Ingrown Toenail

Ingrown toenails are a common foot condition that can cause serious discomfort and even infection if left untreated. At Big Sky Foot and Ankle Institute, we provide fast, effective relief — with both conservative care and simple in-office procedures.

What Is an Ingrown Toenail?

An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, usually along one or both sides. This can lead to:

• Pain or tenderness

• Redness and swelling

• Warmth around the nail

• In some cases, drainage and infection

Even if the toe doesn’t hurt initially, a nail curving downward into the skin can eventually lead to infection — especially if bacteria enters through a break in the skin.

Common Causes of Ingrown Toenails

Several factors can contribute to ingrown toenails, including:

• Heredity – Some people are simply more prone to curved or ingrown nails

• Trauma – Stubbing the toe or repeated impact (e.g. running, kicking)

• Improper trimming – Cutting nails too short or curved at the edges

• Tight footwear – Shoes or socks that squeeze the toes

• Nail conditions – Fungal infections or prior nail injuries

At-Home Care (When It’s Safe)

If there’s no infection, and you don’t have diabetes, poor circulation, or nerve issues, initial care at home may help:

• Soak your foot in room-temperature water with Epsom salt

• Gently massage the nail fold to reduce inflammation

• Keep the toe clean and dry

• Avoid trying to cut the nail yourself — no “bathroom surgery!”

If the pain persists or signs of infection develop, it’s time to call a professional.

In-Office Treatment Options

Our experienced foot and ankle surgeons will evaluate your condition and recommend the best course of action. Treatments may include:

• Antibiotics – If an infection is present

• In-office procedure – A minor surgical treatment to remove part of the nail’s border under local anesthesia

• Permanent solution – In some cases, removal of the nail root (matrix) to prevent the issue from recurring

Recovery is typically quick and easy, with most patients returning to normal activities the very next day.

Preventing Ingrown Toenails

Reduce your risk with a few simple steps:

• Trim toenails straight across — not too short

• Avoid digging into the corners when clipping

• Wear shoes and socks that fit properly (not too tight or too loose)

• Protect your toes from trauma during sports or physical activity