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What are the common misunderstandings about cutting nails and ingrown toenails?

This answer is a draft. It stays unpublished until legal review and source verification are complete.

The answerThe biggest misunderstanding is "toenails should be cut short and rounded to be clean and safe." Cutting toenails short and round lets the corner of the nail dig into the skin (ingrown nail, 陥入爪, kannyūsō) and causes pincer nails (巻き爪, makizume), where the nail curls sideways. The basics: cut level with the tip of the toe, straight across (square), and file only the corners slightly (square-off). Do it after a bath when the nail is soft, and never cut too short.

Few people are ever taught how to cut their nails, and "short and rounded" is taken for granted worldwide. Yet that is one of the main causes of pincer nails and ingrown toenails. The Japanese Dermatological Association and the Japanese Society for Foot Care and Podiatric Medicine recommend the "square-off" cut instead.

How to cut

ItemToenailsFingernails
ShapeSquare-off: cut straight across and round only the corners slightly with a fileRounding is fine, but do not cut too short
LengthLevel with the toe tip or slightly longer (0–1 mm)Slightly shorter than the fingertip
TimingAfter a bath (nails are soft)Same
ToolsStraight-edged clippers or nail nippers. Cut in several small snips, not oneNail clippers
FilingIn one direction, not back and forthSame
FrequencyAbout once a month (toenails grow at half the speed of fingernails)Once a week
CuticlesDo not force them off. Push back gently at mostSame
ProblemWhat it isWhat to do
Ingrown nail (陥入爪)The corner of the nail digs into the skin: redness, pain, pusStop cutting short; switch to square-off. For pain or pus, see a dermatology or plastic-surgery clinic (taping, wire correction, surgery)
Pincer nail (巻き爪)The nail curls sideways. Cutting too short, ill-fitting shoes, ageing, the way you walkShoe size (see our article on wearing shoes); correction (often not covered by health insurance)
Nail fungus (爪白癬, onychomycosis)Thick, cloudy white to yellow, brittleDermatology clinic (oral or topical medicine over several months)
Nails in older peopleThick and hard, cannot cut them yourselfFoot care (nursing, care services), dermatology clinic
[Verify] Check the square-off recommendation against materials from the Japanese Dermatological Association and the Japanese Society for Foot Care and Podiatric Medicine.

Misunderstanding 1|Cut toenails short and round

The main cause of ingrown and pincer nails. Level with the toe tip, straight across, corners only.

Misunderstanding 2|If the corner digs in, cut the corner deeper

A vicious circle: it digs in further. Let it grow and return to square-off. For pain or pus, see a dermatology or plastic-surgery clinic.

Misunderstanding 3|Nail clippers can be shared within the family

A route of infection for nail fungus (athlete's foot). One per person, or disinfect.

Misunderstanding 4|Thick cloudy nails are just age

It may be nail fungus. A dermatology clinic can test it (a few minutes); the medicine takes months. Left alone, it spreads to the feet as athlete's foot.

Misunderstanding 5|Pincer nails have nothing to do with shoes

Pointed shoes, shoes that are too small and heels are among the main causes of pincer and ingrown nails. Leave room at the toes and fit the heel snugly (see our shoe article).

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Sources

https://www.dermatol.or.jp/qa/

https://jfcpm.org/

https://www.dermatol.or.jp/uploads/uploads/files/guideline/

⚠️ Editorial note: the source URLs above were identified by search. Our working environment cannot reach go.jp domains, so the contents have not been checked against the text. Verify every source before publication and record who checked it and when.

About this article

What we share here are ideas and everyday practices passed down among people living in Japan, together with general information drawn from public sources. They are not official recommendations, and they are not professional instruction. Practices vary between households and regions.

This is general information. Results vary from person to person and depend on your own conditions and surroundings.

Please decide for yourself, using your own judgement, whether any of this suits your situation. We cannot accept responsibility for any damage, loss or injury arising from following this article.

This article is not meant to diagnose or manage any specific medical condition. If you are worried about your health, see a doctor rather than relying on your own judgement.

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