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If conservative treatment of a minor ingrown toenail does not succeed or if the ingrown toenail is severe, surgical management by a podiatrist is recommended. [1] The initial surgical approach is typically a partial avulsion of the nail plate known as a wedge resection or a complete removal of the toenail. [ 1 ]
The study suggested that treatment should not be based on the correction of a non-existent nail deformity. [7] [8] In some cases, however, there is nail deformity. [9] Ingrown toenails are caused by weight-bearing (activities such as walking and running) in patients that have too much soft skin tissue on the sides of their nail.
The condition returns in up to half of cases following treatment. [2] Not using old shoes after treatment may decrease the risk of recurrence. [3] Onychomycosis occurs in about 10 percent of the adult population, [2] with older people more frequently affected. [2] Males are affected more often than females. [3]
Nail discolouration may last some months. [4] The nail plate may also become thicker and more brittle as a result of the injury (onychochauxis). The deformed nail plate will gradually grow out and be replaced by a new, normal-appearing one in several months' time. Infrequently, the nail may become painful and require surgical drainage. [5]
A toenail takes a year or longer to grow out, Del Campo notes. So even if a treatment is knocking out the fungus, you'll probably have to wait patiently to see a completely healthy-looking nail.
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