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Ingrown toenails & other nail problems

Avoiding closed shoes because a nail edge hurts, or finding your nails difficult to trim? Ingrown, thickened or discoloured nails can make everyday care uncomfortable. There’s no need to feel embarrassed about asking for help.

You don’t need anything complicated to deserve relief, and you don’t need to have “let it go too far” to book in.

How we assess and manage nail concerns

• We examine the nail edge, surrounding skin and any thickening or colour change, and ask how it affects shoes, walking or nail care.
• We explain the likely cause, what remains uncertain and whether testing or medical review may be appropriate.
• With your consent, suitable conservative nail care may be possible at the first visit. We explain what it may feel like before starting.
• If the problem is persistent or recurring, we discuss home care, footwear and whether a separately planned nail procedure is worth considering.

If the toe is painful and swollen with pus, you feel feverish or shivery, or you have diabetes and an ingrown nail, seek medical advice. NHS guidance on ingrown toenails.

Can an ingrown nail be treated without surgery?

Conservative ingrown-toenail care is usually without a needle. We assess the nail edge, surrounding skin and your health before discussing the approach, sensation and whether local anaesthetic is needed. Tell us if needles worry you.

• Care of the troublesome nail edge where appropriate, with the approach explained before treatment
• Advice about suitable home care and footwear; do not dig out or cut into an ingrown nail yourself

For recurrent or severe ingrowing, an in-clinic procedure under local anaesthetic may be discussed. For anaesthetic, appearance, recovery and risks, read about nail surgery.

Why can an ingrown nail return?

Nail shape, pressure and trimming can contribute. Read why an ingrown nail may keep returning and discuss whether conservative care or nail surgery is appropriate.

Thick, discoloured or changing nails

Not every changed nail is fungal. Thickening or colour change can also follow repeated shoe pressure, an old injury, a skin condition or bruising.

A new or changing dark streak needs medical assessment rather than being assumed to be a bruise or fungal infection. Assessment helps decide whether nail care, testing or medical review is appropriate.