4/2/2024 0 Comments Painful toenail![]() ![]() Traditional conservative treatments have included the use of astringent soaks such as hypertonic solution of Epsom salts or the application of 25% silver nitrate solution may be beneficial but are rarely used today. Referral to a podiatrist to carefully trim the nail edge and debride any hyperkeratotic lesion may be necessary. Conservative treatmentĬareful trimming of the affected distal nail corner is the preferred conservative management of an incurved toenail followed by application of a suitable antiseptic dressing. The authors suggest that, ideally, all presentations of ingrown toenail should be managed conservatively in the first instance. 8 Either condition may become symptomatic and require definitive surgical management. Should the nail plate penetrate through the thin skin of the nail sulcus, infection and hypergranulation tissue will ensue and the toenail is then best described as ingrown ( Figure 1). ![]() Often the medial or lateral nail edge of an incurved toenail may press into the nail sulcus without actual skin penetration, which leads to the formation of a painful hyperkeratotic lesion. ![]()
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