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Foot Care
Onychocryptosis,
commonly known as ingrown nails (unguis incarnatus), is a common
form of nail disease. It is a painful condition in which the nail
grows or cuts into one or both sides of the nail bed. While ingrown
nails can occur in both the nails of the hand and feet, they occur
most commonly with toenails.
Cause
While many things can cause ingrown nails, the most common causes
are improperly fitted shoes and nails that are improperly trimmed.
Shoes or stockings that are too tight press on the sides of the
nail, causing it to curl and dig into the skin.Nails that are cut too short, rounded off at the tip, or are peeled off at the edges
versus being cut straight across are more likely to become ingrown
as well. Other causes include an abnormally shaped nail bed, trauma
to the nail plate or toe and other nail deformities. Proneness to
nail deformities that cause ingrown nails can also be genetic.
Symptoms
Symptoms of an ingrown nail include pain along the margins of the
nail, worsening of pain when wearing shoes or other tight articles,
and sensitivity to pressure of any kind, even that of light bedding.
By the very nature of the condition, ingrown nails become easily
infected unless special care is taken to treat the condition early
on and keep the area as clean as possible. Signs of infection include
redness and swelling of the area around the nail, drainage of pus
and/or a watery discharge tinged with blood.
Treatment
Treatment of ingrown nails ranges from soaking the afflicted area
to surgery. In mild cases, doctors recommend daily soaking of the
foot or hand in a mixture of warm water and Epsom salts and applying
over-the-counter antibiotics while allowing the nail to grow out
so it may be trimmed properly. Another remedy is to file the top
of the nail flat. This will cause the nail to contract and pull
the ingrown sides up.
Post-surgery
Toe with Removed Nail Shard
More
severe cases, such as when the area around the nail becomes infected
or the nail will not grow back properly, must be treated by a professional.
In these cases, the digit is first injected with a common local
anesthetic. After the area is numb, the physician will cut away
the nail along the edge that is growing into the skin and pull out
the piece of nail. In some cases they may also surgically drain
the infection or use a chemical on the skin to prevent nail regrowth.
The entire procedure may be performed in a standard doctor's office
and takes approximately thirty to forty-five minutes depending on
the extent of the problem. The patient is allowed to go home immediately
and the recovery time is anywhere from a few days to a week barring
any complications such as infection. As a followup, a physician
may prescribe an oral or topical antibiotic or a special soak to
be used for approximately a week after the surgery.
Pedicure
A
pedicure is a way to improve the appearance of the feet, and their
nails. It basically is a manicure for the feet. The word pedicure
comes form the Latin words pes, which means foot, and cura, which
means care. It also means the care of the feet and toenails. A pedicure
can be helpful because it can prevent nail diseases and nail disorders.
Manicure
A
manicure is a cosmetic beauty treatment for fingernails and hands.
A manicure can treat just the hands, just the nails, or both. A
standard manicure usually includes filing and shaping of the nails
and the application of polish. Some specialty manicures, such as
the French Manicure, may also be offered. Treatments for hands usually
include soaking in a softening substance and application of hand
lotion. A similar treatment performed on the feet is a pedicure.
The word "manicure" comes from the Latin manus, meaning
"hand," and cura meaning "cure".
Various
services for nails can be provided, such as the application of artificial
nails such as nail tips, acrylics and artificial nail gels. A manicurist
can also apply treatments to real nails, such as filing, polishing,
and painting. Fancier manicures include painting pictures or designs
on the nails or applying small decals or imitation jewels.
In
many areas, manicurists are regulated and must be licensed. Because
the skin is being manipulated and sometimes trimmed, and because
there is a risk of infection when tools are used on multiple people,
proper sanitation is critical.
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