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Ingrown nail

#Care #Problems
Also written as Onychocryptosis, Ingrown toenail

What is happening

The edge of the nail plate presses into the soft tissue of the nail fold beside it. Skin responds to the pressure by swelling, which increases the pressure. It affects big toes far more than fingers, because shoes supply a constant force in the same direction.

In short

  • Cause, usually: a corner cut down, leaving a spike under the fold
  • Made worse by: cutting the corner again for relief
  • Prevented by: cutting straight across and filing the corners

When to stop and get help

Spreading redness, swelling, discharge or throbbing pain. This page is a definition, not a treatment.

Cutting technique that avoids it

Cut straight across at roughly the level of the toe tip, then round the corners with a file rather than a blade, so no point projects into the fold. Nail clippers with edges that meet cleanly help here — a crushing cut leaves a ragged corner, and ragged corners are what dig in.

Shoes matter as much as scissors

A toe box that presses the sides of the nail applies the same force all day. Where the problem keeps returning on one toe, footwear is worth examining before technique.

Questions we get

Why is cutting the corner out the wrong move?

It leaves a spike under the fold that grows forward into the skin. The relief lasts days; the cause is reinforced.

How should toenails be cut?

Straight across, level with the tip, with the corners smoothed by file rather than cut back. Slightly long is safer than slightly short.

When does it need a professional?

Redness spreading, swelling, discharge or a nail that is painful to touch. At that point it is a medical matter, not a grooming one.

*This page explains a word, nothing more. It is not medical advice and does not replace a consultation about a specific condition of the nail or the skin around it.

More from the manicure terms
Eponychium

The living fold of skin at the base of the nail. It seals the gap between nail and finger, which is why it is the one part that should not be cut.

Free edge

The part of the nail that has grown past the fingertip and is no longer attached to the bed — the only part that is actually being cut or filed.

Hyponychium

The skin sealing the underside of the nail where the free edge lifts away. Sensitive, easily injured, and the reason short nails can feel tender.

Pterygium

Skin that has grown forward and attached to the nail plate itself. Not the same as an overgrown cuticle, and not something to scrape away by force.