Understanding Ingrown Toenails in Babies: A Guide for Parents
As a podiatrist, I frequently encounter concerned parents dealing with ingrown toenails (IGTN) in their babies. This condition can be particularly troubling due to the discomfort it causes and the limited ways a baby can communicate their pain. In this blog post, we'll delve into the reasons why ingrown toenails develop in infants and provide guidance on prevention and treatment.
What is an Ingrown Toenail?
An ingrown toenail occurs when the edge or corner of a toenail grows into the soft flesh of the toe, typically on the big toe though any nail can becme ingrown. This can cause redness, swelling, pain, and sometimes infection. Although it’s more common in older children and adults, babies and toddlers can also suffer from this condition.
Causes of Ingrown Toenails in Babies
Several factors contribute to the development of ingrown toenails in infants:
- Genetics: Some babies are born with nails that naturally curve inwards, predisposing them to ingrown toenails.
- Tight Footwear or Socks: Wearing shoes or socks that are too tight can exert pressure on a baby’s toenails, causing them to grow into the surrounding skin.
- Improper Nail Trimming: Cutting a baby's toenails too short or not straight across can encourage the nails to grow into the skin.
- Injury: Trauma to the toenail, such as stubbing the toe, can cause the nail to grow abnormally.
- Chubby Toes: Babies often have plump toes, which can increase the likelihood of the nail edge digging into the surrounding skin.
Symptoms of an ingrown toenail to watch for:
Parents should be vigilant for signs of an ingrown toenail in their babies, which include:
- Redness and swelling around the nail
- Pain, which might make the baby fussy or cry when the toe is touched
- Pus or drainage, indicating infection
- Toe appears larger than usual
Prevention Tips
Preventing ingrown toenails in babies involves a few simple yet effective measures:
- Proper Nail Trimming: Always cut your baby's toenails straight across and avoid cutting them too short. Use baby nail scissors or clippers for better precision.
- Appropriate Footwear: Ensure that your baby's socks or shoes are the correct size and not too tight. Allow some room for their toes to move comfortably. Shoes with a wider toe box such as Attipas baby shoes are beneficial for both balance and prevention of toenail complications.
- Hygiene: Keep your baby’s feet clean and dry to prevent infections that can exacerbate the problem.
- Regular Checks: Regularly inspect your baby's feet and nails for any signs of ingrowth or infection.
Treatment Options for Ingrown Toenails in Babies
Warm Salt Water Soaks
Soaking the affected foot in warm water soapy water and epsom salts for 10 to 20 minutes two or three times, can help reduce swelling and pain. Massage the swollen part trying to gentle move the skin around the nail away from the nail plate to help reduce the pressure.
Antiseptic or Antibiotic Ointment
Applying an over-the-counter antibiotic cream can help reduce irritation and may help prevent infection. Check with your pharmacist or doctor on what is best for your child, ensuring allergies are considered.
Over-the-Counter Pain Relief
If your baby seems to be in pain, you can give them an appropriate dose of panadol. Always consult your pharmacist before administering any medication.
Professional Treatment
If the ingrown toenail is severe, infected, or not improving with home care, seek professional help from a podiatrist. Treatment options may include:
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Lifting the Nail: A podiatrist may lift the nail edge and place a small piece of gauze between the nail and the skin to help it grow above the skin
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Partial Nail Removal: In severe cases, a portion of the ingrown nail may need to be removed.
Ingrown toenails in babies, though concerning, are manageable with proper care and attention. By understanding the causes and implementing preventative measures, parents can reduce the likelihood of their baby developing this painful condition. If you have any concerns about your baby’s feet or toenails, don’t hesitate to consult a podiatrist for professional advice and treatment.
Remember, maintaining healthy foot care practices from a young age sets the foundation for lifelong foot health. Stay attentive and proactive, and your baby’s feet will stay happy and healthy.
For more information and advice on foot health for babies, feel free to reach out to Monique Milne Podiatrist at Well Heeled Podiatry.
By Monique Milne Podiatrist at Well Heeled Podiatry
Suite 1/ 362 Hampton St, Hampton, VIC 3188
Phone: (03) 9603 0334
contact@wellheeledpodiatry.com
FAQs
What is an Ingrown Toenail?
An ingrown toenail occurs when the edge or corner of a toenail grows into the soft flesh of the toe, typically on the big toe though any nail can become ingrown. This can cause redness, swelling, pain, and sometimes infection. Although it’s more common in older children and adults, babies and toddlers can also suffer from this condition.
What causes Ingrown Toenails in Babies?
Several factors contribute to the development of ingrown toenails in infants:
- Genetics: Some babies are born with nails that naturally curve inwards, predisposing them to ingrown toenails.
- Tight Footwear or Socks: Wearing shoes or socks that are too tight can exert pressure on a baby’s toenails, causing them to grow into the surrounding skin.
- Improper Nail Trimming: Cutting a baby's toenails too short or not straight across can encourage the nails to grow into the skin.
- Injury: Trauma to the toenail, such as stubbing the toe, can cause the nail to grow abnormally.
- Chubby Toes: Babies often have plump toes, which can increase the likelihood of the nail edge digging into the surrounding skin.
What are the symptoms of an ingrown toenail to watch for?
Parents should be vigilant for signs of an ingrown toenail in their babies, which include:
- Redness and swelling around the nail
- Pain, which might make the baby fussy or cry when the toe is touched
- Pus or drainage, indicating infection
- Toe appears larger than usual
How can I treat my baby's ingrown toenail at home?
You can soak your child's foot in warm, soapy water to help reduce swelling and soften the skin. After soaking, gently lift the ingrowing part of the toenail away from the skin using a clean tool, but be careful not to force it.
When should I take my child to a podiatrist for an ingrown toenail?
If the ingrown toenail is infected, meaning it’s red and swollen, or if home remedies aren’t helping after a few days, it’s time to see a podiatrist for proper ingrown toenail treatment.
Can ingrown toenails in children lead to serious issues?
While most cases are manageable, ignoring a painful ingrown toenail can lead to infection or even permanent nail deformities. It's best to address it quickly!
Can a baby’s nail become ingrown even if I trim it properly?
Yes, sometimes even with proper care, certain toenail shapes or growth patterns can lead to an ingrown toenail. Genetics and foot structure can play a role in this.
How do I know if my baby’s ingrown toenail is infected?
If the area around the toenail is red, swollen, and possibly oozing pus, it’s likely infected. If you notice these signs, definitely consult with a healthcare professional.
What are some effective home remedies for baby ingrown toenails?
Besides soaking your child's foot, applying a bit of antiseptic cream can help keep the area clean. You can also use a small piece of cotton under the nail to encourage it to grow above the skin, but do this gently!
How can I prevent my baby's toenails from becoming ingrown?
To prevent your baby's toenails from becoming ingrown, trim the nails straight across rather than curved, and avoid cutting them too short. Ensure your child wears properly fitting shoes that don't squeeze the toes. For infants, use soft, flexible footwear like Attipas shoes that allow natural foot movement and growth.
Is it normal for toddlers to get ingrown toenails?
While not extremely common, it's not unusual for toddlers to develop ingrown toenails. Factors such as rapid growth, active play, and improper nail care can contribute to ingrowing toenails in children and adolescents. Being aware of proper nail care and footwear choices can help minimise the risk.