Ingrown Toenails in Children: Causes, Care & When to See a Specialist  
LocationsOur Locations
Menu
WhatsApp Ask a Podiatrist WhatsApp Book An Appointment

Blog

What you need to know about physiotherapy and podiatry.

Ingrown Toenails in Children: What Parents Should and Should Not Do

Physio&SoleClinic Ingrown Toenails, Podiatry February 12 2026

Written by Ng Jia Lin, Principal Podiatrist at Women & Children’s Centre and Physio & Sole Clinic.

If you’re reading this, chances are your child is limping, crying, or refusing to let you touch their toe — and you’ve noticed a red, swollen corner of the nail that looks painful.

As a clinician, I want you to know this first:

Ingrown toenails in children are very common — and in most cases, very treatable.

But I also understand how worrying it can feel as a parent. Something that seems small (just a toenail!) can quickly become stressful when your child is in pain.

This guide will walk you through what parents in Singapore should do — and what you should avoid — when dealing with an ingrown toenail, with practical, evidence-based advice.

Why Do Ingrown Toenails Hurt So Much?

An ingrown toenail happens when the edge of the nail grows into the surrounding skin instead of over it.

This most often affects the big toe, and in children, it can develop surprisingly quickly.

The skin around the nail becomes irritated, inflamed, and sometimes infected. That’s why something as small as a nail corner can cause:

  • Pain when walking
  • Swelling and redness
  • Sensitivity to touch
  • Fussiness in toddlers or babies
  • Difficulty wearing shoes

Parents often tell me:

“It looked like nothing yesterday, but today it’s so red and painful.”

That’s because toes are under constant pressure — from shoes, socks, running, and even bed sheets.

How Do I Know If My Child’s Ingrown Toenail is Infected?

This is of utmost importance.

Signs of infection include:

  • Increasing redness spreading beyond the nail corner
  • Swelling that worsens over 24–48 hours
  • Warmth around the toe
  • Yellow or green pus
  • A bad smell
  • Significant pain
  • Fever (rare, but serious)

If you see pus, infection is likely.

In Singapore’s humid climate, infections can develop quickly, especially when children are active and feet sweat in shoes all day. Do seek treatment urgently if infection presents. 

What are The Causes of An Ingrown Toenail in Children?

Ingrown toenails in children can happen easily— and it’s usually not because of anything serious. In most cases, it comes down to everyday factors that put pressure on the toenail or affect how it grows.

Here are the most common causes I see in children:

  • Improper nail trimming
  • Tight footwear
  • Repeated toe trauma
  • Picking or tearing nails
  • Natural nail shape (wide or curved)

The good news is that most of these causes are preventable, and with the right trimming habits and footwear choices, ingrown toenails can often be avoided in the long term.

Did I Trim My Child’s Toenail Wrongly?

This is one of the first questions parents ask — and please don’t blame yourself. Yes, toenail trimming is one of the biggest causes of ingrown toenails in children, especially when nails are:

  • Cut too short
  • Rounded at the edges
  • Trimmed into a curved shape
  • Left with sharp spikes at the corners

Children’s nails are softer and grow quickly, so small mistakes can easily lead to the nail edge pressing into the skin.

The good news? This is very preventable going forward.

How Should I Trim Toenails Properly to Prevent Ingrown Nails?

Here are my clinician-approved tips for proper nail trimming:

DO:

  • Cut nails straight across, not curved
  • Leave a small visible white edge (don’t cut too short)
  • Use proper nail clippers (not scissors)
  • File sharp corners gently instead of cutting them off
  • Trim after a bath when nails are softer

DON’T:

  • Dig into the sides
  • Cut deep into the corners
  • Tear or peel nails

In Singapore, where many children wear covered school shoes daily, proper trimming is especially important to reduce pressure.

How Do Tight Shoes Cause Ingrown Toenails?

Tight footwear is one of the most overlooked contributors. Shoes that squeeze the toes can push the nail edge into the skin over time.

