This is a common nail condition where the side of the nail cuts into the adjacent soft tissue, or lateral nail fold. It is most common in the big toe and may be caused by a number of factors such as ill-fitting shoes, improper nail-trimming, excessive sweating, soft-tissue abnormalities of the toe or nail deformity. It may result in redness, swelling and discharge and often causes pain or sensitivity.
Ingrown toenails may be treated by non-surgical methods, often by a podiatrist. Surgery is indicated if these measures are not successful. ‘Wedge excision’ is an operation to remove the affected side of the nail, the part from where it grows and adjacent tissue, and is a simple and effective surgical treatment. Operations to remove the entire nail and prevent re-growth, such as Zadik’s procedure, are usually only required for management of more deformed nails.