U.S. doctors online nowAsk doctors free
A member asked:

How to stop granulation tissue of toenail i am 53 non-diabetic healthy female with chronic ingrown toe-nail, which i usually manage conservatively. about 10 days ago it became infected and formed an area of pus, which has drained and now appears to be he

4 doctor answers7 doctors weighed in
Dr. Howard Fox
Podiatry 44 years experience
You're : You're describing something called a pyogenic granuloma. It's not all that uncommonly associated with an infected ingrown toenail. When an ingrown toenail is removed (more on that later), any granulation tissue present is usually also removed while your toe is numb, and whatever material is used to cauterize the nail root is also used on the pyogenic granuloma to cauterize that as well. Between that and a course of antibiotics, the pyogenic granuloma disappears. When i say "removed, " i mean the little procedure to remove that piece of nail that's inside your skin followed by some kind of cauterization. Short of this, merely cutting away a corner, or anything that can be done without the need for anesthesia, is doomed to fail. At best, you'll get some temporary relief, but it almost always returns. More and more doctors are offering some kind of discounted fee for the ever-growing population with no health insurance. We charge $45 per visit, which includes any procedure, and since an ingrown toenail procedure is, on average, a 2-visit event, uninsured patients end up paying $90 to get their ingrown toenail fixed. I'm sure if you make a bunch of calls, you'll find someone willing to reduce their fee to get this thing done right, once and for all. Soaks and advil (ibuprofen) aren't going to cut it. You really must go to a podiatrist and get the thing fixed. Hope this helps. Good luck and feel better!
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Leo Krawetz
Podiatry 29 years experience
See a Podiatrist: Granulation tissue forms from a chronic ingrown toenail. In order to stop it, the offending painful nail border must be removed and the area where the nail is produced must be chemically cauterized. This is a very simple office procedure which takes five minutes and is painless under local anesthesia. http://youtu.be/l8roh179tas leo krawetz, dpm, facfas.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Jeffrey Bowman
40 years experience
Infection: Needs to be treated which will help reduce the size of the tissue but since it is chronic a very simple procedure can be performed in the office and get rid of it forever. Hope this helps.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Payam Rafat
Podiatry 24 years experience
Nail care: The ingrown part of the nail is not always visible. Try soaking your foot in warm water, removal of embedded debris from the nail borders, and applying an antibiotic ointment to temporarily soften the corners. If you have redness and drainage, get it looked at by a professional, as you may need to be prescribed antibiotics and you need to have the ingrown nail border removed.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Jul 2, 2018


Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.