Understanding Ingrown Toenails in Babies: A Guide for Parents

by Caroline Africh

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. This can cause redness, swelling, pain, and sometimes infection. Although it’s more common in older children and adults, babies can also suffer from this condition.

Causes of Ingrown Toenails in Babies

Several factors contribute to the development of ingrown toenails in infants:

  1. Genetics: Some babies are born with nails that naturally curve inwards, predisposing them to ingrown toenails.
  2. Tight Footwear or Socks: Wearing socks or shoes that are too tight can exert pressure on a baby’s toenails, causing them to grow into the surrounding skin.
  3. Improper Nail Trimming: Cutting a baby's toenails too short or not straight across can encourage the nails to grow into the skin.
  4. Injury: Trauma to the toenail, such as stubbing the toe, can cause the nail to grow abnormally.
  5. Chubby Toes: Babies often have plump toes, which can increase the likelihood of the nail edge digging into the surrounding skin.

Symptoms 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:

  1. 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.
  2. Appropriate Footwear: Ensure that your baby's socks and shoes are the correct size and not too tight. Allow some room for their toes to move comfortably. Shoes with a wider toe box are beneficial for both balance and prevention of toenail complications.
  3. Hygiene: Keep your baby’s feet clean and dry to prevent infections that can exacerbate the problem.
  4. 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 luke warm water for 10-15 minutes, 2-3 times a day, can help reduce swelling and pain. Trying to gentle move the skin around the nail away from the nail plate to help reduce the pressure.

Antibiotic/Antiseptic Ointment

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:

      • Lifting the Nail: A podiatrist may lift the nail edge and place a small piece of gauze or cotton under it to help it grow above the skin.

      • Partial Nail Removal: In severe cases, a portion of the ingrown nail may need to be removed. 

Conclusion

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 our clinic or visit our website.

By Monique Milne Podiatrist at Well Heeled Podiatry

Suite 1/ 362 Hampton St, Hampton, VIC 3188

Phone: (03) 9603 0334

contact@wellheeledpodiatry.com



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