Talk:Ingrown nail
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This is quite graphic I should say... Anyone agrees that another article without pictures should be created just as the article for gangrene? And add warnings before the article begins? --Starryboy 19:24, 25 December 2005 (UTC)
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- I'd recommend against creating a duplicate article, because it will be harder to keep them in sync. I've tried creating a template at Template:PotentiallyDisturbingImage (feel free to edit it -- it's just a stub), and putting it at the top of this article. Does this help? --Arcadian 03:23, 26 December 2005 (UTC)
I have added and subtracted to this article in accordance with my own clinical experience of treating ingrowing toe nails. The warning now in place is a good idea, although the photos are not the worst I have seen! If you are suffering from an infection like this the photos give some consolation. Ixobel
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[edit] EWWWWWWWW
That's all I have to say. Ewwwwwwwwwwwwwww. Can't we get the point across without such icky pictures. I mean the article on childbirth doesn't show a photo of the kid's head coming out of the vagina!
Well, some people might need to actually see a picture of an ingrown toenail before they make any decisions and call a doctor. In fact, that's ehy I came to this particular page (yes, I'm going to have to call a doctor :( ). However, I wouldn't be adverse to some kind of warning. The rex 03:39, 21 April 2006 (UTC)
- Don't get the townail removed permanently - it only causes problems for the rest of your life! It makes your toe super-sensitive to any kind of pressure, you can't kick a ball with the front of your foot, toe is easily injured, etc. Mine grew back, fortunately, but then when I had a recurrence and the doctor cut away the sides of the regrown nail, the sides never grew back (thanks, Doc) - that caused similar problems to complete removal. Best thing to do, just massage the toe area along the sides of the nail and avoid wearing shoes when possible, that made my third recurrence go away :D
I've had 4 ingrown toenails and not once did I have one that resembles the one in that picture.
- Then, buddy, ya didn't have ingrown toenails. Anyway, here are some pictures of my poor brother's toe that might be superior to the ones on the article's page. Maybe soemone might want to include them in the article. I actually have over 50 of them taken at regular intervals over 15 months. In that aweful time, we learned that if your toe looks like the ones in any of these pictures: 1) it hurts - ALWAYS; 2) it does not fix itself; 3) it makes you limp; 3) you can't do anything like walk; 4) potions, lotions, creams, iodine, ispropyl alcohol, hydrogen peroxide, band aids, cotton stuffing, tissue paper, tweezers, clippers, probes, pokers, lifters, forceps and especially bathroom surgery are nothing but placebos and DO NOT WORK; 5) one cannot not outwait it - toenails take up to a year to grow and the nail does NOT 'grow past the problem'; 6) one WILL get sick from swallowing pain and vainly trying to ignore it away; 7) GO TO THE DOCTOR AND DO WHAT HE SAYS. That is exactly why the pictures need to be here! Capiche? DocEss 17:59, 29 August 2006 (UTC)
[edit] Appropriate Voice?
Forgive me if I'm wrong, but various parts in this article seem too flippant and personal to me, in particular the line which reads "Wearing shoes/trainers which are too small, however fashionable or expensive they are, either in size, width..." - is the however fashionable or expensive really appropriate? I intepret this as quite a personal, potentially flippant remark. Could someone a little more qualified look into this, and if necessary clean up the in-appropriate parts?
- Hi there. It's not really flippant, although I can see how it might appear so. Nearly all ingrowing toe-nails are caused by the wearing of inappropriate footwear; most of the rest are caused by the nails being cut too short and then being subjected to minor trauma. I operate on perhaps a hundred of these nails a year, the vast majority of patients being aged between 15 and 25. Fashion is, I am afraid, a major causative factor.--Anthony.bradbury 22:55, 11 August 2006 (UTC)
I was going to comment or edit a couple of points "(i.e. do not pick at them whilst watching TV)" but they made me smile, so I'm not going to personaly make any move to remove them. If someone does feel the need, more power to you. Elpha 19:47, 30 March 2006 (UTC)
[edit] Second Opinion?
