Ingrown/Rolled Nails Treatment Methods
1. Professional non-invasive treatment
2. Nail straightener
By utilizing the elasticity of the orthodontic material or by applying force opposite to the direction of nail curling, the nail's curvature can be gradually improved, reducing pain.
Common types of orthodontic appliances include:
• Patch-type orthodontic devices: These are materials that can be molded or straightened and are attached to the nail surface. They are suitable for children or patients with thin and soft nail surfaces, but they are prone to falling off.
• Memory alloy orthodontic braces: These utilize the shape-memory properties of memory alloys. A certain length of nail length is required. They are suitable for patients with distally curled nails. The appearance is more noticeable.
• Pull-type orthodontic appliances: These utilize the properties of the material to apply opposing forces, making them suitable for patients with high nail hardness or severe problems.
Orthodontic treatment requires continuous use for several months and regular follow-up visits for adjustments.
3. Surgical treatment
Ingrown toenail surgery is usually performed in a clinic by a registered podiatrist under local anesthesia and does not require hospitalization.
• Ingrown toenail removal + nail matrix destruction: The podiatrist will locally remove the ingrown portion of the nail at the edge of the nail, while carefully and thoroughly destroying or electrocuting the nail matrix cells (macrophage) in that area to prevent the nail matrix cells from regenerating and growing back into the nail, thus avoiding recurrence of the ingrown toenail. Suitable for patients with severe or recurrent ingrown toenails.
The surgical wound needs to be cleaned and bandaged daily and usually heals completely within 3 to 4 weeks. During this time, loose or open-toed shoes should be worn to reduce pressure on the affected area. Patients can generally walk immediately, but should avoid strenuous activities until fully recovered.


