Experiencing pain on the side of your toenail that isn't an ingrown toenail can be frustrating. It rules out one common cause, but leaves you wondering what's causing the discomfort. This pain can stem from a variety of issues, and understanding the potential culprits is the first step to finding relief. This comprehensive guide explores the various reasons for this type of pain and provides potential solutions.
What Could Be Causing Pain on the Side of My Toenail?
Pain on the side of your toenail, excluding ingrown toenails, can arise from several sources. Let's explore some of the most common possibilities:
1. Trauma or Injury:
This is often the most overlooked cause. Even a seemingly minor bump, stubbing your toe, or a dropped object landing on your nail can cause underlying damage that manifests as pain on the side. The pain may be immediate or develop gradually. Bruising under the nail (subungual hematoma) is a common result of trauma.
2. Fungal Infection (Onychomycosis):
Fungal infections often affect the nail's edges, causing thickening, discoloration, and pain. The nail may lift from the nail bed, creating space for the infection to spread and causing further irritation. Symptoms often include a yellowing or browning of the nail, crumbling of the nail edge, and a thickened, brittle nail.
3. Nail Psoriasis:
Psoriasis, an autoimmune disease, can affect the nails, causing pitting, discoloration, separation of the nail from the nail bed (onycholysis), and pain. The nail may become thickened, brittle, and deformed. Pain is often associated with inflammation under the nail.
4. Tinea Pedis (Athlete's Foot):
While primarily affecting the skin between the toes, athlete's foot can sometimes spread to the nail bed, causing inflammation and pain. Symptoms typically include itching, scaling, and cracking of the skin. The infection can extend to the sides of the nails and cause discomfort.
5. Bunion or Bunions:
While bunions typically affect the big toe joint, they can cause pressure and pain on the sides of the toenail, especially if the toe is pushed or forced into an unnatural position due to the bunion.
6. Improperly Fitting Shoes:
Shoes that are too tight or too narrow can exert pressure on the sides of the toenails, leading to pain and discomfort. This pressure can also contribute to ingrown toenails or worsen other nail conditions.
7. Paronychia:
This is an infection of the skin surrounding the nail. It can cause redness, swelling, and pain along the sides and base of the nail. Paronychia can be caused by bacteria or fungi.
How Can I Treat Pain on the Side of My Toenail?
The treatment depends on the underlying cause. Here are some general tips and considerations:
Over-the-Counter Remedies:
For minor pain and inflammation, over-the-counter pain relievers like ibuprofen or naproxen can provide temporary relief. Topical antifungal creams may help if a fungal infection is suspected, but professional diagnosis is recommended.
Medical Attention:
If the pain is severe, persistent, or accompanied by other symptoms like swelling, redness, or pus, it's crucial to seek medical attention. A podiatrist or dermatologist can diagnose the cause and recommend appropriate treatment. They might prescribe oral antifungal medication for fungal infections, topical corticosteroids for psoriasis, or antibiotics for bacterial infections. In some cases, they may need to surgically remove part of the nail.
Home Remedies:
Soaking the affected toe in warm Epsom salts can help soothe inflammation. Keeping the area clean and dry is essential to prevent infection. Avoid wearing tight-fitting shoes and consider using wider-toe box shoes.
When Should I See a Doctor?
Consult a doctor or podiatrist if:
- The pain is severe or doesn't improve with home remedies.
- You see signs of infection, such as redness, swelling, pus, or increased warmth.
- You have underlying medical conditions like diabetes that can affect wound healing.
- The pain is accompanied by other symptoms, such as fever or chills.
Remember, self-treating can sometimes worsen the condition. A professional diagnosis is crucial for effective and safe treatment. Don't hesitate to seek medical advice if you're concerned.
