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Guide 2 min read

Ingrown toenail

It presses, throbs and quickly becomes inflamed: why nails grow in, what you can do yourself – and how a nail brace helps without surgery.

An ingrown toenail is one of the most common reasons people come to us. Usually the big toe is affected: the side of the nail presses into the skin, the nail fold turns red and every step hurts. The good news: treated early, the problem can usually be solved gently and without surgery.

How does an ingrown nail develop?

  • Incorrect nail cutting: if the corners are cut round or too short, the edge grows into the skin.
  • Tight or pointed shoes press the tissue against the nail.
  • Predisposition: some nails are naturally strongly curved or rolled.
  • Pressure and moisture, e.g. from sport or heavy sweating, soften the skin.

Typical signs

  • pain at the nail edge, especially under pressure or in shoes
  • redness and swelling of the nail fold
  • in advanced stages pus or “proud flesh” (granulation tissue)

What you can do – and what you should avoid

Helpful:

  • cut nails straight across and do not cut the corners too short – file instead
  • wear shoes with enough room for your toes
  • keep feet clean and dry

Please do not:

  • cut into the nail fold yourself with scissors or clippers – this often makes it worse
  • push cotton or objects under the nail if the area is already inflamed

How we help: the nail correction brace

A nail brace is a gentle alternative to surgery. It is fitted onto the nail, gently lifts the ingrown edge and guides growth in the right direction over several weeks. Depending on the nail we use

  • the 3TO brace (three-part wire brace) – especially for strongly rolled nails,
  • the COMBIped brace (one-piece, bonded) and
  • the podofix brace (plastic brace).

Acute pain usually eases noticeably after the first treatment. Braces are suitable for adults and children.

Does health insurance pay?

Yes, treatment with a nail correction brace can be prescribed by a doctor (diagnosis group UI). With a prescription you only pay the statutory co-payment – see our FAQ. Of course we also treat you as a self-payer without a prescription.

When to see a doctor straight away

If redness is severe or spreading, if there is pus or fever, or if you have diabetes and the area becomes inflamed, please see a doctor first.

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