Why Do Ingrown Toenails Become More Common with Age?

Ingrown toenails can occur at any age, but several changes associated with ageing make them more common in older adults.

These changes affect both the nail itself and the surrounding tissues.

The result is that even a minor nail problem may become increasingly uncomfortable or difficult to manage without professional help.

Changes in the Nail

As we age, toenails often become:

  • Thicker.
  • Harder.
  • More curved.
  • Slower growing.
  • More difficult to trim.

A thicker nail edge places greater pressure on the surrounding skin, increasing the likelihood of becoming ingrown.

Difficulty Reaching the Feet

Many older adults find it difficult to trim their own toenails because of:

  • Arthritis.
  • Hip stiffness.
  • Back problems.
  • Reduced flexibility.
  • Poor eyesight.
  • Reduced hand strength.

Attempting to cut the corners of the nail in awkward positions may unintentionally create sharp nail spikes that later become ingrown.

Circulation

Circulation naturally changes with age.

Some older adults also develop peripheral arterial disease, which may delay healing following injury or surgery.

Assessment of circulation is therefore an important part of planning treatment.

Other Medical Conditions

Older patients are more likely to have conditions such as:

  • Diabetes.
  • Peripheral neuropathy.
  • Chronic swelling.
  • Heart disease.
  • Kidney disease.

These conditions do not prevent treatment but may influence the safest management plan.

Medication Considerations

Many older adults take medications that require additional planning before procedures.

Examples include:

  • Blood-thinning medications.
  • Immunosuppressive medications.
  • Corticosteroids.
  • Medications affecting wound healing.

Your clinician will review these before recommending treatment.

Is Surgery Still an Option?

Yes.

Age alone is not a reason to avoid surgery.

Many older patients undergo successful partial nail avulsion with excellent outcomes.

The decision is based on overall health rather than chronological age.

Evidence Update

Age alone is not associated with poor outcomes following minor nail surgery. Careful assessment of circulation, diabetes and other medical conditions is more important than the patient's age itself.

Patient Tip

If you struggle to reach your feet safely, arrange regular professional nail care rather than attempting difficult self-treatment.