps and springs have been invented that perform the same role. Miniature devices are invisible, do not interfere with wearing shoes, reduce pressure on the nail plate and gradually correct its shape.

The presence of a granulation site with suppuration indicates a complex course of the disease and requires surgical treatment. The operation is performed with local anesthesia with novocaine (0.5-1%) or lidocaine (2%). The doctor should ask about possible allergies to these medications.

Treatment of ingrown nails by surgical intervention is carried out in several ways:

• the nail plate is partially or completely removed - it will take about three months for a full-fledged nail to be restored, while the exposed nail bed will be extremely sensitive and susceptible to the slightest mechanical impact;
• nail fold plastic surgery – performed to prevent re-ingrowth of the nail. The skin is excised from the side of the finger and the wound is sutured with interrupted sutures. The skin fold no longer contacts the nail;
• Laser treatment is a less traumatic way of correcting the nail plate. It allows you to remove granulation, infection, and fungal spores.

Ingrown Toenail Doctor

A specialist in foot diseases, who has knowledge of orthopedics and masters manicure and pedicure techniques, is called a podiatrist. In addition to congenital or acquired foot deformities, the scope of this doctor's activities includes all diseases that cause problems on the foot, including ingrown nails. The main goal of a podiatrist is to identify problems at early stages in order to avoid surgical intervention. A podiatrist can be called an intermediary between a patient and a narrowly focused specialist - a surgeon, dermatologist, orthopedist, endocrinologist, etc. Despite knowledge in the field of traumatology, surgery, hygiene, etc., a podiatrist deals with one pathology - post-traumatic massage, treatment of diabetic foot or ingrown nail plate.

A doctor does not give a diagnostic conclusion on ingrown nails, but if he suspects a fungal infection, signs of diabetes or the need for surgery, he refers the patient to the necessary specialist.

If characteristic symptoms of an ingrown nail are detected, a surgeon's appointment is necessary. To assess the stage of the pathological process, it is enough to: visual examination, blood test (including sugar). If complications are suspected (infection spreading to the bones), the doctor will recommend an X-ray examination. Since any disease can only be eliminated by identifying the underlying cause, fungal infection of the nail plate should be excluded. For this purpose, you will be referred to a dermatologist for consultation. An endocrinologist will help differentiate diabetes mellitus.

So, a podiatrist is engaged in recognizing the problem in the process of its origin, provides assistance in treating the foot, treats an ingrown nail at the initial stage without surgical intervention, and also gives recommendations on personal hygiene and nail care.

Where can I get treatment for an ingrown toenail?

Assistance to a patient diagnosed with an ingrown nail without accompanying complications is provided in a polyclinic (outpatient clinic). The absence of granulation and suppuration will be an indication for conservative treatment, which can also act as a preparatory stage before surgery.

Where do they treat an ingrown nail in an advanced form of the disease? The accumulation of pus, the presence of a bleeding wound surface of the skin, throbbing pain - all this requires a visit to the medical center or surgical room. If even the thought of a scalpel scares you, then you can use the service of a laser room, where a thermal beam burns out the overgrown layer of epithelium. Traditional surgery, like laser correction, has a long rehabilitation period of up to 3 months, during which the skin is restored and a new nail grows.

Treatment methods for ingrown nails

A slightly ingrown nail can be treated independently, using warm salt baths and traditional medicine recipes. In case of minor suppuration, it is advisable to use Vishnevsky ointment, Ichthyol ointment or a fresh aloe leaf, which draw out pus and prevent the spread of infection. The ointment is evenly distributed on a bandage folded in several layers, which is applied to the affected area of the skin, insulated on top with oilcloth and fixed with a bandage. In the case of aloe, the leaf is cut in half and applied with the pulp to the tumor, after cutting off the thorns. It is better to carry out such therapy before going to bed. In the morning, try to cut the nail plate yourself and apply the ointment again. In case of increased pain, active accumulation or flow of pus from the wound, you must seek medical help.

How to get rid of ingrown toenails?

A modern beauty salon has effective means of combating ingrown nails. A specialist who has completed a course in the Stop-N-Grow technology can correct the physiological and aesthetic defect. The technique, which came from the USA, consists of mechanical separation of the nail plate from soft tissues using a special plastic tool (a scab). The device serves as a guide for the correct growth of the nail, and after six months of wearing it, the client forgets forever about the problem called an ingrown nail, as well as the accompanying problems - pain and lameness. This technique is applicable to big toes only in adult clients. For cases of ingrown nails on the hand or in children, a modeling program has been developed based on the use of artificial materials. The nail is corrected by changing the force of its tension, which helps the nail plate come out of the fold.

