Can an Ingrown Toenail Heal on Its Own?

Ingrown toenails are surprisingly common, and often remarkably painful. If you've ever had one, you know how something so small can make walking challenging. It's natural to wonder if it will just go away on its own or if you’ll need treatment. The short answer? Sometimes it can heal on its own, but not always.

Dr. Eric Gilbertson, DPM, FACFAS, at Renew Foot & Ankle in Minnesota, can help you find relief from ingrown toenails if they do not heal independently. Let’s look closer at what makes an ingrown toenail heal on its own, and when it's time to seek help.

What exactly is an ingrown toenail?

An ingrown toenail happens when the edge of your nail grows into the surrounding skin. It’s most common on the big toe, though any toenail can be affected. You may notice redness, swelling, tenderness, or even pus if the infection develops.

The pain can sneak up on you. One day your toe feels fine, and the next you're limping. Poor nail-trimming habits, tight shoes, or an injury often cause the problem. Genetics can also play a role if you naturally have curved or thick toenails.

When it might heal on its own

If caught early and the symptoms are mild, an ingrown toenail can sometimes improve with simple home care. Things like warm saltwater soaks, gently lifting the nail edge, and keeping the toe clean and dry can help. These steps help reduce inflammation and enable the nail to grow properly.

You’ll need to be consistent. Soaking your foot a few times a day can help soften the skin and nail, which may ease the pain and encourage the nail to grow out of the skin fold. Wearing roomy shoes or sandals gives the area a break from pressure.

But healing takes time. And it's important not to ignore signs that things might be getting worse.

Signs it’s not healing properly

Sometimes an ingrown toenail won’t get better on its own. If the skin becomes increasingly red, swollen, or starts to drain pus, it’s likely infected. That’s your cue to stop waiting and see Dr. Gilbertson.

Pain that worsens instead of improving is another red flag. This can also cause thickening of the skin around the nail, which may indicate chronic inflammation. If you have diabetes, poor circulation, or a weakened immune system, don’t wait at all. Seek care at the first sign of trouble.

Treatment options if it doesn’t heal

When home care isn’t enough, Dr. Gilbertson might recommend in-office treatment. Treatment may involve lifting or trimming the ingrown part of the nail, or, in some cases, removing a small portion of the nail and the underlying tissue.

These procedures sound intense, but they’re usually quick and done with local anesthesia. Most patients feel relief soon after. He may also prescribe an antibiotic if there is an infection, especially if there is redness, warmth, or drainage.

In more severe or recurring cases, permanent removal of the affected nail part may be considered. It sounds drastic, but it prevents future problems and is often well-tolerated.

Prevention is the best long-term strategy

Once your toe heals, prevention becomes your top priority. Always trim your nails straight across. Don’t curve them to match the shape of your toe. Wear shoes that give your toes plenty of space. Avoid trauma to the toenails, especially during sports or exercise. These small habits go a long way. They can prevent future discomfort or issues.

The bottom line

So, can an ingrown toenail heal on its own? Sometimes, yes. But only if the symptoms are mild and you care for it properly. Don't wait it out if there’s pain, swelling, or signs of infection.

Call the office or schedule an appointment online with Dr. Gilbertson to relieve pain and prevent complications.