![]() Heredity. In many people, the tendency for ingrown toenails is inherited.However, even if the toe is not painful, red, swollen or warm, a nail that curves downward into the skin can progress to an infection. If an ingrown nail causes a break in the skin, bacteria may enter and cause an infection in the area, which is often marked by drainage and a foul odor. This digging in of the nail irritates the skin, often creating pain, redness, swelling and warmth in the toe. When a toenail is ingrown, it is curved and grows into the skin, usually at the nail borders (the sides of the nail). Ingrown Toenail What Is an Ingrown Toenail? Patients with flatfoot or those with severe symptoms and nerve damage may be fitted with a brace to reduce the amount of pressure on the foot. Custom shoe inserts may be prescribed to help maintain the arch and limit excessive motion that can cause compression of the nerve. Injections of a local anesthetic provide pain relief, and an injected corticosteroid may be useful in treating the inflammation. Ultrasound therapy, exercises, and other physical therapy modalities may be prescribed to reduce symptoms. Restricting movement of the foot by wearing a cast is sometimes necessary to enable the nerve and surrounding tissue to heal. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce the pain and inflammation. Use ice for 20 minutes and then wait at least 40 minutes before icing again. ![]() Apply an ice pack to the affected area, placing a thin towel between the ice and the skin. Staying off the foot prevents further injury and encourages healing. DiagnosisĪ variety of treatment options, often used in combination, are available to treat tarsal tunnel syndrome. In addition, because the symptoms of tarsal tunnel syndrome can be confused with other conditions, proper evaluation is essential so that a correct diagnosis can be made and appropriate treatment initiated. If left untreated, the condition progresses and may result in permanent nerve damage. It is very important to seek early treatment if any of the symptoms of tarsal tunnel syndrome occur. Often they are brought on or aggravated by overuse of the foot, such as in prolonged standing, walking, exercising, or beginning a new exercise program. Sometimes the symptoms of the syndrome appear suddenly. In others, it may extend to the heel, arch, toes, and even the calf. In some people, a symptom may be isolated and occur in just one spot. Symptoms are typically felt on the inside of the ankle and/or on the bottom of the foot. Tingling, burning, or a sensation similar to an electrical shock.Patients with tarsal tunnel syndrome experience one or more of the following symptoms:
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