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Home Remedies for Retronychia: Say Goodbye to that Sore Toe!

Updated: Apr 27

Retronychia may not be a term everyone knows, but it is a condition many people encounter. This problem arises when the toenail grows into the cuticle, usually in the big toe, leading to pain, swelling, and sometimes an infection (or - worst case scenario - infection after infection; paronychia). In this post, we'll explore effective home treatments that can help you manage retronychia and maintain healthy toenails!


Understanding Retronychia


Retronychia typically affects the big toe. The initiatory factor is usually trauma; that could be a single event (a BIG stub into something), or repeated trauma over time (e.g. walking downhill for a long period in ill-fitting shoes). The nail will stop and start growing second to the trauma, usually a few times, causing it to 'grow backwards' (although, not really) and ingrow at the cuticle (rather than at the sides of the toenail, as in typically ingrowing toenails/onychocryptosis). Though it shares some similarities with typical ingrown toenails, retronychia has distinct characteristics.


Ignoring this condition can lead to significant discomfort, tenderness, and swelling. In severe cases, infection could develop, resulting in a painful, smelly mess that will not get better by itself. Fortunately, you can take steps at home to relieve symptoms and treat the condition.


Identifying Signs and Symptoms of Retronychia


Recognizing retronychia early can lead to quicker relief. Here are the main signs and symptoms:


  1. Pain and Discomfort: A sharp, aching pain around the base of the toenail, starting mild but potentially worsening.


  2. Swelling and Redness: Noticeable inflammation can make even simple movements painful.


  3. Nail Thickness: The affected toenail might appear thickened or discoloured (typically yellow or white).


  4. Discharge: If infected, you may see discharge or pus (or a green-tinged blister at the base of the nail) indicating more urgent treatment is required - see a podiatrist.


Being aware of these signs can lead to early intervention and better outcomes.












Effective Home Treatments for Retronychia


Now let’s look at actionable home treatments that can provide relief from retronychia:


1. Warm Soaks


Soaking your feet in warm saltwater is one of the easiest and most effective remedies.


Here’s how to do it:


  • Fill a basin with warm water.

  • Add one or two tablespoons of table salt and dissolve

  • Soak your feet for 20 minutes, 2-3 times daily.



2. Tea Tree Oil


Tea tree oil is renowned for its antibacterial and antifungal qualities, making it a great choice for preventing infection.


  • Dilute a few drops of tea tree oil with a carrier oil, such as castor oil (also naturally anti-inflammatory), to prevent skin irritation.

  • Apply the mixture to the affected area with a cotton ball.

  • Do this 1-2 times daily.


This remedy can help reduce inflammation and promote healing. A study showed that tea tree oil can reduce symptoms of infection in 78% of cases when used consistently.


3. Proper Nail Trimming


Regularly trimming your toenails is an essential part of preventing retronychia from returning. This is particularly important if you are a walker/hiker or do a lot of exercise.


Tips for proper trimming:


  • Always cut your toenails straight across; do not round the edges.

  • Use sharp, clean nail clippers to avoid causing unnecessary trauma to the skin.


Regular trimming decreases the likelihood of problems caused by friction from footwear, by keeping nails at a manageable length. As a rule of thumb, the free edge of the toenail should be in line with the pulp of the toe.


4. Use of Antibacterial Ointment


If you suspect an infection, over-the-counter antibacterial ointments can be beneficial, such as brulidine, savlon or germolene when used alongside saltwater baths.


Steps to follow:


  • Gently clean the affected area using saltwater or Clinisept+.

  • Apply a thin layer of the antibacterial ointment directly on the nail and surrounding skin.

  • Cover with a sterile bandage to keep it protected.


5. Footwear Choice


The shoes you wear can significantly affect your recovery and comfort.


Suggestions for better footwear:


  • Choose shoes with a wide toe box to avoid pressure on your toes. Trainers are a good option.

  • Steer clear of tight shoes, slip-ons and high heels.


6. Hydrocortisone


Hydrocortisone 1% cream is available to purchase online or in any pharmacy without prescription. It is an anti-inflammatory and will help curb uncontrolled inflammation - which is what causes the pain and swelling seen in retronychia. This can resolve the issue in some cases, particularly if used in conjunction with saltwater baths.


Apply a pea-sized amount to the affected toe and allow to soak in for 10 minutes before applying socks and shoes.


  1. Ibuprofen Gel This will help ease the pain and inflammation. It may be enough to halt the inflammatory process so that the toenail will resolve without further intervention, but if the pain persists, or the toe becomes infected, you must seek professional guidance. You could opt for a video consultation if you cannot attend clinic. Apply a pea-sized amount to the affected toe and allow to soak in for 10 minutes before applying socks and shoes.

  2. Pain Relief

    It won't solve the problem, but when the toe is really blummin' sore, smear a lick of Vagisil on it! It's an anaesthetic cream so will soothe the pain. It won't sort the problem out, but it can take the pain out of the situation whilst you suss out what to do next!


  3. Chemical Avulsion Apply a 40 or 50% urea cream to the affected toenail, under occlusion (a plaster), repeat daily for up to 10 days. This will soften the problematic nail so that it can be gently peeled away from the nail bed, to allow a new (hopefully non-damaged) toenail to grow in it's place. It's important that the toe is not infected if trying this option.


    When to Seek Professional Help


While some cases of retronychia can be treated at home, some situations call for professional care by a qualified podiatrist:


  • If you experience intolerable pain despite treatment efforts.

  • If you observe signs of moderate to severe infection, such as increasing redness, swelling, pus, or you begin to feel generally unwell (in the latter case, contact your GP or 111).

  • If there is no improvement after several weeks of at-home care.


A podiatrist can provide a tailored treatment plan and ensure a swift recovery. Minor surgery can be performed where indicated.


Your Path to Healthy Feet


Managing retronychia can be challenging, but with these home treatments, you can find relief and regain comfort in your feet. From warm soaks to proper nail care and choosing the right footwear, these simple methods can help alleviate symptoms and encourage healing. The advice given here is not a replacement for medical care - if you are in any doubt, please consult your GP or a registered podiatrist.


Book an appointment with Felicity here. Video consultations are available if you live outside of Oxfordshire.


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