Ingrown Toenail Solutions and Prevention vs. Ingrown Toenail Surgery

Ingrown Toenail Solutions and Prevention vs. Ingrown Toenail Surgery

The most popular videos on my YouTube channel are ingrown toenail cleaning videos. Not only are they fun to watch, but so many people around the world are looking for a way to heal their ingrown toenail pain without having to seek medical intervention. Is that possible, you ask? Absolutely! And I am going to share the before and after photos of someone who followed my advice and completely recovered from ingrown toenail issues without having the nail removed. I am also going to give you information on what to look for and when you may need to seek medical attention.

I made a video called, 👣 Pedicure Tutorial Ingrown Toenail Treatment At Home How to Recut Nail Groove to Eliminate Pain, and over 6 million people have watched it. In this video, I explain why it is essential not to cut the corners of the toenail entirely off because the skin can plump up and make your nail grooves disappear. If you lose your nail grooves, the nail continually runs into the skin blocking where the nail grooves should be and causes even more pain. Some people don’t want to deal with this issue long term and see a Podiatrist or other foot care specialist, to have the nail resected. Many people don’t know the difference between ingrown toenail surgery, ingrown toenail removal or ingrown toenail cleaning but fear not, I am going to make that crystal clear for you. But first, let’s give Christie Salas a big round of applause for completely reversing her boyfriend’s ingrown toenail. She followed my advice from the video using cotton and cuticle oil to cushion and keep the area moisturized so the nail could re-cut the nail groove. Look at these results! The result is impressive, a complete recovery from such a severe case. He kept cutting the nail back further and further to prevent the pain, and it seemed as if the only option left was to have the nail removed. But not everyone wants to deal with a healing wound or not having a toenail. It took Christie 1 year to get his toenail looking perfect again. She used cuticle oil every day on his toe and changed the cotton once a week.

 

According to medicine.net and mayoclinic.com, medical intervention is not always required, and most ingrown toenails can be resolved at home. However, if you have redness, swelling, pain, or localized infection are present, you should see a doctor find out if you need antibiotics to avoid further complications. People with diabetes or compromised immune systems should seek medical intervention right away.

What kind of doctors treat ingrown toenails

Family physicians, pediatricians, urgent-care walk-in physicians, and dermatologists, can treat ingrown toenails, podiatrists (foot and ankle specialty doctors) are uniquely qualified among the medical professionals to treat this condition. A podiatrist’s office is also equipped with the necessary instruments required to perform ingrown toenail procedures.

What is the difference between ingrown toenail surgery and ingrown toenail cleaning?

Part of self-care for ingrown toenail problems can include pedicures. But a nail technician cannot work on toenails that have an active infection. Nail technicians can work on an ingrown toenail that has mild redness even swelling, but the goal is only to trim, file, and clean around the nail area to remove excess skin causing discomfort to provide relief. Cutting, filing, or cleaning around a nail that is not performing surgery. Ingrown toenail surgery requires the use of a blade to resection and remove the nail border or corner of the nail or nail border, or permanent elimination of the nail or nail border by destroying the matrix area where the nail is produced. Nail technicians shorten the nail horizontally by trimming across the top of the nail; doctors remove sections of the nail vertically by cutting sections of the nail away from the nail groove. Doctors use scalpels and pliers; nail technicians use nail clippers and nail nippers. Doctors draw blood; nail technicians should not be drawing blood. Doctors use an anesthetic to numb the toe before resecting the nail; nail technicians do not.

According to medicinenet.com, the following list is Ingrown toenail don’ts:

Don’t cut down the corners of the toenails.

Don’t trim toenails too short.

Don’t wear improperly fitting shoes.

Don’t avoid treatment by a professional if symptoms persist.

Don’t do surgery on the toenail yourself.

How To Manicure

This is Jane. Jane applied nail polish without using a base coat. Jane’s nails are stained and need some love. Don’t be like Jane. 

