Ingrown toenails are one of the most common causes of toe pain, often making it difficult to walk, wear shoes, or go about daily activities comfortably. This condition happens when the edge of your toenail grows into the surrounding skin, leading to redness, swelling, and sometimes infection. In Singapore, many people experience recurring discomfort after ingrown toenail removal due to factors like improper hygiene, nail trimming, or tight footwear.
While mild cases may improve with basic care, persistent or infected toenails often require professional treatment. In this article, we’ll explore how podiatrists at MyFootDr Singapore can help ingrown toenail removal effectively, and how you can prevent them from coming back.
What is an Ingrown Toenail?
An ingrown toenail, also known as onychocryptosis, happens when the edge or corner of a toenail grows into the surrounding skin, usually affecting the big toe. This causes pain, swelling, and redness, and can lead to infection if bacteria enter the area. The condition often starts as mild discomfort but can quickly become severe, making it painful to walk, wear shoes, or doing activities.
In Singapore, ingrown toenails are a common problem among both adolescents and adults. They are usually caused by improper nail trimming, tight footwear, or the natural curvature of the nail. When left untreated, the skin can become inflamed or develop pus due to infection. That’s why seeking early treatment from a podiatrist is important to relieve pain, remove the ingrown nail safely, and prevent it from returning.
Causes of Ingrown Toenail
Ingrown toenails often develop gradually and can be triggered by a mix of lifestyle factors. Some of them are because of the foot structure, nail care habits, and wrong foot wear. Recognising these causes not only helps in managing current discomfort but also prevents future recurrences. Here are some of the main causes of ingrown toenails:
Improper Nail Trimming
One of the most frequent causes of ingrown toenails is improper nail cutting. Trimming toenails too short or cutting the edges in a curved shape can encourage the sides of the nail to grow into the surrounding skin. Over time, this can cause pain, redness, and swelling along the nail border. Podiatrists generally recommend cutting nails straight across and avoiding deep rounding at the corners to maintain healthy nail growth.
Tight or Wrong Footwear
Shoes that are too narrow or tight, particularly around the toe box, can place constant pressure on the toenails. This pressure can force the nail edge into the surrounding skin, leading to irritation or infection. High heels, pointed shoes, or footwear worn for long hours in Singapore’s humid weather can make the problem worse by trapping moisture and increasing friction.
Toe Injuries or Repeated Trauma
Physical trauma to the toes is another key contributor. Injuries from stubbing your toe, dropping heavy objects, or playing sports like football and running can damage the nail plate or bed. Repeated trauma, especially in athletes or those who wear tight sports shoes, can cause the nail to grow abnormally, resulting in chronic ingrown toenails.
Abnormal Nail Shape or Genetics
Some people are naturally more prone to developing ingrown toenails due to the shape or curvature of their nails. Nails that are unusually curved or wide may naturally press into the surrounding skin as they grow. This genetic predisposition, combined with improper nail care or tight footwear, often increases the likelihood of recurring cases.
Nail Picking or Aggressive Pedicures
Regular pedicures can help maintain foot health, but overly aggressive trimming or cutting nails too short can alter the natural growth direction of the nail. Similarly, picking at toenails or the skin around them can damage the nail bed. It can cause small wounds, making it easier for the nail to grow inward.
Fungal Infection or Poor Foot Hygiene
Poor foot hygiene, such as not cleaning or drying your feet properly, also creates an environment where bacteria can thrive, leading to inflammation, redness, and even pus formation. In some cases, fungal infections may develop, causing nails to become discoloured, thickened, or brittle. These infections not only affect the appearance of your nails but can also contribute to discomfort and persistent toe pain.
Signs and Symptoms
Recognising the early signs of an ingrown toenail can help prevent infection and reduce pain before the condition worsens. Here are some common symptoms to watch out for:
- Curved or Embedded Nail Edge: The nail edge grows or curves into the skin, often around the sides of the big toe.
- Pain and Tenderness: The affected area feels sore, especially when pressure is applied or while walking.
- Redness and Swelling: The skin around the toenail becomes red, swollen, and warm to the touch as an early sign of inflammation.
- Pus or Bleeding: Infection may cause pus discharge or slight bleeding from the side of the nail.
- Granuloma Formation: In more severe cases, a small piece of extra tissue (called a pyogenic granuloma) may form near the affected area.