Treatment methods for ingrown nails are divided into:

• conservative – baths, lotions, plates;
• surgical – partial or complete removal of the nail, opening and scraping of the tumor area;
• laser correction – exposure to high temperatures allows the ingrown nail to evaporate while simultaneously eliminating the granulation zone and infection;
• radio wave therapy – a gentle procedure performed under local anesthesia. After cutting the skin, the growth zone of the nail plate is treated for 6 seconds;
• folk remedies are relevant, as is conservative treatment, in the early stages of the disease.

Baths for ingrown toenails

At the initial stage of the disease, when the nail has grown in slightly and no pus has been detected, you can place the limb in warm water with a weak solution of potassium permanganate or baking soda. The procedure to reduce inflammation should be repeated three times a day for 15 minutes. Try to carefully cut off the ingrown tip, then continue to do baths until complete recovery. A saline solution will help soften the skin with the nail plate, immerse the limb in it at least twice a day.

Chamomile baths for ingrown nails are advisable until the process becomes chronic. To prepare the decoction, you will need 2 liters of boiling water, 6 tablespoons of dry chamomile mixture and a saucepan with a tight lid, in which the infusion is kept for about an hour. The strained decoction is heated and the foot is dipped in it for half an hour. After the procedure, you should try to remove the ingrown nail, treat the wound with an antiseptic.

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Ingrown Toenail Nippers

Nippers for ingrown nails have a distinctive feature - they have an elongated, thin cutting surface. Such a tool allows you to penetrate deeply under the nail plate and remove the ingrown corner almost painlessly.

When choosing nippers, the material they are made of plays an important role. Preference should be given to stainless steel, specially processed in vacuum conditions, which ensures increased strength and hardness of the tool.

As for the sharpening method, the best option would be a diamond abrasive wheel from the manufacturer. The cutting edges processed on both sides will not require sharpening for several years of use and will cope perfectly with both thick nails and thin skin. It is a pleasure to trim cuticles with such a tool, since they do not provoke the appearance of burrs.

Ingrown Toenail Removal

If the ingrowth of the nail plate is accompanied by suppuration, severe pain syndrome and other complications, then surgical treatment with partial or complete resection of the nail is prescribed. In modern clinical practice, complete removal of the nail plate is prescribed in extremely advanced cases.

Ingrown nails can be removed in the following ways:

• instrumental;
• traditional surgical;
• laser;
• radio wave.

The method of "closed surgery" includes instrumental excision. The procedure is performed under local anesthesia with a special instrument. Only a small part of the nail plate is removed, and the edge of the nail itself is treated with a preparation to remove cells of the growing part of the nail. The advantages of the method are - efficiency (the risk of relapse is minimal), painlessness, rapid healing, the possibility of performing manipulation in people with problems with blood circulation in the extremities.

The success of surgical removal of an ingrown nail largely depends on the skill of the surgeon and high-quality tissue suturing. The operation, as a rule, takes place in conditions of active bleeding, which makes it difficult to achieve a long-term result. After surgery, the tissues heal for a long time, causing a lot of inconvenience and severe pain, there is a high probability of repeated ingrowth of the nail plate.

The use of laser or radio wave correction is recognized as the best treatment methods that do not require stitches. The procedures are characterized by minor bleeding, exclude infection, and also a quick recovery period.

Prevention of ingrown nails

The main prevention of ingrown nails is a qualified nail plate trim. If your nails are prone to ingrown nails or it is difficult to take care of them yourself for some reason (for example, because of their shape), it is better to contact a qualified specialist in a medical hardware pedicure office.

The presence of foot deformity increases the risk of disease, so use orthopedic products to solve your individual problem.

Monitor your weight changes, as excessive weight gain can cause increased pressure on your feet, which often results in a distorted shape of your nail plate.

Fungal infection also threatens to change the nail, so it is important not to neglect the disease and prevent the spread of infection.

An ingrown nail is a nuisance that starts with a little discomfort but can develop into a huge, difficult-to-treat problem. Only a timely visit to a specialist will help avoid serious consequences for your wallet and health.

ICD-10 code

In the international classification of diseases of the tenth revision ICD-10 we find that class 12 “Diseases of the skin and subcutaneous tissue” includes codes L00-L99, among which the abbreviation L60.0 (diseases of the appendages of the skin) corresponds to the name of the diagnosis - ingrown nail ICD.