Every girl wants beautiful nails and only realize they don’t look so hot until you’re ready to run out the door. The solution for so many is to throw on a coat of nail polish to disguise the mess. Is it better than nothing right? I would rather see nicely manicured bare nails than a poor polish job that leaves stained, dehydrated, peeling nails behind. And today I am going to explain how to achieve not only beautifully manicured nails that are flaunt-worthy with just clear nail polish, but how to polish your nails to avoid the need to recover from Jane’s mess.

I have encountered this issue too many times to count in my 25-year nail career. And what usually ends up happening is the client tries to buff off the stain and thins out their nail so much they come in to get a set of acrylic nails for instant satisfaction.

I want you to maintain your beautiful nails without the need to get artificial nails. It is especially important for females 18-35 years of age entering the workforce and presenting themselves socially to look on point. Having beautifully manicured nails send a positive message, and more people than you realize are paying attention. Now some people have thin nails, and artificial nails are their best bet, but so many have fabulous nails and can achieve beautifully manicured nails with little effort.

What tools do you need? Every girl needs a lifetime tool kit in her arsenal. Some run out and buy whatever they can find that closely matches the description of what they want to achieve. But these tools quickly fall apart, or rust and they find themselves purchasing 

the same tools over and over again. Some items are intended to be single use but are used over and over still not realizing they are full of bacteria. You need quality tools you can

purchase one time that will last you a lifetime. Look for stainless steel tools you can disinfect to maintain the health as well as the appearance of your nails. These tools are efficient, effective and will improve your manicuring skills. My online store is an excellent place to find quality tools. http://bit.ly/themeticulousmanicurist

Basic Manicure Steps

Step 1

Apply cuticle remover the to the skin around the nail. Some will penetrate into the nail plate but not enough to make a difference in the adhesion of nail polish like soaking in water. The nail plate is porous and soaking in water will cause the nail plate to swell and slightly change shape. Soaking creates a problem when the nail dries causing the polish to lift and chip.

Step 2

Before you trim the nails, it is essential to determine how much free edge is there. Buildup under the nail can make it hard to see the attachment point, and you don’t want to cut your skin accidentally. You will have a visible picture of how much is safe to trim after this step. Apply cuticle remover the to the skin around the nail.

Step 3

Use the stainless steel 5mm nippers to trim the excess free edge. Insert the tip of the nipper on the side of your nail halfway and squeeze to make a small snip. Move forward and continue to cut the nail in the desired shape. This method ensures you do not bend or flatten your nail that could cause layers to split and peel. I loathe fingernail clippers. They make the nail bend and put unnecessary pressure on the nail plate when you squeeze. I have a video tutorial explaining this is more detail you can find on my YouTube channel. 

Step 4

Use the stainless steel nail file to smooth and shape the free edge of the nail. Using a stainless steel file is comfortable and doesn’t give you the heebie-jeebies like some files can cause. Take special care not to tip the nail file forward or lean the nail file backward. The nail file needs to sit square on your free edge, or you will lose the strength and durability of the free-edge because it was filed at an angle.            

Step 5

The cuticle remover has had time to penetrate the skin that is dry and no longer living. Moist skin is much easier to remove so before you use the cuticle pusher apply another layer of cuticle remover.

Step 6

Place the angled end of the cuticle pusher on the nail plate and lightly push back the cuticle area. The dissolved non-living tissue will come away from the nail plate as well as the fingertip. The cuticle remover will not dissolve living tissue. Be gentle and careful not to push down onto the nail plate too hard, or you can scrape layers of nail plate off.            

Step 7

Use the nippers to trim away any loose, white skin that is identifiable as not living tissue. It is critical not to cause damage to the living tissue.

Before and After

Appearance and personal hygiene are significant even for reasons you don’t realize. When you look good, you feel good, and when you accomplish something even as simple as a home manicure, you feel pride and improve your self-esteem. And anyone thinking it takes too much time, think of it like this. It takes time to apply nail polish and let it dry than it does to clean up your free edge and cuticles. Now to learn how to polish your nails, so you don’t end up staining them like Jane, head over to http://bit.ly/polishnails.

Before and After Manicure

http://cosmetologyapprenticeship.com/meticulousmanicurist/483-2/

250K Subscriber Giveaway Enter to Win!

