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COMMON CONDITIONS: SKIN, HAIR, AND NAIL PROBLEMS  55

         Ingrown toenail





              If your toe is painful, red, and swollen around the nail, the most likely cause is an ingrown nail. Big toes
              are most often affected. The nail begins to grow down into the skin on either side and the area becomes
              inflamed. Sometimes, the skin around the nail becomes infected, in which case there may be a discharge of
              pus. Cutting toenails incorrectly and wearing shoes that cramp the feet are the prime causes of this problem.



              See your doctor first
                                                                 PRACTICAL TECHNIQUE
              Make an appointment to see your doctor if:
                                                            How to cut toenails Adopt this nail-
              ● Your toenail is inflamed and infected
                                                            cutting routine to help prevent ingrown toenails.
              ● You have diabetes or poor circulation
                                                            If you are elderly, or if you have diabetes or poor
                                                            vision, seek specialist advice about nail care.
                                                                                 Soften your toenails
         What you can do yourself                                                before you trim them
                                                                             1 by soaking them for
              In the early stages, when your toe is only slightly
                                                                                 10 minutes in a bowl
              inflamed, you can treat it with the following
                                                                                 of warm water or in
              measures. They may be enough to stop the                           the bath. This will
              problem from getting worse.                                        make them easier to
                                                                                 cut, especially if they
              ● Soak your foot twice a day for about 10 minutes
                                                                                 are tough or thick.
              in a bowl of warm water into which you have
              added 2–3 tablespoonfuls of salt. Put on a dry
              dressing to protect the toe. Wear open-toed sandals.
              ● Don’t cut the nail until it has fully recovered.  Use sharp nail scissors
                                                                or clippers to cut
              ● Don’t use nail polish or nail-polish remover
                                                            2 your toenails straight
              on the nail while it is inflamed.
                                                                across. Shape them so
                                                                that they are rounded
                                                                slightly at the tip,
                                                                but don’t cut into
                                                                the corners since this
                        PREVENTION                              encourages them to
                                                                grow inward. Smooth
              Preventing ingrown nails The                      the nail edges with
              simplest way to prevent ingrown toenails is to take  a fine-textured file.
              good care of your feet.
                                                                If a toenail is already growing into the skin,
              ● Wash your feet every day and dry them carefully.
                                                                don’t dig the scissors or clippers into the
              ● Don’t wear shoes that squeeze or press on your  3 corner of the nail or try to push anything
              toes. Avoid pointed styles and high heels.        under the affected nail.
              ● Change your socks, tights, or pantyhose daily and
              wear cotton socks rather than synthetics. Open-toed
              pantyhose and tights are available in some stores.
                  ● Make sure you cut your toenails correctly
                  (see PRACTICAL TECHNIQUE, right).         Seek further medical advice
                                                            Arrange to see your doctor if:
                                                            ● Your toe is getting worse or is not getting
                                                            better after a few days of home treatment
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