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Published on: 4/7/2025

What Could Be the Reasons for Persistent Toenail Pain?

Persistent toenail pain can be caused by an infection, an ingrown toenail, trauma, or nail changes related to age.

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Explanation

There are several reasons why you might have ongoing pain in your toenail. One common cause is an ingrown toenail, where the corner of the nail digs into the skin, causing pain, redness, and sometimes pus. An infection, such as paronychia, can also make the area painful; this happens when germs enter near or under the nail, leading to swelling and tenderness. Sometimes, repeated minor injuries or trauma to the nail can cause persistent pain. For older people, changes in the nail due to age can also lead to discomfort, as the nails may become thicker, more brittle, or develop a fungal infection like onychomycosis. In these cases, the nail can become misshapen and painful due to pressure from shoes or walking. It is important to watch for signs of swelling, redness, or changes in how the nail looks. If the pain continues or gets worse, speaking with a doctor can help to figure out the exact cause and the best treatment options for you.

(References)

  • Abdullah L, Abbas O. Common nail changes and disorders in older people: Diagnosis and management. Can Fam Physician. 2011 Feb;57(2):173-81. PMID: 21321168; PMCID: PMC3038811.

  • Chabchoub I, Litaiem N. Ingrown Toenails. [Updated 2022 Sep 18]. In: StatPearls [Internet].

  • Dulski A, Edwards CW. Paronychia. [Updated 2023 Aug 7]. In: StatPearls [Internet].

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