- Systemic Symptoms: If the infection spreads, you may experience fever, chills, or more severe pain.
How Podiatrists Perform Ingrown Toenail Removal
At My FootDr Singapore, our podiatrists begin every treatment with a detailed assessment of your toenail. This is important to determine the most effective and comfortable ingrown toenail removal care option. For mild cases, a podiatrist will do conservative treatments such as careful nail trimming or proper hygiene guidance may be enough. However, when the condition is more advanced or painful, a minor surgical procedure is often the best long-term solution to relieve discomfort and prevent recurrence.
Partial Nail Avulsion (PNA)
The most common and effective procedure for treating ingrown toenails is Partial Nail Avulsion (PNA). During this minor surgery, your podiatrist administers a local anaesthetic to ensure the procedure is completely pain-free. A small section of the affected nail is then removed, and a chemical called phenol is applied to prevent that part of the nail from growing back. This method helps stop future ingrown nails from forming. After the procedure, your podiatrist will apply a sterile dressing, and recovery usually takes 3–6 weeks, with follow-up visits to monitor healing and change dressings as needed.
Total Nail Avulsion (TNA)
For more severe or recurring cases, especially when both sides of the nail are affected, your podiatrist may recommend a Total Nail Avulsion (TNA). In this procedure, the entire toenail is carefully removed under local anaesthesia to eliminate pain and infection risk. A chemical matricectomy may also be performed using phenol to stop the nail from regrowing abnormally. This approach ensures long-term relief and helps restore the health of the surrounding skin.
Post-Surgical Care and Recovery
After either procedure, your podiatrist will advise you on proper aftercare, including footwear recommendations, hygiene practices, and nail-cutting techniques, to minimise the risk of recurrence. Keep the wound clean and dry, and follow your podiatrist’s dressing and medication instructions to stay comfortable during recovery. Soaking your foot in warm saline water daily for the first week helps reduce swelling and speed up healing. Avoid touching or picking at the nail area to prevent irritation or infection. Wearing comfortable, well-fitting shoes once the wound begins to heal also helps prevent recurrence.
Every treatment plan at My FootDr is customised to your lifestyle. Whether you’re active in sports, on your feet all day at work, or simply want lasting comfort and healthy nails. Full recovery typically takes a few weeks. Keep follow-up with your podiatrist to ensure your toe heals properly and remains healthy in the long term.
Steps to Prevent Ingrown Toenail Recurrence
Preventing ingrown toenails starts with simple daily habits that protect your feet and nails. Good nail care and the right footwear go a long way in reducing the risk of ingrown toenails from returning. Here are some essential steps to keep your toes healthy:
- Cut Toenails Straight Across
Trim your nails straight across rather than rounding the edges. File any rough corners gently, and avoid digging into the sides of your nails. This can help prevent sharp nail edges from growing into the skin. Also, don’t cut your nails too short, as this increases the chance of ingrowth. - Avoid Picking or Plucking Your Nails
Resist the urge to pick at your nails or the skin around them. These areas act as a natural barrier that protects your toes from bacteria and infections. - Wear Properly Fitted Shoes
Choose shoes that provide enough room in the toe box so your toes aren’t cramped or squeezed. A good rule of thumb is to leave about one thumb’s width of space between your longest toe and the end of the shoe. Avoid narrow or pointed shoes that press on your toenails. - Keep Your Feet Clean and Dry
Practice good foot hygiene by washing and drying your feet thoroughly. Avoid soaking your feet in hot water for too long, as it can weaken the skin around your nails. Regularly check your toenails for changes in colour, swelling, or lifting. If you notice any unusual signs, consult a podiatrist early to prevent complications.
Get Expert Ingrown Toenail Removal at My Foot Dr Singapore
Our experienced podiatrists provide safe, effective, and long-lasting solutions for ingrown toenail removal and treatment. Each procedure is performed with precision and care with our expert podiatrist. Whether it’s a simple trimming or a minor surgical treatment, ensuring your comfort and quick recovery. As one of the trusted podiatry clinics in Singapore, we take a holistic approach to foot health, focusing not only on immediate pain relief but also on preventing future recurrences. Don’t let foot problems affect your daily life. Our dedicated podiatrists are here to help you walk comfortably again.
Book your appointment with My Foot Dr Singapore today for expert ingrown toenail removal or a comprehensive foot health consultation. Let’s restore your comfort and confidence, one step at a time!