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Ingrown Toenails

Ingrown  toenails  are  probably  the most common  foot  problem  presented  in  our office. The misconceptions concerning ingrown toenails are astonishing.

An ingrown toenail quite simply is a painful condition whereby one or both sides of the nail curls down and invades the fleshy borders on the sides or tip of the toe. Any toe may be involved, although most commonly the great toe is affected. The initial signs of an ingrown toenail include mild redness, irritation,  burning or thickening of the skin folds,  which may or may not worsen after wearing shoes. As the condition progresses, the nail continues to advance into the skin, eventually piercing the flesh, introducing a great deal of bacteria and fungus which normally inhabit the nail  plate.  Hence, an infected ingrown toenail results. With continued neglect, the skin folds get more inflamed and continue to react by forming large bulbous “cherry red” granulomas. Furthermore, the infection may deepen and invade the underlying bone. This complex cycle can be corrected very easily with prompt recognition and attention.

The most common cause of ingrown toenails is improper cutting or “picking” of toenails. All nails should be cut straight across and allowed to grow out to the edge of the nail fold. Because of the fleshy nature of their toes, some patients are predisposed to tissue overgrowth on the nail.

Other common causes include fungal thickening of the toenail and bone spurs hidden under the nail plate. In both cases the nail is thickened and tented up in the center, thereby pressuring the sides down and into the surrounding skin folds. Bunion deformities , whereby the big toe leans against the second toe, may also cause irritation  on  the side of both toenails and lead to ingrown toenails.

Cutting a “V” into the  center  of  the toenail has never, in our opinion , helped to alleviate pressure on  the nail. Remember, the  nail  plate  is rigid and  will  not  simply  bend  out of the skin by cutting a wedge in the center. Furthermore, we have never found over-the-counter ingrown nail medication to be effective. In fact, both of the remedies only serve to delay proper treatment and increase the risk of infection.

The correction of an ingrown toenail is usually quite simple and can be  done painlessly in the office with local anesthesia . The offending portion of the nail can be removed in such a way that permanent correction is almost always obtained. In you suffer with an ingrown nail, seek a permanent solution.

Kim Johnston

I wanted to tell you that you have the nicest staff in the world. They seem to go out of their way for your patients.

Kim Johnston

Meera Manahan

Dr. Bachmann, Thank you for fixing my foot, so I could go climb Kilimanjaro! My 2 girlfriends and I summitted on Christmas Eve. What a gift you gave me - thank you!

Meera Manahan

Jenny McLeod

I wanted to thank you for being so tender with Hallie yesterday.  She was eager to tell me that you thought she was "99.9% perfect."  Although her psoriasis/arthritis in no way defines her, I know she is aware of her health versus her three sisters.  You were the best part of her day and it meant the world to me.

Jenny McLeod

Deanna Muehlenbrock

Dr. Walsh has been phenomenal! She had an awesome bedside manner with me as well as my children. Always talking them through every step of the way. You know you have found a lifelong doctor when you entrust your children's care to them. I have recommended Dr. Walsh to many of many friends and all have loved her.

Deanna Muehlenbrock

Sharon Dixon

Dr. Walsh, You always make me feel so much better.

Sharon Dixon

Marilyn Sparacino

You did a perfect job on my right foot.

Marilyn Sparacino

Tina

Dr. Bachmann, You did a great job on both my toes. I am healing well on this last one. It feels good to mark it off my "to do" list. Now I can start my step aerobics class again. Thank you for taking good care of me.

Tina

Pierre B.

After having a severe case of Plantar Fasciitis, we tried all procedures and treatments to reduce pain and inflammation.  Nothing worked.  I was told by Dr. Bachmann of a new procedure, a laser treatment (MLS) that was new but very effective.  I tried it and after treatment #1 I already felt an improvement.  I'm on treatment 9 of 10 and can honestly say it has relieved the pain and constant irritation I was experiencing for the past 9 months.  I would recommend this treatment and the excellent service of Dr. Bachmann's team of health care professionals.

Pierre B.

Channin Henry

Thank you for everything! You are a Great Doctor!

Channin Henry

Madeline C

Thank you for taking care of my toe. I'll be flipping back into gymnastics in no time!

Madeline C

Isabel O’Brien

He's all fixed up thanks to your patience, sympathy and skill, Dr. Bachmann.

Isabel O'Brien

Casey B

After just 2 treatments with the MLS Laser for my ankle injury, I felt a significant decrease in pain and swelling.  I am very active in the gym so it was very important for me to heal quickly.  Each treatment is quick and painless as well which is a definite plus!  I would recommend this treatment to anyone in pain!

Casey B

Karen Noland

Thank you for your exceptional skill, warmth and generous spirit!

Karen Noland