Ingrown Toenails in Children
Overview
An ingrown toenail happens when the nail edge grows into the surrounding skin, most commonly on the big toe. In children, this often follows rapid growth, tight footwear or an accidental tear while trimming. It can be painful and may become red or infected if not treated early.
Common Signs & Symptoms
- Pain or tenderness along one or both sides of the nail
- Redness, warmth or swelling of the nail fold
- Clear or yellow discharge if the skin is irritated
- Difficulty wearing shoes or participating in sport
- Raised skin or proud flesh (granulation tissue) in longer-standing cases
Typical Causes
- Tight or shallow toe-box footwear and school shoes
- Incorrect nail cutting (curved edges or tearing the corner)
- Nail shape or thickened nails after minor trauma
- Rapid growth spurts with increased activity
- Picking at nails or cuticles
When to Seek a Podiatry Review
Book an assessment if your child has:
- Persistent pain or limping
- Redness, swelling or discharge around the nail
- Recurrent ingrown nails on the same toe
- Difficulty wearing shoes or participating in sport
- Medical conditions that affect healing (e.g., diabetes)
What We Assess
- Nail shape, thickness and corner spicules
- Skin inflammation, infection signs and tenderness
- Footwear fit and toe-box depth
- Activity and sport load
- Nail-cutting technique
Treatment & Home Care
- Gentle removal of the offending nail edge (no needles for mild cases)
- Sterile cleaning and protective dressings
- Advice on correct trimming: straight across with slight rounding of the very corners
- Footwear recommendations (roomy toe box, sports-friendly)
- Epsom-salt foot soaks for comfort (as advised)
- For recurrent or severe cases: partial nail avulsion with chemical matrix management (a minor, permanent solution performed under local anaesthetic)
Prevention Tips
- Trim nails straight across; avoid tearing or cutting deeply into corners
- Choose school shoes with a roomy, rounded toe box
- Change out of tight sports boots or cleats promptly after games
- Discourage picking at nails or skin
- Seek help early if pain or redness appears