Painful ingrown toenails can stem from many reasons. Tight shoes, unsanitary pedicures or even a growth from the bone under the nail. Please don't self treat these, as they can lead to infections and require more invasive treatment. I recall many diabetic patients of mine that have left ingrown toenails go too long. Unfortunately many of them got infected so bad by the time they came into the office the toe became gangrene and needed to be amputated. Anyone is at risk for antibiotic resistant bacteria that can cause these infections. If you have an ingrown toenail that may be infected come on in for an evaluation. We also offer treatments for non infected ingrown nails to permanently remove the problem.