[66M] Experiencing toe nail pain with inflammation

Patient Description

A 66-year-old male reports pain at the corner of the big toe with visible inflammation present for a few months. The toenail is described as thick and yellowish, although treatment has improved its color. The pain began after cutting the nail and persists, but soaking the toe in hot water provides some relief. There is no discharge of pus, but excessive redness is noted. The patient has not experienced any fever or chills and does not report any difficulty in walking or performing daily activities. There is no past medical history of chronic illnesses or allergies, and the patient is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely cause of your symptoms is:

  • Ingrown Toenail: This occurs when the edge of the nail grows into the skin of the toe, causing pain, redness, and inflammation. It's often caused by improper toenail trimming, wearing tight shoes, or a fungal infection that thickens the toenail.

    • Treatment typically involves soaking the foot in warm water, wearing comfortable shoes that provide space for the toes, and over-the-counter pain relievers. In more severe cases, a doctor may need to remove part of the nail.
  • Toenail Fungus (Onychomycosis): This is a common condition that begins as a white or yellow spot under the tip of your toenail. As the fungal infection goes deeper, it can cause your nail to discolor, thicken, and crumble at the edge.

    • Treatment usually involves antifungal medications, but it can take several months to see full improvement due to the slow growth of nails.

What you can do

  1. Continue soaking your foot in warm water 3 to 4 times a day for 15-20 minutes at a time. This can help reduce swelling and relieve discomfort.
  2. Try to avoid cutting your toenails too short or rounding the corners, as this can lead to ingrown toenails.
  3. Wear comfortable shoes that provide plenty of room for your toes.
  4. Over-the-counter pain relievers such as ibuprofen can help manage the pain.
  5. Over-the-counter antifungal creams or ointments can help treat the fungal infection. Make sure to apply as directed and continue use even if symptoms improve to ensure the infection is fully treated.
  6. If your symptoms persist or worsen, please seek medical attention. A healthcare provider can assess your condition and may prescribe stronger antifungal medications or recommend a procedure to remove the affected part of the nail if necessary.

What you should look out for

Please seek immediate medical attention if:

  • The redness spreads beyond the toe
  • You develop a fever or chills
  • The pain becomes severe or unmanageable
  • You notice pus or other signs of infection

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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1 yr ago

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People Also Ask


What are the common causes of an ingrown toenail?

Common causes of an ingrown toenail include improper toenail trimming, wearing tight shoes, and trauma to the toe. It can also be associated with a fungal infection that thickens the toenail.


How can I prevent toenail fungus from recurring?

To prevent toenail fungus from recurring, keep your feet clean and dry, wear breathable shoes, change socks regularly, and avoid walking barefoot in public areas like locker rooms. Trim your nails straight across and avoid sharing nail clippers.


When should I see a doctor for a toenail problem?

You should see a doctor for a toenail problem if the redness spreads beyond the toe, you develop a fever or chills, the pain becomes severe, or you notice pus or other signs of infection. Persistent symptoms despite home treatment also warrant a medical evaluation.


What are the treatment options for toenail fungus?

Treatment options for toenail fungus include over-the-counter antifungal creams or ointments, prescription oral antifungal medications, and in some cases, removal of the affected part of the nail. Treatment can take several months due to the slow growth of nails.


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