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Speaker 1: You're listening to the Saturday Morning with Jack Team podcast

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Speaker 1: from News Talks AB.

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Speaker 2: Doctor Brian Betty is here talking in grown toenails this morning,

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Speaker 2: you get all the glamorous subjects. Brian, Well, what actually

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Speaker 2: are in How do we recognize them?

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Speaker 1: Yeah?

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Speaker 3: Look, look really really common. We see them all the

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Speaker 3: time and they typically occur when the corner of the

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Speaker 3: side of the toenail, especially the large tone, grows into

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Speaker 3: the surrounding skin. So this occurs in the big toenail,

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Speaker 3: often on the outside of the toenail, and we start

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Speaker 3: to sort of see pain along the edge of the toenail.

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Speaker 3: People come in and sort of say, oh, it's really painful.

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Speaker 3: Starts to get a bit red at the edge of

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Speaker 3: the toenail. There's a bit of swelling that starts to occur,

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Speaker 3: and it's very very tender to touch, so people say, oh,

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Speaker 3: touch it. It's really really sore. So very very common,

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Speaker 3: and it's where this nail starts to grow under the

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Speaker 3: skin and cause a problem.

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Speaker 2: What actually causes them, Look.

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Speaker 3: The commonest thing is badly cut toenails. So if they

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Speaker 3: are cut too short or the edges around the nail

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Speaker 3: can start to grow under the skin. So that's probably

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Speaker 3: the commonest thing we see now. Very tight fitting footwear

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Speaker 3: starts to put pressure on the nail and curve the

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Speaker 3: nail under, which can make it grow under the skin

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Speaker 3: or actually injuring the nail. So if you stub your toe,

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Speaker 3: or if you're a runner and there's recurrent pressure or

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Speaker 3: trauma on the side of the nail, that can actually

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Speaker 3: set you up to do it more uncommon causes genetics

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Speaker 3: sometimes cause rounded toenails, and actually occasionally medication, so a

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Speaker 3: medication called isotrenin that we use to treat acne can

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Speaker 3: actually set up conditions for ingrown toenails to occur. So, yeah,

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Speaker 3: who would have guessed happens?

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Speaker 2: How do you treat them?

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Speaker 3: Look, if they're very early, then just warm salt water

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Speaker 3: baths for about soaking the feet in salt water for

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Speaker 3: about well fifteen twenty minutes softens the skin and softens

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Speaker 3: the nail. Then what you can do is just lift

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Speaker 3: the edge of the nail and pop a little bit

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Speaker 3: of cotton wool under it and it allows the nail

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Speaker 3: to grow out. It's a really really easy thing that

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Speaker 3: you can actually do and obviously wear more comfortable footwear

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Speaker 3: now Occasionally, because the skin is broken, bacteria get down

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Speaker 3: under the skin and you can get an infection, so

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Speaker 3: antibiotics become required. And where those simple measures don't work,

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Speaker 3: you actually need a simple procedure done under local anesthetic

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Speaker 3: called nail the vulsion. That's where we cut away the

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Speaker 3: side of the nail, put some chemical on it to

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Speaker 3: stop it growing back, and it cures the problem. So yeah, yeah,

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Speaker 3: that's where you end up. If it continues to be

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Speaker 3: a problem.

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Speaker 2: Can you prevent them?

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Speaker 3: Look, you can. The big thing is cutting your nails,

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Speaker 3: So allow the nails to grow out a bit and

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Speaker 3: cut them square and not round, and that tends to

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Speaker 3: reduce the chances of it happening. Obviously, avoid tight shoes,

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Speaker 3: as we've talked about, because they can put pressure on

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Speaker 3: that nail edge. And look, keep your feet clean, dry,

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Speaker 3: because if we know that your feet are sweaty, it

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Speaker 3: sort of softens the nails, allows them to curve over

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Speaker 3: a bit and can actually start to grow under the skin.

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Speaker 3: So some basic things you can do to try and

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Speaker 3: prevent them happening.

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Speaker 2: Hey, thank you, Brian. Doctor Brian Biddy with us this

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Speaker 2: morning for

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