This is common in:

  • Rapidly growing children
  • Kids wearing hand-me-down shoes
  • School shoes that fit “just nice”
  • Sports boots (football, futsal, etc.)

A simple check:

Your child should be able to wiggle their toes comfortably.

If the toe box is narrow, switching to a wider fit can make a big difference.

What You Can Do at Home (Safe Early Care)

If the ingrown toenail is mild and there are no signs of infection, home care can help in the short term.

1. Warm salt water soaks

Soak the foot in warm water for 10–15 minutes, 1–2 times daily.

This helps:

  • Reduce swelling
  • Soften the nail
  • Ease discomfort

For younger children, soaking during bath time works well.

2. Keep the toe clean and dry

After soaking:

  • Pat dry gently
  • Avoid tight socks
  • Avoid covered shoes when possible

However, it’s important to understand that while these steps may soothe the symptoms, they often do not fully solve the underlying problem — especially if a small nail spike is already embedded in the skin. In many cases, you will still need to consult a podiatrist to safely trim away the offending edge and gently lift the nail so it can grow out properly.

Why Ingrown Toenails Can Get Worse With DIY Fixes

When your child is in pain, it’s natural to want to fix it immediately.

Many parents try things like:

  • Cutting the nail corner out
  • Digging at the skin
  • Lifting the nail aggressively
  • Applying antiseptic and hoping it goes away

Unfortunately, these well-meaning actions can sometimes worsen the problem.

In our podiatry clinic, I often see children whose ingrown nail became more inflamed because the area was repeatedly picked at or trimmed too deeply.

So let’s answer the most common parent questions clearly.

Do not attempt lifting if:

  • Your child is resisting or in pain
  • The skin is broken
  • There is pus or bleeding
  • You’re unsure what you’re doing

Children’s toes are sensitive, and improper lifting can cause more trauma. If the nail is deeply embedded, it’s safer to let a podiatrist handle it.

What Happens at a Podiatry Clinic Visit?

Many parents worry the treatment will be scary or painful. Let me reassure you, most children do very well with proper care.

At our podiatry clinic in Singapore, we will:

  • Gently remove the offending nail edge
  • Clean and treat any infection
  • Apply cotton packing to gently separate the skin and nail
  • Provide topical medication
  • Teach proper nail care
  • Recommend footwear adjustments
  • Apply a nail brace to shape the nail if required

In recurrent or severe cases, a minor procedure may be needed to prevent the nail from growing inward again — but this is typically reserved for stubborn cases. Early treatment usually avoids the need for anything invasive.

Long-Term Ingrown Toenail Prevention for Kids in Singapore

Once the toe improves, prevention is key.

Nail care routine

  • Trim straight across every 2–3 weeks
  • Check corners regularly
  • Avoid overly short trimming before school term starts

Footwear habits

  • Ensure shoes fit well with room for growth
  • Choose breathable socks
  • Rotate shoes to reduce moisture buildup

For sporty kids

Children in football, netball, running, or dance are more prone due to repeated toe pressure.

Make sure sports shoes are not overly tight in the toe box.

Ready to Get It Checked? We’re Here to Help

Ingrown toenails in children may look alarming, but in most cases, they are manageable with early care, proper trimming, and timely professional support.

If your child is in pain, you don’t have to guess or Google your way through it alone.

If your child has an ingrown toenail that looks swollen, painful, or possibly infected — or if it keeps coming back — our paediatric podiatry team is here to help.

We can assess the toe gently, provide safe treatment, and guide you on long-term prevention so your child can walk, run, and play comfortably again.

Book an appointment today or reach out to us for advice — early care makes all the difference.

Physio & Sole Clinic

Phone: 9126 8257

Fax: 6281 1209

Email: contact@physioandsole.com

Whatsapp a Podiatrist: 91754929

Whatsapp a Physiotherapist: 98997967