I promised a Big Giveaway when I hit 250k subscribers and that just happened! Would you like to win a customized pedicure with me, The Meticulous Manicurist? Depending on where you live and your ability to travel I may fly to your city and perform your service in a host salon or I will fly you to my city and perform the service in my salon. I will also pay for your hotel stay if you come to my city. Good luck everyone!

Rules to Enter:

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Imperial Feet

Imperial Feet

Imperial Feet is a product line from the Netherlands I fell in love with after using on my clients for a few months. The line promotes healthy nails and feet. I have used many product lines over the years that promise to improve one condition or another to no avail so when I started using this product line I had my skepticism. I was pleasantly surprised when my clients came back the following month with marked improvement in their nail condition.

Nail Micosis-

This product does not contain any water

Nail mycosis – also known as a fungal toenail infection- is hard to treat and not easy to prevent.
This product has been shown to be highly effective in treating nail mycosis. No water and the addition of glycerin and herbal extracts enhances the healing action.
Tea tree oil works effective against bacteria and fungus. Jojoba oil restores the natural balance of the skin by keeping it hydrated and it works antibacterial.

Fissure Cream-

Finally a solution to painful and disfiguring fissures. Also suitable for the hands. The fissure balm penetrates deep into the fissures.
The essential oils of pines and citrus trees help against very skin. The rosemary oil soothes the skin.
This balm ensures a quick recovery.

Athlete’s Feet Treatment_

A highly effective treatment against athlete’s feet. Athlete’s feet is a fungal infection on the foot and between the toes. Many people suffer from this fungal skin infection, as well as tackling itchiness and peeling skin. The solution is rich in vitamine E that nurtures the skin and promotes softer, more nourished skin. Aloe vera soothes the skin and serves as an anti-inflammatory. The glycerine keeps the skin soft and moist where as almond oil protects the skin and prevents cell damage.

Corns and Calluses Treatment-

The Solution for Corns and Calluses is the easiest, pain-free and guaranteed solution for removing excess corns and calluses. Success is guaranteed due to the clever composition based on lanolin, salicylic acid and walnut shells.
The vaseline soothes dry skin and the salicylic removes dead skin.

 

Foot Balm-

This balm is ideal for treating dry and itchy feet. The balm contains ingredients that are ideal for everyday care.
The rosemary soothes the skin and the eucalyptus improves the skin health.
Quickly absorbed by the skin.

 

These products are now available on my online store 

Top Ingrown Toenail Video Tutorials

I have had so much feedback on my ingrown toenail tutorials and the general consensus is most nail technicians are not cleaning under or around the free edge of the nail as much as they should be. If the nail is cut to an appropriate length it will be less intimidating to work on and around. Impacted toenails should be treated for pain relief during a pedicure service as long as they are not infected. Learn the difference between an ingrown toenail and impacted toenail by watching this tutorial.

 

Everyone should subscribe to my YouTube channel The Meticulous Manicurist Nail Tutorials where I have over 140 videos and a new video every week.

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Did you know only about 50% of discolored or thickened, dystrophic-appearing, nails have a fungal infection?

Did you know only about 50% of discolored or thickened, dystrophic-appearing, nails have a fungal infection?

It is possible for the layman to believe a thickened nail must mean a nail fungus is present. When concern a person has a nail fungus presents itself, before treating them cosmetically, it is best to refer the person to their general practitioner who can refer them to a podiatrist or dermatologist to correctly identify the condition if needed. Only about 50% of discolored or dyst

Onychomycosis

rophic-appearing nails have a fungal infection confirmed with culture. And 20% of the adult population has onychomycosis, nail fungus.

