Ingrown Toenail Doctor in Lexington, KY

Comprehensive Evaluation for Ingrown Toenails

At Bluegrass Orthopaedics, we conduct a thorough assessment to determine the severity of your ingrown toenail and identify any complications. This includes a physical examination of the nail, toe, and surrounding skin to check for signs of infection, granulation tissue, or evidence of systemic illness. In cases with recurrent ingrown toenails or suspected bone involvement, imaging such as X‑rays may be recommended to ensure accurate diagnosis and guide the treatment plan.

Non-Surgical Treatment for Ingrown Toenails

In many cases, conservative approaches are highly effective in relieving pain and eliminating the ingrown nail. Treatment strategies may include careful trimming of the nail edge, soaking the foot in warm water, applying topical antibiotics, and wearing open-toed or properly fitting shoes. We educate patients on proper nail-cutting techniques, such as cutting straight across rather than rounded, and selecting footwear that minimizes pressure.

If a minor infection is present, we may prescribe oral or topical antibiotics, along with careful debridement to remove inflamed tissue. We may recommend custom orthotic inserts to improve foot mechanics and reduce repetitive stress on the toes, which can help prevent future ingrown toenails.

Is Surgery My Only Option for Ingrown Toenails?

If the ingrown toenail is severe, recurrent, or accompanied by significant infection or granulation tissue, a minor surgical procedure may be recommended. Bluegrass Orthopaedics performs partial nail avulsion under local anesthesia to remove the offending nail edge and relieve pain immediately. In cases with frequent recurrences, a permanent solution known as chemical matrixectomy may be performed to prevent that portion of the nail from regrowing.

These outpatient procedures are done safely and with minimal discomfort. Patients are provided with clear aftercare instructions, including how to care for the surgical site, recognize warning signs, and gradually return to their regular activities.

Post-Treatment Care and Prevention for Ingrown Toenails

Healing from ingrown toenail treatment typically takes a few weeks. During this time, it's essential to keep the toe clean, dry, and protected. We recommend daily foot soaks, application of antibiotic ointment, and gentle bandaging. Footwear guidance is emphasized to avoid tight or restrictive shoes that may reintroduce pressure on the healing toe.

Preventive steps are key to reducing the risk of ingrown toenails in the future. Patients are advised to maintain proper nail-trimming habits, choose supportive shoes with adequate toe room, and monitor for early signs of recurrence. Education on foot hygiene and periodic check-ups are standard parts of our comprehensive foot and ankle care approach.