The evaluation of an ingrown toenail includes a history and physical exam.

Physical findings in someone with an ingrown toenail may include:

• Red skin next to the toenail
• Swelling next to the toenail
• Tenderness next to the toenail
• Tenderness of the toenail

No testing is necessary to make the diagnosis of an ingrown toenail.

Tests that may be used to evaluate an ingrown toenail include:

• Toe x-rays
• Wound culture:
• Culture of pus draining from the skin