Dr. Alai is an actively practicing medical and surgical dermatologist in south Orange County, California. She has been a professor of dermatology and family medicine at the University of California, Irvine since 2000. She is U.S. board-certified in dermatology, a 10-year-certified fellow of the American Academy of Dermatology, and Fellow of the American Society of Mohs Surgery.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Ingrown toenails are a very common problem
affecting primarily the great toenail. They are caused by sideways growth of the
nail edge into the skin of the toe. The abnormal extension of the toenail pushes
into the surrounding skin causing discomfort. Normal toenail growth should be
vertical or outward toward the tip of the toe. The medical term for ingrown
toenail is onychocryptosis.
Symptoms of ingrown toenails are sore, often painful, nail
folds with various degrees of redness, swelling, and sometimes clear or yellow
drainage. Frequently, ingrown toenails resolve without medical treatment.
Complicated cases may require treatment by a physician.
What causes ingrown toenails?
The sideways growing portion of nail acts like
a foreign body and pokes into or pinches off a small piece of skin at the outer
edge of the toe. This may cause a break in the skin, causing inflammation and
possibly infection. The inflammation often causes more thickening of the nail
skin fold, further exacerbating the problem. The protruding piece of nail keeps
pushing into the skin, causing further injury and pain.
Are some people more prone to ingrown toenails?
Some people are simply more
prone to ingrown toenails. Some risk factors include
Diabetes mellitus is a chronic condition characterized by high levels of sugar (glucose) in the blood. The two types of diabetes are referred to as type 1 (insulin dependent) and type 2 (non-insulin dependent). Symptoms of diabetes include increased urine output, thirst, hunger, and fatigue. Treatment of diabetes depends on the type.
Foot pain may be caused by injuries (sprains, strains, bruises, and fractures), diseases (diabetes, Hansen disease, and gout), viruses, fungi, and bacteria (plantar warts and athlete's foot), or even ingrown toenails. Pain and tenderness may be accompanied by joint looseness, swelling, weakness, discoloration, and loss of function. Minor foot pain can usually be treated with rest, ice, compression, and elevation and OTC medications such as acetaminophen and ibuprofen. Severe pain should be treated by a medical professional.
Arthritis is inflammation of one or more joints. When joints are inflamed they can develop stiffness, warmth, swelling, redness and pain. There are over 100 types of
arthritis including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, lupus, gout,
and pseudogout.
Scar formation is a natural part of the healing process after injury. The depth and size of the wound incision and the location of the injury impact the scar's characteristics, but your age, heredity and even sex or ethnicity will affect how your skin reacts.
Diabetes-related foot problems can affect your health with two problems: diabetic neuropathy, where diabetes affects the nerves, and peripheral vascular disease, where diabetes affects the flow of blood. Common foot problems for people with diabetes include athlete's foot, fungal infection of nails, calluses, corns, blisters, bunions, dry skin, foot ulcers, hammertoes, ingrown toenails, and plantar warts.
Teenagers recognize that they are developmentally between child and adult. Teen health prevention includes maintaining a healthy diet, exercising regularly, preventing injuries and screening annually for potential health conditions that could adversely affect teenage health.
Scar formation is a natural part of the healing process after injury.
Various factors influence how your skin scars. Of course, the depth and size
of the wound or incision and the location of the injury are going to impact the
scar's characteristics. But your age, heredity, even your sex or ethnicity,
will all affect how your skin reacts.
What Are the Types of Scars?
These are several different types of scars including:
Keloid scars.
These scars are the result of an overly aggressive
healing process. These scars extend beyond the original injury. Over time, a
keloid scar may affect mobility. Possible treatments include surgical removal,
or injections with steroids. Smaller keloids can be treated using cryotherapy
(freezing therapy using liquid nitrogen). You can also prevent keloid formation
by using pressure treatment or gel pads with silicone when you sustain...
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