Retronychia: What Is It and How Can a Sth Ken Podiatrist Help?

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Retronychia nail

What Is Retronychia?

Retronychia is a painful and often overlooked condition where the nail grows backwards into the nail bed, usually affecting the big toe. The nail instead of growing forward pushes underneath the old nail plate, causing pressure, inflammation, and sometimes infection.

If you’re based in South Kensington and notice a thick, painful toenail that is not improving, you may be dealing with retronychia. At our South Kensington podiatry clinic, we specialise in diagnosing and treating nail pathologies with precision and care.


Signs and Symptoms of Retronychia

Not sure if it’s retronychia? Look out for these common signs:

  • Persistent pain around the base of the big toenail

  • Redness and swelling near the nail fold

  • A thickened or yellowish nail plate

  • Recurrent inflammation or discharge

  • The sensation of “pressure” or a nail being pushed upwards

  • History of nail trauma or repetitive pressure (like running or tight shoes)

Early diagnosis is key. If left untreated, retronychia can lead to chronic discomfort and even secondary infections.


What Causes Retronychia?

The condition often develops after:

  • Repetitive trauma (running, tight footwear, ballet, hiking)

  • Ill-fitting shoes that compress the nail

  • Toenail injury – dropping something heavy or stubbing the toe

  • Rapid nail growth following previous nail loss or illness

  • Post-surgical complications (after nail surgery or toe surgery)


Why Choose Our South Kensington Podiatry Clinic?

We’re proud to be one of the leading podiatry clinics in South Kensington, offering advanced assessment and treatment for complex nail disorders, including retronychia.

Experienced HCPC-Registered Podiatrists

Pain-Free Minor Nail Surgery Options

Digital Imaging & Diagnosis

Tailored Treatment Plans

Aftercare & Recovery Support

We understand the impact painful nails can have on daily life – and we’re here to help you walk comfortably again.


How Is Retronychia Treated?

Treatment depends on the severity of your retronychia.  Here we provide both conservative management and surgical options.

Conservative Treatment (Early Stage)

  • Offloading pressure (footwear advice, orthotics)

  • Antiseptic soaks and anti-inflammatory management

  • Where possible nail debridement can be offered if appropriate

Surgical Treatment (Established Cases)

  • Partial or total nail avulsion under local anaesthetic

  • Removal of embedded nail fragments

  • Post-procedure dressing and follow-up

Our approach is minimally invasive, pain-managed, and focused on preventing recurrence.


Book a Consultation in South Kensington

If you’re experiencing any of the symptoms of retronychia, don’t ignore it. Prompt assessment and treatment can prevent long-term damage and discomfort.

📍 Visit our South Kensington clinic for a comprehensive foot health assessment.
📞 Call us on + 44 (0) 207 101 4000 or
📧 Book online at https://thechelseaclinic.uk/book-online/


FAQs About Retronychia

❓ Is retronychia the same as an ingrown toenail?

No. While both affect the nail, retronychia involves backward growth under the nail plate, while ingrown nails grow into the skin at the sides.

❓ How long does retronychia surgery take to heal?

Typically, 2 to 4 weeks for initial healing, with full regrowth of the nail taking several months.

❓ Can I still walk or work after treatment?

Yes – most patients return to light activity within 3 – 7 days of the procedure depending on the treatment provided.


Final Thought:
Nail pain is never normal. If your big toe feels sore, swollen, or strange, don’t wait. Come see us at our South Kensington podiatry clinic – your feet will thank you.

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Paola Ash at the Chelsea Clinic

At The Chelsea clinic we have a very specific skill set with regards the foot and ankle. Pleased to offer a bespoke service which is tailored to the individual. With over 20 years experience in the Fitness and Healthcare industry we are registered and qualified with the Health Care Professions Council, the College of Podiatry and the General Osteopathic Council.