Causes of ingrown nail
The main cause of this disease isexcessive pressure from the nail on the soft tissues of the nail shaft, due wearing incorrect shoes. An important role in the development of this condition is the presence of irregular shape of the nail, which in most cases is the result of improper nail care.
Ingrown nail is manifested by pain in the toe andingrown side of the nail plate in the soft tissue okolonogtevogo roller. Diseases - it's a pain in the nail phalanx of the big toe. nail fold skin becomes inflamed, swells, becomes painful when pressed. Wearing shoes in acute inflammatory process is difficult. Sooner or later there is connection of infection, which is accompanied by the appearance of local symptoms of inflammation (redness, swelling, pain, suppuration).
Diagnosis ingrown toenail
In most cases, ingrown toenail diagnosisIt is not difficult. The diagnosis can be established after examination by the surgeon. Perform additional imaging studies is necessary only in case of suspicion on the spread of purulent process in the phalanx bone.
Treatment of ingrown toenail
Conservative therapy. In cases when the disease symptoms areminimum, conservative therapy can be effective enough. Pressure on the thumb should be reduced by wearing comfortable shoes with open toe, such as sandals.
In some cases, significant relief maybring walking barefoot for a few days. Often to relieve pain patients hog thumbnail, which must be avoided. nail trimming may contribute to pain and cause deformity fishhook.
In the case of infection with the nail shaft mayantibiotics be administered topically as an ointment. In more severe cases, the patient may be prescribed a course of systemic antibiotic therapy. Patients need to wear comfortable shoes, which prevents pressure on the thumb nail. Toenails recommended to mow in a straight line, not very short, not below the nail fold.
Surgery. If the result of chronic inflammationdeveloping tissue hypertrophy of the nail shaft, you may need surgery to cure the disease. In mild cases, the removal of the hypertrophic nail cushion can reduce the symptoms of inflammation and irritation.
Within a few months after surgerythere is reshaping the nail plate. In severe cases, the nail deformation shows the complete removal of the nail plate and the germinal matrix. After this operation, there is no regeneration of nail plate. This operation is performed infrequently. In more severe cases may require removal of the nail plate and germinal (germ) area.