L60.0

Clinical Causes: Injury or trauma to the nail or surrounding skin Improper nail trimming practices, such as cutting nails too short or rounding the edges Ill-fitting footwear that compresses the toes Inherited nail shape or tendency to have thick or curved nails Poor foot hygiene and excessive moisture around the nails Repeated trauma or pressure on the toes from activities or footwear Underlying skin conditions like psoriasis or fungal infections

Key Symptoms: Pain and tenderness along the sides of the nail Redness and inflammation around the nail fold Swelling in the affected toe or finger Presence of pus or infection if the condition worsens Difficulty walking or wearing shoes due to discomfort Overgrowth of skin or granulation tissue around the nail

Diagnosis Path: Diagnosis typically involves a physical examination where a healthcare professional assesses the affected nail and surrounding tissue. They may inquire about recent injuries, nail-trimming habits, and footwear. In some cases, a sample of any pus or tissue may be taken to check for infection. Imaging tests are usually not necessary unless underlying bone involvement is suspected.

Treatment Protocols: Treatment options depend on the severity of the ingrowing nail. Common approaches include: - **Home care:** Soaking the affected toe in warm salt water to reduce swelling and ease discomfort, gently lifting the nail edge, and placing cotton or dental floss underneath to help it grow above the skin. - **Proper nail trimming:** Cutting nails straight across and avoiding rounding the edges. - **Medications:** Applying topical antibiotics if infection is present or taking oral antibiotics in more severe cases. - **Medical procedures:** Removal of a portion or the entire ingrown nail for persistent or severe cases, often performed under local anesthesia. - **Prevention:** Wearing well-fitting shoes, maintaining good foot hygiene, and avoiding trauma to the nails. Individuals with recurrent ingrown nails or those with underlying conditions such as diabetes should consult healthcare providers for tailored treatment plans.