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An ingrown toenail occurs when the edges and corners of the nail grow into the surrounding skin. Causes include: incorrect cutting, irregularity of the nail, irregular curved toenails, toenail injury or tight-fitting footwear resulting in the nail growing into the skin and piercing it. Resulting in redness, swelling, pain and signs of infection. The big toe is most commonly affected, either on one or both sides. Older people occasionally get ingrown toenails since their nails naturally get thicker as a person ages. Thicker nails can make them more problematic when cutting and more likely to place pressure on the skin surrounding the nail. Treatment will depend on the severity of the ingrown toenail. In most cases, an ingrown toenail can be successfully treated by either partial nail removal; removing a small section of the affected toenail. In more severe cases treatment may involve removing the entire nail through nail surgery. Left untreated, an ingrown toenail can cause the toe to become infected.