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Medical Treatment Of Ingrown Nails
Medical Care:
Treatment options depend on the stage of ingrown toenails, medically known as onychocryptosis.
Stage 1 can be managed by recommending shoes with a comfortable wide toe box or open-toed shoes. Instruct the patient's parents to cut the nail straight across and avoid cutting back the lateral margins. The nail edge should extend past the tissue.
Stage 2 can be treated by stretching the soft tissue away from the side of the nail, elevating the offending edge of nail from the soft tissue, and placing a small pledget of cotton under the nail edge to lift it back into the nail grove. Instruct patients with stage 2 ingrown nails on how to perform this treatment. Parents should also be instructed to have the child rest, keep the foot elevated, and use warm soaks.
Stage 3 should be treated by removing the nail margin as described in “Surgical Care.” Chronic ingrown toenails may require matrix ablation.
Surgical Care:
Stage 3 ingrown nails require avulsion of the lateral border of the nail plate with sharp excision of the hypertrophic granulation tissue. If avulsion has been unsuccessful in the past, partial or total ablation of the nail plate chemically, surgically, or via laser may be indicated. Prepare the digit with Betadine or alcohol if the patient is iodine allergic. Perform a digital
block with 2% lidocaine without epinephrine. Lift the nail off of the nail matrix bluntly all the way back to approximately one eighth of an inch under the proximal nail fold. Insert a scissors blade and cut the nail back to the proximal nail fold. Remove the free portion of the nail.
Protuberant granulation tissue can be removed sharply or treated with silver nitrate. Bleeding, if any, is controlled with pressure. Antibiotic ointment and clean dressing should be applied.
Consultations:
Consult a podiatrist for routine follow-up care or for patients in whom primary avulsion therapy has been unsuccessful. Close follow-up care with an orthopedist is required if inflammatory osteophytic changes are observed or if evidence of osteomyelitis is present.
Follow-up with a primary care physician is indicated for any type of immunosuppression, including diabetes mellitus.
Diet: No dietary limitations are required.
Activity: Rest, keep the extremity elevated, soak the affected nail in warm water, and maintain limited weight bearing until healing has taken place.
About the Author
Gregory Mburu is a medical professional and a marketer part time. He post info about nail fungus on his blog at http://nail-fungus-cure.blogspot.com/
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| American Diabetes Association Home Page |
| Their mission is to prevent and cure diabetes and to improve the lives of all people affected by this disease. Available in English and Spanish. |
| www.diabetes.org |
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| Diabetes Information - American Diabetes Association |
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| www.diabetes.org |
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| Diabetes UK home page - Diabetes UK |
| Diabetes UK is the largest organisation in the UK working for people with diabetes, funding research, campaigning and helping people live with the ... |
| www.diabetes.org.uk |
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| Canadian Diabetes Association |
| To promote the health of Canadians through diabetes research, education, service, and advocacy. |
| www.diabetes.ca |
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| Diabetes information including treating type 2 diabetes at ... |
| Offers dietary recommendations, including recipes and tips on managing blood sugar levels. From GlaxoSmithKline. |
| www.diabetes.com |
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| Diabetes |
| Web site for Diabetes. ... publishes Diabetes. Stanford University Libraries' HighWire Press ® assists in the publication of Diabetes Online ... |
| diabetes.diabetesjournals.org |
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| CDC Diabetes Public Health Resource |
| The diabetes information homepage of the US Centers for Disease Control and Prevention, provided by the CDC’s Division of Diabetes Translation. |
| www.cdc.gov |
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| CDC - Health Topic: Diabetes |
| Diabetes · Diabetes and Research Diagnostics · Diabetes Surveillance Report · FAQ's on Diabetes · Physical Activity and Health: A Report of the Surgeon ... |
| www.cdc.gov |
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| National Diabetes Information Clearinghouse |
| Provides educational materials to increase knowledge and understanding about diabetes among patients, health care professionals, and the general public. |
| diabetes.niddk.nih.gov |
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| Diabetes mellitus - Wikipedia, the free encyclopedia |
| For diabetes mellitus in pets, see diabetes in cats and dogs. ... Type 1 diabetes mellitus - formerly known as insulin-dependent diabetes (IDDM), ... |
| en.wikipedia.org |
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| MedlinePlus: Diabetes |
| (National Institute of Diabetes and Digestive and Kidney Diseases) - Links to PDF ... Select services and providers for Diabetes in your area. ... |
| www.nlm.nih.gov |
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| MedlinePlus Medical Encyclopedia: Diabetes |
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| www.nlm.nih.gov |
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| Diabetes |
| What to expect from your diabetes diagnosis? Get up-to-the-minute information about medications, insulin, blood sugar management, nutrition requirements, ... |
| diabetes.about.com |
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| WebMD Diabetes Health Center - Information on Type 1 and Type 2 ... |
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| www.webmd.com |
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| www.webmd.com |
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| Diabetes Overview |
| Defines diabetes, including the various types and treatments. Provides information on the impact and cost of the disease, its increasing prevalence, ... |
| www.niddk.nih.gov |
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| Diabetes News - The New York Times |
| A free collection of articles about diabetes published in The New York Times. |
| topics.nytimes.com |
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| children with DIABETES Online Community |
| An online community for kids, families, and adults with diabetes, featuring message boards, chat rooms, and questions/answers from medical professionals. |
| www.childrenwithdiabetes.com |
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| International Diabetes Institute - Diabetes Research, Education ... |
| The International Diabetes Institute is the leading national and international centre for diabetes research, diabetes education and diabetes care. |
| www.diabetes.com.au |
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| Diabetes New Zealand |
| Educates and informs people about diabetes, its treatment, prevention, and cure of diabetes. |
| www.diabetes.org.nz |
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