Ingrown Toenails

  • By Judith Sullivan
  • 31 Mar, 2017
05 Feb, 2016

Causes, symptoms, treatment

Our feet are incredibly important. We use them to get around and, when any painful condition strikes, our movement is hindered. Unfortunately many people neglect the health of their feet and can succumb to painful feet conditions.  One of these are ingrown nails.

Ingrown Nails – what are they?

Ingrown toenails are caused by increasing pressure of an in-growth of the nail’s edge onto the skin of the toe. The breakage of the nail through the skin produces inflammation and causes discomfort. This discomfort is mild initially; however it can quickly become extremely painful as the inflammation progresses into an infection. Many people suffer from ingrown nails on a regular basis, as it becomes a recurring problem.

C ommon Causes

There are multiple causes of ingrown nails including the simple fact that one is trimming their nails improperly.  Athletes and sports enthusiasts are particularly prone to ingrown nails as they use their feet heavily whilst participating in sporting activities.  Another common reason is that many of us are wearing improper/uncomfortable footwear that can cause disru ption to our foot structure and can press uncomfortably on the toenails, therefore increasing the likelihood of ingrown nails.

Tight footwear, tights/stockings and socks can also push your toe flesh onto the nail so that it pierces the skin.  Also, if you sweat excessively or don’t rotate your footwear, this makes the skin moist and weak so that it is easily penetrated by the nail.

If you have brittle nails with sharp edges or are in the habit of breaking off bits of nail that are sticking out, you are also more likely to get an ingrown toenail.

Poor foot hygiene can introduce unwanted bacteria into your feet that can initiate infections or agitate mild infections into more severe inflammation.  When our feet sweat, it creates the perfect moist environment for bacterial growth. In addition to this, many people suffer from foot deformities such as abnormally long toes or congenital toe deformities.

Symptoms to look out for

Ingrown toenails have various telltale signs include redness and pain and swelling around the site. If the infection has progressed then you may also observe discharge such as yellow pus. Symptoms also vary from person to person as the infection may cause a range of other symptoms.  Often the signs are very limited, and one may only feel slight tenderness at the nail border when pressure is applied. Mild infections may clear up without treatment; however if the infection is recurring or has progressed into severe infection, then it is important to go and visit a qualified podiatrist.

Treatment  

Visit a podiatrist if you experience any:

  • Persistent pain in your toe from the ingrown nails
  • Symptoms of infection, especially if you have Diabetes or a poor immune system
  • Conditions that affect the nerves and/or feeling in your foot.

For those particularly prone to ingrown toenails from underlying problems such as poor gait, partial nail avulsion (PNA) may be recommended along with finding a more permanent solution to the underlying condition. This procedure is done under a local anaesthetic where 8-10% of the nail is removed (including the root) so that the nail permanently becomes slightly narrower. The chemical phenol cauterises the nail and prevents it re-growing in the corners. This is over 95% successful. You will, however, have to go back to your podiatrist for a number of re-dressings.

If you experience ingrown toenails that do not resolve themselves naturally or through routine foot care within three weeks, it is recommended to seek the help of your GP to prescribe antibiotics. But if you need urgent attention, you should contact a private podiatrist such as Betafeet Podiatry.

For more information visit:

http://www.scpod.org/foot-health/common-foot-problems/ingrowing-toenail/

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By Judith Sullivan 09 Dec, 2017
By Reggie Simpson
By Judith Sullivan 28 Sep, 2017

We are delighted to announce that prose written by our Practice Business Manager, Reggie Simpson, will be featured in the Rennie Grove Hospice Care’s Rhyme & Reason 2018 diary, now in its 26th year. The theme for this forthcoming year’s diary is ‘Freedom’. All proceeds from sales of the diary go to support this worthwhile charity.

Reggie says: ‘Although my entry wasn't among the top poetry and prize winners, I was chuffed to be selected for the 2018 diary. The theme was quite broad, but my degrees in politics and love of writing invariably drew me to entering the competition. In the end I settled on a focus of freedom in healthcare, no doubt inspired by my current employment at Betafeet Podiatry and the noble work of Rennie Grove Hospice Care ( www.renniegrove.org ).

Rennie Grove Hospice Care, formally known as Iain Rennie Hospice at Home, merged with Grove House, St Albans in 2010 to integrate services in south western Hertfordshire. The ethos and values of the two charities were closely aligned with the principle of allowing patients to lead a good quality of life at home for as long as possible, helping patients and their families avoid the distress of unnecessary hospital visits whenever possible.

The diaries can be ordered from the Rennie Grove website, payment by debit/credit card. It's part of their annual Christmas/holiday promotion. There will also be copies in local Rennie Grove shops. They are £5 each with additional postage if bought online. Shop locations can be found here: http://www.renniegrove.org/support/our-shops/online-shop/page/2/ .

Here is Reggie’s entry (to appear in the month of September 2018): 


‘Do not count the days; make the days count.’

Muhammad Ali. Professional Boxer.  Audacious. Charismatic. A winner in the ring.

But even when you have won it all, life throws you a few more punches.

Yes, his name opened doors and wealth, but the bombastic man of his younger years was humbled in later life, and following retirement, he dedicated himself increasingly to charitable work. Parkinson’s was already taking hold.

He received the Presidential Medal of Freedom in 2005, the highest honour the USA can bestow.   He died in June 2016, aged 74.

Now the news is about boxing helping dementia sufferers.

So what does this mean for freedom? Does getting battered around the head spell freedom and choice? One would say yes; a boxer is free to take such risks. When the consequences deal you a fatal blow as a result, when do you lose your freedom? Is it when you have been reduced to a shadow of your former self, a normal human being, and have to rely on others? Muhammad Ali likely had plenty of resources to ensure his final days would help him on his final journey.

We tend to think of freedom in political terms. It is hard to remove freedom in healthcare from politics. Think NHS reform, among others. Freedom in a healthcare environment means more to the individuals and families when they have life-limiting illnesses and need the care of volunteer-run hospices such as Iain Rennie Grove.

The NHS gives patients the rights to make choices about different aspects of the care they receive, from the different treatment options available. How these are chosen is individual, although for those with life threatening or limiting illnesses this choice will fall on family members. 

I quote the following:

‘In health there is freedom. Health is the first of all liberties’.

Henri-Frédéric Amiel, Philosopher


September is World Alzheimer’s Month.

 

 

 

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