Ingrown toe nails are a result of nail borders or margins that dig painfully into the skin, sometimes causing infection. Symptoms include redness, swelling, drainage, and pain. Ingrown toenails are frequently caused by improper nail trimming,but can also be caused by shoe pressure, injury, fungal infection, and poor foot structure. Infected ingrown toe nails are trimmed and drained under sterile technique with local anesthetic in the office. If the ingrown toenail is chronic or reoccurring, then a permanent corrective procedure for the removal of the offending nail border can be performed while keeping the rest of the nail normal. Patients are able to walk and return to normal activity and work right away. Toenail pain is never a normal occurrence and can potentially lead to infection or other complications.