Ingrown toenails can be a painful and frustrating experience for anyone—but when it comes to children, the discomfort can feel even more overwhelming. While it may seem like a small issue, ingrown toenails in children require special attention and care to prevent long-term discomfort or recurring problems. In this post, we’ll explore the causes, symptoms, treatment options, and unique considerations when managing ingrown toenails in younger patients.
What Is an Ingrown Toenail?
An ingrown toenail occurs when the edge or corner of a toenail—typically the big toe—grows into the surrounding skin. This can cause pain, redness, swelling, and even infection if left untreated.
Why Do Ingrown Toenails Happen in Children?
Children may develop ingrown toenails for a number of reasons. Some are born with naturally curved nails that are more likely to grow into the surrounding skin. Rapid growth during childhood can also contribute, as nails sometimes don’t keep pace with the shape of the toe.
Tight or ill-fitting footwear—especially hand-me-down shoes—can press against the nails and push them into the skin. Active children who participate in sports or dance may be more prone to trauma, increasing the risk of ingrown nails. In addition, trimming toenails too short or rounding the corners instead of cutting straight across can encourage the nail to grow inward.
Recognising the Signs in Children
Early recognition is important when it comes to managing ingrown toenails. Children may complain of pain in the toe or start to limp or walk differently. You might notice redness or swelling around the edge of the nail, or see fluid or pus forming if the area has become infected.
Some children may avoid wearing shoes or shy away from having their foot touched. Because children may not always be able to clearly explain their discomfort, it’s important to watch for any changes in their behaviour, movement, or mood that might signal pain.
Treating Ingrown Toenails in Children
In mild cases, you may be able to manage the ingrown toenail at home. Soaking the foot in warm salty water for 15 to 20 minutes a few times a day can help reduce inflammation and soften the skin. In some cases, it may be possible to gently lift the nail edge and place a small piece of cotton or dental floss underneath to guide it away from the skin—but this should only be done with guidance from a podiatrist. Wearing well-fitting shoes with enough room for the toes can also help relieve pressure and prevent the issue from getting worse.
If the area appears infected, if the problem keeps coming back, or if your child has a health condition such as diabetes or circulation problems, it’s important to seek professional care. A podiatrist can provide safe nail trimming, remove part of the nail if necessary, and offer longer-term solutions if the problem becomes persistent.
Special Considerations for Younger Patients
Children often feel anxious about pain or visiting a clinic, so it’s important to create a calm, supportive environment. Podiatrists who work with younger patients are trained to use child-friendly language and gentle techniques to make the experience as stress-free as possible. Treatment plans for children are usually designed to be minimally invasive and tailored to suit growing feet. Parents and carers should also be advised on how to monitor their child’s foot development, reinforce good hygiene, and support their recovery.
Preventing Future Ingrown Toenails
To reduce the risk of future problems, toenails should always be trimmed straight across rather than curved, and not cut too short. Children should wear shoes that fit properly and give their toes plenty of space to move. Encouraging regular foot hygiene, including clean socks and dry feet, helps prevent infections. If your child is very active or has experienced recurring issues, regular check-ups with a podiatrist can be helpful.
Getting Help With Ingrown Toenails in Children
Ingrown toenails may seem like a minor issue, but in children, they can quickly become a major source of discomfort. With early recognition, the right treatment, and a little care and attention, children can return to their usual activities without pain. If you think your child may have an ingrown toenail, it’s always best to seek professional advice. Get in touch with Northwich Foot Clinic today, and one of our experienced podiatrists will be happy to assess the situation and recommend the most suitable course of action for your child.