Thickened Toenail Caused by Chemotherapy

 

There are many other causes for a nail to become thickened or discolored. Treatment like chemotherapy can cause changes in the nail matrix and cause an overproduction of nail cells that form the nail plate. Older people are at an increased risk of nail alterations, including normal age-related changes and disorders that more commonly affect this specific population. Secondary factors are important contributors to pathologic nail changes, including impaired circulation at the distal extremities, faulty

biomechanics, infections, neoplasms, and skin or systemic diseases with nail manifestations.¹

The many other causes of nail thickening and discoloration, which are not a fungus, include:

Onychogryphosis

1. Onychogryphosis thickening and distortion of the nail, typically of the big toe, thought to be due to previous nail bed trauma.²

2. Onychauxis, an overgrowth or thickening of the nail, reveals nothing to the casual observer, the tech, or the doctor. Many times, in fact, onychauxis is a natural part of aging.3

Onychauxis

If the thickening is caused by a fungus it “can sometimes be cured,” says Dr. Schumacher. “When a nail is thick because of a fungal infection” ” treatment of the infection may cure the nail.” In cases like this, the nail may be able to grow in healthy after the primary condition has been resolved. However, if onychauxis is caused by trauma and the matrix is damaged, it’s more likely that the thickness will need to be maintained through regular manicures or pedicures, because the nail may continue to grow in thicker than normal nails. Since a doctor must determine a cause before treatment is recommended, there is not a standard treatment for onychauxis. 4

3. Trauma (tight shoes, nail-biting).

4. Poor foot care.

Eczema

 

Subungual melanoma

 

Lichen planus.

5.  Eczema (irritant or allergic contact dermatitis).

 

6. Lichen planus.

7. Subungual melanoma.

8. Psoriatic nail disease. Psoriasis can affect the skin, nails, and joints. Classically, psoriatic nail disease consists of onycholysis; salmon (oil) spots (discolored areas that represent nail bed psoriasis); an irregular pitting pattern; and onychauxis. The Koebner phenomenon, or the appearance of lesions at the site of in

Psoriasis

jury, can also occur in the nails and may manifest in an asymmetrical presentation. If a patient presents with an onychomycosis-like nail involvement and has failed oral antifungals, one should consider a diagnosis of psoriatic nail disease. Also, if psoriatic plaques and nail dystrophy are present, they do not automatically lead to a diagnosis of psoriatic nail disease. This is why culture and biopsy with negative PAS stain are essential to achieving the correct diagnosis.5

 

9. Bacterial paronychia – e.g., Pseudomonas spp. infection.

Bacterial paronychia

10. Systemic disease – e.g., thyroid disease, diabetes, peripheral arterial disease.

11. Rare systemic disorders – e.g., keratosis follicularis (Darier’s disea

Yellow Nail Syndrome

se), yellow nail syndrome, nail-patella syndrome, pachyonychia congenital.

 

Idiosyncratic drug reaction

12. Idiosyncratic drug reaction (especially tetracyclines, quinolones and psoralens).

 

It is a “nail myth” that “nail thickness is caused by separation of the nail layers.”

The layman explanation to most of the causes of a thickened nail, items in the above list, is due to changes in the matrix which produce the nail cells. Nail cells move up the nail bed after being produced. When the matrix experiences change due to trauma, circulation or disease, it can create an overproduction of nail cells creating the thickened nail.

The technical term for layers of the nail separating is Onychoschizia. It is the transverse and lamellar splitting of the free edge and nail plate. The causes are excess wetting and drying of the nail, trauma, nail enhancements or polish, and systemic diseases. But does not include thickening of the nail.

Nail fungus caused by dermatophytes can cause an illusion of a thickened nail. The invasion of the organism causes mild inflammation, the skin under the nail to thicken (focal parakeratosis), and an overproduction of keratin (subungual hyperkeratosis) which push the nail up from the nail bed creating an illusion of thickness.6

Older people are at an increased risk of nail alterations, including normal age-related changes and disorders that more commonly affect this specific population. Secondary factors are important contributors to pathologic nail changes, including impaired circulation at the distal extremities, faulty biomechanics, infections, neoplasms, and skin or systemic diseases with nail manifestations.7

Holding a nail technology or cosmetology license makes you the best advocate for the people who trust and look to you for your expert advice your license gives you, and the knowledge to know when to refer them to a physician. You were trained and tested on nail disorders and diseases. When in doubt always refer to a physician. Holding a nail technology or cosmetology license does not prevent you from educating yourself beyond the nail technology course. Always follow your state board guidelines regarding this topic when it comes to treating your clients cosmetically.

