Ingrown Toenail Management

Conservative Management

Soaking the affected toe in warm, soapy water or dilute antiseptic solution for 10-15 minutes twice daily can reduce inflammation and prevent infection, as recommended by the American Academy of Dermatology 1
Correcting inappropriate footwear by wearing comfortable, well-fitting shoes with adequate toe box space can reduce pressure on the toenail, according to the American College of Foot and Ankle Surgeons 2
Trimming toenails straight across (not too short and not rounded at corners) can prevent recurrence, as suggested by the American Diabetes Association 3
For suspected fungal infection contributing to the ingrown nail, obtaining cultures and considering appropriate antifungal therapy is recommended by the British Association of Dermatologists 4

For diabetic patients at risk of foot ulceration with ingrown toenails, appropriate treatment should be provided by a trained healthcare professional to prevent complications, as recommended by the American Diabetes Association 5

Continuing antiseptic soaks with dilute vinegar (50:50 dilution) or 2% povidone-iodine for 10-15 minutes twice daily can aid in healing, according to the American Academy of Dermatology 1
Applying mid to high potency topical steroid ointment to nail folds twice daily can reduce inflammation, as suggested by the American Academy of Dermatology 1
Avoiding trauma to the affected digit and wearing protective gloves during activities that involve water exposure or chemicals is recommended by the American College of Foot and Ankle Surgeons 2

Educating patients on proper nail care, such as trimming nails straight across and avoiding rounding the corners, can prevent recurrence, as recommended by the American Diabetes Association 3
Wearing appropriate footwear that accommodates the shape of the feet and fits properly can reduce pressure on the toenail, according to the American College of Foot and Ankle Surgeons 2
Daily application of topical emollients to cuticles and periungual tissues can maintain skin barrier function, as suggested by the American Academy of Dermatology 2

In diabetic patients, ingrown toenail treatment is particularly important as it can help prevent foot ulcers, according to the American Diabetes Association 5
For non-rigid hammertoes with nail changes in diabetic patients, considering digital flexor tendon tenotomy or orthotic interventions can help reduce excess callus and prevent ulceration, as recommended by the American Diabetes Association 6