Ingrown toenails are a common problem among seniors. They occur when the edge of the toenail grows into the surrounding skin, causing pain, redness, swelling, and sometimes infection. Seniors are particularly susceptible due to thicker nails, slower healing, reduced circulation, and mobility limitations.
The good news is that many mild ingrown toenails can be managed at home safely with careful, consistent care. However, understanding proper techniques, prevention strategies, and when to seek professional care is essential to avoid complications.
Understanding Ingrown Toenails
Before starting treatment, it’s helpful to know what causes ingrown toenails:
Improper nail trimming: Cutting nails too short or rounding the edges can encourage them to grow into the skin.
Ill-fitting footwear: Shoes that are too tight or narrow put pressure on the toes, forcing nails into the skin.
Injury: Stubbing or trauma to the toe can make nails grow irregularly.
Thickened or curved nails: Common in older adults, these nails are more likely to become ingrown.
Health conditions: Diabetes, poor circulation, or neuropathy increases risk and slows healing.
Symptoms to watch for:
Redness and tenderness along the side of the nail
Swelling or puffiness around the nail
Pain when pressure is applied
Mild drainage or pus (if infection is present)
Hard, thickened skin around the affected nail
Step-by-Step Home Treatment
Step 1: Soak the Foot
Soaking the foot softens both skin and nail, making treatment more comfortable and effective.
How to do it:
Fill a clean basin with warm (not hot) water.
Add 2 tablespoons of Epsom salt per quart of water. Epsom salt helps reduce inflammation and draws out fluid.
Soak the affected foot for 15–20 minutes, 2–3 times daily.
After soaking, gently pat the foot dry with a clean towel. Avoid rubbing the nail.
Step 2: Gently Lift the Nail Edge
For mild ingrown nails, gently separating the nail from the skin can relieve pressure.
Technique:
After soaking, take a clean cotton ball, dental floss, or small piece of gauze.
Carefully slide it under the ingrown edge of the nail.
This gently lifts the nail away from the skin.
Replace the cotton daily after each soak to keep the nail elevated.
Important: Never force the nail or dig into the skin — this can worsen the problem or cause infection.
Step 3: Apply Antiseptic and Protect the Toe
Keeping the toe clean is crucial to prevent infection:
Wash the toe gently with mild soap and lukewarm water.
Pat dry carefully.
Apply an over-the-counter antiseptic solution or antibiotic ointment.
Cover the toe with a sterile bandage.
Change the bandage daily, or more often if it becomes wet or dirty.
Step 4: Wear Comfortable Footwear
Avoid tight, narrow, or high-heeled shoes while the toenail heals.
Opt for open-toed shoes, sandals, or soft, roomy socks.
Ensure shoes have enough space around the toes to reduce pressure.
Avoid walking barefoot in public areas to prevent infections.
Step 5: Manage Pain and Swelling
Over-the-counter pain relievers such as acetaminophen or ibuprofen can help with discomfort and inflammation.
Elevate the foot occasionally to reduce swelling.
Avoid prolonged standing or walking until the toe improves.
Step 6: Maintain Proper Nail Care
Once the nail starts to heal:
Trim nails straight across, not rounded at the edges.
Keep nails at a moderate length — not too short, not too long.
Use clean, sharp toenail clippers.
Avoid cutting the corners or digging into the nail.
Preventing Recurring Ingrown Toenails
Prevention is key, especially for seniors prone to nail problems:
Choose Proper Footwear: Shoes with wide toe boxes and soft materials prevent pressure on the toes.
Trim Nails Correctly: Straight across, moderate length, avoid rounding corners.
Inspect Feet Regularly: Seniors, especially those with diabetes or circulation problems, should check feet daily for redness, swelling, or nail changes.
Keep Feet Clean and Dry: Moisture can encourage bacterial or fungal infections.
Moisturize Skin: Avoid dry, cracked skin around the nails.
When to Seek Medical Help
Seniors should be vigilant because complications develop faster in older adults. See a healthcare professional if you notice:
Increasing pain, redness, or swelling despite home care
Drainage, pus, or foul odor indicating infection
Persistent bleeding or discoloration
Fever or feeling unwell
Underlying conditions like diabetes or poor circulation
Ingrown toenails that recur repeatedly or are severe
Medical treatment may include:
Prescription antibiotics if infection occurs
Professional nail lifting or partial nail removal
Guidance for preventing future ingrown toenails
Summary: Gentle Care at Home
Soak the foot in warm salt water 2–3 times daily.
Gently lift the nail edge with cotton or gauze after soaking.
Keep the toe clean and covered with antiseptic.
Wear comfortable shoes and manage pain safely.
Trim nails carefully and check toes regularly.
With consistent home care, mild ingrown toenails can improve within a few days to a week. However, seniors must remain cautious and consult a doctor if symptoms worsen or infection develops.
Key Takeaways
Ingrown toenails are common in seniors due to nail thickness, circulation, and mobility issues.
Most mild cases can be safely treated at home with soaking, gentle lifting, and proper foot care.
Prevention through proper nail trimming and footwear is critical.
Seek professional help for severe, recurrent, or infected nails to avoid complications.
About the Author