Links to supporting documentation are included in this post.

Definitions that are not explained above.

Nail dystrophy refers to poor nail formation, usually as the result of trauma or infection. When caused by trauma, the nail becomes discolored due to blood pooling underneath the nail. Over time, the nail breaks away from the nail bed until it detaches completely.8

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038811/
  2. https://patient.info/doctor/fungal-nail-infections-pro
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038811/
  4. http://www.nailsmag.com/article/82023/what-is-onychauxis
  5. http://www.podiatrytoday.com/how-treat-dystrophic-nails
  6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038811/
  7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038811/
  8. http://naildystrophy.com/

  For more continuing education on the nail industry visit The Meticulous Manicurist Nail Tutorials

Pedicure Tutorials, Acrylic Nail Tutorials, Hard Gel Tutorials

The Meticulous Manicurist Nail Tutorials

The Art of Hand Massage

The digital edition of Nails Magazine came out today! My tutorial on The Art of Hand Massage is on page 123 with a link to the video on my YouTube channel The Meticulous Manicurist. If you have not checked it out please do. I hope you support my efforts and share with your friends hwsozze. I look forward to another productive year filled with new videos. You can also find blog posts with great information on www.themeticulousmanicurist.com here is the link to the magazine article http://nailsmag.epubxp.com/i/745500-dec-2016
image

How to help a client after someone ruined their nails

How to recognize and recover from damage on the nail plate.

As much as we wish the care of our clients nails was solely in our hands, sometimes the sh@t just hits the fan. So you haven’t seen a client in a few months. Your schedule was too busy and they couldn’t get in or maybe they were out-of-town. But the dreaded thing happened, they saw another nail technician who ruined their nails. How in the world could a nail technician ruin someone’s nails by giving them a manicure you ask? Well I am glad you asked. Take a look at the picture
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here on the right. Tell me what you see. What color do you see in her nail that should not be there? Let’s start at the bottom and work our way to the tip. We see her healthy looking Lunula, the flesh-colored nail and then wham dark pinky red color followed by a peeling thinned out free edge. Someone filed the top of her nail plate with something other than a 240 grit buffer! That dark pink color is a thinned out section of her nail. The surface of the nail plate has been removed and we are super close to the nail bed. File a few more layers off and she will have a hole in her nail! Her nails feel vulnerable when you touch them, so let’s not touch that area at all. buy cialis

Who knows how long this is going to take to grow out? If a nail grows 1/8″ every couple of weeks this is going to take about 4 months to grow out and become strong again. Here is a photo of the pinky on the right hand. You can see the color change in this nail plate as well.

img_1553

I would normally suggest having a thin layer of acrylic applied just over the damaged area and let it grow up and off. But she is an artist who works in too many solvents. The acrylic would never last. I don’t want to apply gel polish because I don’t want to take the chance of those paint solvents lifting that off her nail plate and her being tempted to pull it off causing more damage. So we are just going to have to baby these nails. Lots of protein to help make them harder and not bend so easily. Keep them polished and protected. Keep them short, because everything she bumps them into is going to make them split, crack and peel. how to get a viagra prescription from your doctor

So new and old nail technicians alike, let’s learn a lesson from the clients unfortunate experience. Be careful to never apply too much pressure with the buffer block, never use an electric file on the natural nail and never file the top of the nail plate with a nail file. I don’t know for sure what the person that caused this damage used, but I do know it was something stronger than a 240 grit buffer.

