If the toenail is not too ingrown, it may be treated conservatively during a regular consultation. Sometimes there is a corn under the nail that may be causing the pain and the podiatrist can remove the offending nail/corn and discuss a management plan to prevent it occurring again. The non-surgical treatment of ingrown toenails is generally not too painful but if you would like a local anaesthetic this can be provided for you. If you have been suffering with a re-occurring ingrown toenail, please discuss the surgical option with your podiatrist so that you can consider a more permanent solution. We generally say that if it comes back two or more times, it’s likely to reoccur again and again.