Intended for healthcare professionals

Rapid response to:

Clinical Review

The management of ingrowing toenails

BMJ 2012; 344 doi: (Published 03 April 2012) Cite this as: BMJ 2012;344:e2089

Rapid Response:

Re: The management of ingrowing toenails

Toenail fungus (onychomycosis) and its accompanying inflammation (paronychia) are common, chronic, painful conditions. In my experience, both respond well to tea tree oil (melaleuca oil), which is applied topically and locally once or twice a day, and which may obviate the need for surgery and/or potentially toxic medications. I also advise that patients refrain from trimming cuticles, because this can break the waterproof seal around the nail bed, and create an environment for fungus. (1)


Competing interests: No competing interests

06 April 2012
Hugh Mann
Eagle Rock, MO, USA