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Fruit Acid May Benefit Your Skin But What Do They Do To Your Acrylic Nails

Fruit Acid May Benefit Your Skin

But What Do They Do To Your Acrylic Nails

You have heard terms like lactic acid, malic acid, alpha hydroxy acid and glycolic acid. There are many many skin care products on the market that contain fruit acids that benefit your skin.  They all have great exfoliating properties to help fine lines and wrinkles. But have you ever asked yourself what do they do your artificial nails? I don’t think that is even on people’s radar when they are applying anti aging products to their face. But it is a real struggle, not only in skin care products but in food you may handle. Lifted acrylic caused by fruit acid exposure

For demonstration purposes I am using a client of mine who wears acrylic nails. She never has a problem with lifting, unless it tomato canning or pepper freeing season. Fruit acids are a real thing, they are in foods we handle all the time. Most of the time our nails are protected because we don’t have our nails submerged in foods that contain these acids, or we are wearing gloves. But occasionally, we accidentally expose our nails and end up having a problem with lifting acrylic.

You should be able to tell just from looking at the color of the nail that lifting of the acrylic has occurred. To the untrained eye there doesn’t really look like there is lifting because it is not lifting at the base of the nail. And there is no visible air bubble, but trust me there is. There is staining in between the acrylic on the nail plate from the acids. This instance was caused by boiling hot peppers so she could freeze them. Fruit acids break down the bond of adhesion and the acrylic lifts off the nail plate. It is important to remove this lifting, file the stain off the nail plate and apply new acrylic to the nail. If you were to let this go, she would most likely get Pseudomonas in between the acrylic and the nail plate over the next week. Levitra Pills For Sale

leslie-acrylis-fill-1So the next time you have a client that  does not normally have a problem with lifting, ask them if they have been boiling tomatoes or peppers! And advise them to wear gloves next time to protect their acrylic nails.

You may even have a client that only has a problem with the first two fingers on her dominant hand. This is most likely caused by some kind of cream she is applying to her face.

Oh, I almost forgot the biggest culprit of lifting acrylic nails at holiday and pie baking season. It’s butter! Yep, good old butter. People are kneading their pie dough and that greasy ingredient is penetrating into their nail plate at the free edge causing the nail to pull away from the acrylic.

Always be on the look out for the cause of the lifting acrylic so you can advise your clients how to prevent it in the future. It is always so much easier to fill nails that have problems than it is to do repairs all the time.

 

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Finger Baths Should be Outlawed in Nail Schools

Finger Baths Should Be Outlawed lowest prices levitra

I graduated from Nail Technician School in 1994 and I was taught to use a finger bath to soak the cuticles before starting a manicure. It took me about one month to realize this strategy made no sense what so ever. My favorite subjects in high school and college were science and physics so I had a great understanding about how chemicals and elements affect their surroundings. Many people believe the nail plate to be a solid surface, but it is actually porous. Just like a sponge, it has thousands of tiny holes that can and will absorb water. So if you can imagine how your skin gets soggy when it has been submerged in water for a long period time, your nails get soggy too. buy generic sildenafil online

Our goal when giving you a manicure is to care for your cuticles, relieve your stress with a great hand and arm massage and polish your nails so they last. So if your nails are submerged in a finger bath of water they are being water logged and will not hold they polish for any length of time. vicodin and viagra together

I have had clients come in for a manicure and ask, “Aren’t you going to soak my fingers?” And I tell them, “No, I use a cuticle remover that will dissolve the dead skin so I can removed it more efficiently.” “A finger bath will not dissolve the skin that needs to be remove, it will only water log your nails and cause the polish to chip within a few days.” They are doubting Thomas right away of course, the hand massage at the end usually sways them to think I know what I am talking about. But it is the polish that lasts for 2 weeks that makes them a believer and they are back in my chair. I hear things like, “I have never had a manicure last for two weeks in my life!” “I don’t know what you do different from other nail tech’s but my polish didn’t chip, it just wore off the ends from friction.” lowest price for viagra

Finger baths should not be used as a tool for teaching manicures. Even if they need to charge more for the tuition to purchase cuticle remover, they should purchase cuticle remover! And if there is anyone out there still doubting this theory, try it yourself. Use cuticle remover on one hand and soak the other hand for 5 minutes in water. Then polish both hands, see what hand chips and which one lasts. But you really should take my word for it and ask your manicurist to stop using a finger bath and start using cuticle remover so your manicure lasts for a much longer period of time 🙂