{"id":6348,"date":"2021-12-15T08:47:20","date_gmt":"2021-12-15T08:47:20","guid":{"rendered":"https:\/\/isbipe.com\/2021\/12\/15\/onychocryptosis\/"},"modified":"2021-12-15T08:47:31","modified_gmt":"2021-12-15T08:47:31","slug":"onychocryptosis","status":"publish","type":"post","link":"https:\/\/isbipe.com\/en\/onychocryptosis\/","title":{"rendered":"ONYCHOCRYPTOSIS"},"content":{"rendered":"[vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; bg_image_animation=&#8221;none&#8221;][vc_column_text]\n<h2><b>My child has a very painful toenail, what should I do?<\/b><\/h2>\n<p>&#8211; \u201cOnychocryptosis\u201d[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; bg_image_animation=&#8221;none&#8221;][vc_column_text]<span style=\"font-weight: 400;\">La dolencia del <strong>aparato ungueal<\/strong> es unas de las dolencias m\u00e1s comunes en el pie y un motivo de consulta habitual. This affectation of the nail plate is called <strong>onychocryptosis<\/strong>, and consists of the nail becoming embedded in the adjacent soft tissues. The most commonly used term for this condition is <strong>&#8220;ingrown nail&#8221;<\/strong>. (1,2). (1,2)<\/span><\/p>\n<h2><b>What is the reason for this?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\"><strong>Onychocryptosis<\/strong>is multifactorial and can be due to both <strong>extrinsic<\/strong>factors (microtrauma, footwear, inadequate nail cutting, poor hygiene, etc.) and <strong>intrinsic<\/strong> factors (genetic predisposition, malformation of the nail plate, biomechanical alterations, hyperhidrosis, presence of underlying bone pathology, digital deformities, systemic diseases, etc.). (1,3). (1,3)<\/span><\/p>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-6200\" src=\"https:\/\/isbipe.com\/wp-content\/uploads\/2021\/11\/una-encarnada.jpg\" alt=\"ingrown nail\" width=\"996\" height=\"720\" srcset=\"https:\/\/isbipe.com\/wp-content\/uploads\/2021\/11\/una-encarnada.jpg 996w, https:\/\/isbipe.com\/wp-content\/uploads\/2021\/11\/una-encarnada-300x217.jpg 300w, https:\/\/isbipe.com\/wp-content\/uploads\/2021\/11\/una-encarnada-768x555.jpg 768w\" sizes=\"auto, (max-width: 996px) 100vw, 996px\" \/><\/h2>\n<h2><b>How is it diagnosed?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The diagnosis is purely clinical and three degrees are differentiated; (4)<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Initially the <strong>nail plate<\/strong> is compressed but does not penetrate into the adjacent soft tissues. Symptoms are <strong>erythema<\/strong>, <strong>oedema<\/strong> and <strong>pain<\/strong>.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The soft tissues react and produce a <strong>granuloma<\/strong>, resulting in <strong>pain<\/strong> and <strong>oozing<\/strong>in the nail sulcus.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eventually, the nail plate is pushed into the <strong>distal<\/strong><strong>soft tissue<\/strong>, the granuloma is covered with <strong>epithelial<\/strong> <strong>tissue<\/strong>, there is intense pain on <strong>pressure<\/strong>and <strong>hypertrophy<\/strong>of the lateral wall.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">The most affected areas are the external areas of the <strong>first<\/strong><strong>toe<\/strong> of both feet, although it can also occur on <strong>any toe.<\/strong> (1,4) (1,4)<\/span><\/p>\n<h2><b>How is it treated?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The definitive treatment is <strong>surgical<\/strong>; these are painful processes that require anaesthesia and limitation of physical activity, as well as a probability of <strong>post-surgical<\/strong> <strong>infections<\/strong>, so it would only be indicated in <strong>severe cases<\/strong> of the disease.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In <strong>mild cases<\/strong>, <strong>conservative<\/strong><strong>treatment<\/strong>would be indicated, which is divided into <strong>palliative techniques<\/strong> (speculation; removal of the nail spicule embedded in the soft tissue) and <strong>techniques for re-education of the nail plate<\/strong> (metal and plastic orthonyxia, resin nails, cotton wool technique, plastic cannulas, dental floss). These are <strong>painless<\/strong>, uncomplicated techniques, although they are not definitive treatments, as most have long-term recurrence rates. (1,4) (1,4)<\/span><\/p>\n<h2><b>How can this be prevented?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Preventive measures that should be taken to avoid this pathology are the following: <strong>properly fitting shoes that leave enough space around the toes<\/strong>, <strong>keeping the feet clean and dry<\/strong>, <strong>trimming the toenails straight<\/strong>. (1) (1)<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; bg_image_animation=&#8221;none&#8221;][vc_text_separator title=&#8221;Bibliograf\u00eda&#8221; i_icon_fontawesome=&#8221;fa fa-book&#8221; i_background_style=&#8221;rounded-outline&#8221; color=&#8221;blue&#8221; add_icon=&#8221;true&#8221;][\/vc_column][\/vc_row][vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; bg_color=&#8221;rgba(16,61,92,0.04)&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221; shape_type=&#8221;&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; bg_image_animation=&#8221;none&#8221;][vc_column_text]\n<ol>\n<li>\n<h6>Fern\u00e1ndez LL, Carballo L. \u00cdndice : 2019;<\/h6>\n<\/li>\n<li>\n<h6>Palacios-L\u00f3pez C, Fern\u00e1ndez-De-Lara A. Onicocriptosis en ni\u00f1os Onychocryptosis. Acta Pediatr Mex [Internet]. 2019;40(3):166\u20139. Available from: https:\/\/ojs.actapediatrica.org.mx\/index.php\/APM\/article\/view\/1813\/1 137<\/h6>\n<\/li>\n<li>\n<h6>Stoduto Charle M, Palomo L\u00f3pez P. Onicocriptosis en Pediatr\u00eda: estudio cl\u00ednico del tratamiento conservador. Rev Int Ciencias Podol. 2014;8(2):83\u20139<\/h6>\n<\/li>\n<li>\n<h6>Gioseffi ML, Giachetti A, S\u00e1nchez PL, De Freijo S, Sojo M. Onicocriptosis en pediatr\u00eda: Tratamiento conservador y espiculotom\u00eda. Arch Argent Pediatr. 2010;108(3):244\u20136.<\/h6>\n<\/li>\n<\/ol>\n[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>[vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221;&#8230;<\/p>\n","protected":false},"author":3,"featured_media":6278,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[42],"tags":[43,45,44,46],"class_list":{"0":"post-6348","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-scientific-posts","8":"tag-enfermedades-en","9":"tag-ninos-en","10":"tag-pies-en","11":"tag-unas-en"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v18.5 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Onychocryptosis: What is it? 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