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Another approach, which minimizes the need for daily replacement, uses cotton coated with a solution that fixes it in place and makes it waterproof (collodion).
High WA, et al., eds. Special considerations in skin of color. In: Dermatology Secrets. 6th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Oct. 12, 2021. Dinulos JGH. Nail diseases. In Habif's Clinical Dermatology. 7th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Oct. 12, 2021. Mayeaux EJ. Nail avulsion and matrixectomy. In: Mayeaux EJ, ed. The Essential Guide to Primary Care Procedures. 2nd ed. Wolters Kluwer; 2015:534–556. Lalonde D, Bell M, Benoit P, et al. A multicenter prospective study of 3,110 consecutive cases of elective epinephrine use in the fingers and hand. J Hand Surg Am. 2005;30(5):1061-1067.Rigopoulos D, Larios G, Gregoriou S, et al. Acute and chronic paronychia. Am Fam Physician. 2008;77(3):339-346.
The big toe is most commonly affected – either on one or both sides of the nail. The first signs include redness around the nail bed, tenderness of the skin at the end of the toe and pain if pressure is applied to the area. More progressive symptoms if the nail pierces the skin can include infection where fluid oozes from the nail (usually yellow or green in colour), bleeding and increased levels of pain. What causes an ingrowing toenail? Taping the nail. With this method, your health care provider pulls the skin away from the ingrown nail with tape.Gerritsma-Bleeker CL, Klaase JM, Geelkerken RH, et al. Partial matrix excision or segmental phenolization for ingrowing toenails. Arch Surg. 2002;137(3):320-325. Placing a gutter splint under the nail. With this method, your health care provider numbs the toe and slips a tiny slit tube underneath the embedded nail. This splint stays in place until the nail has grown above the skin edge. This method helps ease the pain of an ingrown nail as well. An ingrowing toenail typically affects teenagers and young adults the most. A number of things can cause an ingrowing toenail to develop and if left untreated, could pierce the skin.