I just very recently had the avulsion method performed, but my doctor gave me a little bit different information about it. He stated that if the nail is removed completely and allowed to grow back, it is more likely to grow back normally and without further issues than the wedge resection method. I can see various reasons why it might be less optimal of a procedure, but given the context of the situation, I think it might be more beneficial in the long run. I'll be able to formulate my personal opinion in 6 months, after the nail has a chance to grow back, but until then I'm trusting my doctor. --Skudd 04:53, 6 July 2006 (UTC)
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- Well done. Your doctor is quite right. Yes, I am medically qualified to make this comment.--Anthony.bradbury 22:57, 11 August 2006 (UTC)
[edit] Wedge resection
Just for the record, I do large numbers of these; they take perhaps five minutes to insert the local anaesthetic and wait for it to work, and perhaps two minutes to perform the procedure. Phenolisation to prevent regrowth of the edge of the nail takes a further three minutes. The use of a tourniquet causes excessive bleeding on its removal, and is wholly unnecessary. If any qualified person reads this, I urge you to dispense with the tourniquet; you will be delighted. So will your patient.--Anthony.bradbury 22:50, 11 August 2006 (UTC)
Actually, my brother had this procedure done with a touniquet. Here is a picture starting the day after surgery and ... gosh, ... there was a lot of bleeding. Hmmmm...
[edit] V in Toenail
ahh... the allmighty wikipedia states that cutting a V does nothing.
Student Health Services @ University of Iowa seems to disagree with you. http://uistudenthealth.com/question/default.asp?asgid=19&agid=4&id=565
- Ah, they are wrong. Toe nails take so long to grow that a nip here and clip there are fruitless except for their placebo value. Nothing you do will work if your toe nail is truly ingrown. See above conversation.
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- I had a ingrown toenail that i had for two years before finally having the edge cut out today (out of ignorance). It took this long because i learnt off someone to use a nailfile to thin the top of the nail, this does help, causing much less pressure on the edges. Whether the nail shinks inwards (like the V-cut) i could not prove (but that was how it was described to work). Also my doctor always puts one stitch in the toe to pull the skin back to the nail, is that bizarre? -harmonik
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- Please take digital picture and upload it. Thanks tons. Hope it feels better.DocEss 16:25, 18 October 2006 (UTC)
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[edit] History
Does anyone believe a section on the hitsory of ingrown toenails would be useful? Comments? Hey - do ya know what my brother's podiatrist said to me when I asked him how they treated ingrowns before anaesthetic? He said, "Whiskey and pliars." Yikes. DocEss 18:56, 6 September 2006 (UTC)
[edit] 'Problem of the West' phrase
I removed this comment because I cannot find a proper source. Moreover, I wonder if it is even relevant - it's almost trivial in nature, I think. Find a source and then we can put it back. "Ingrown toe nails are a problem of the West, and are virtually unknown in cultures that do not wear enclosed shoes[citation needed] ." DocEss 17:29, 14 September 2006 (UTC)
Anything to score points against "the big, bad West"! Talk about having a chip on your shoulder. 24.137.126.62 03:58, 8 December 2006 (UTC)
[edit] Unrelenting need for pain and pressure
Could anyone please expand on the statement about unrelenting need to suffer pain and pressure in the If Left Untreated section?? I'd like to know more about this particular symptom. Thanks. Rebel.crusader 22:32, 3 October 2006 (UTC)
Expand where, in the Article? In any event....Ingrown toenails are always painful: sometimes they hurt like hell, sometimes the just hurt a lot. But they never stop hurting and the victim is nearly always constantly aware of 'something to endure and suffer through' at the end of his foot. Chronic pain is a well-documented source of both physical and emotional stress, and this strees can manifest itself in inumerable symptoms.DocEss 16:20, 11 October 2006 (UTC)
--- Personal experience, ive just had to have a wedge resection today, the V shape cutting actually did nothing for me, a year of trying it and it made no difference, i still had to have the resection, it had too be performed in a hospital as GP's seem unwilling to do this sort of thing.
