A Case of Distal Nail Embedding Successfully Treated With a Slit-Tape Strap Taping Method

Ingrown nails are a common condition, typically affecting the great toe, and are classified into lateral ingrown nails, retronychia, and distal nail embedding (DNE). DNE occurs when the nail plate's distal edge embeds into the nail fold, often following onycholysis or nail avulsion, with hypertrophy of the hyponychium obstructing nail growth. This condition causes nail discoloration, thickening, and pain, requiring treatment to restore proper nail growth. While surgical and conservative treatments are available, conservative approaches such as taping are more accessible but can be hindered by sweat or exudate. The slit-tape strap taping method, originally designed for pincer and lateral ingrown nails, provides superior adherence and longitudinal tension. We report a successful case of this method applied to a 22-year-old woman with DNE, resulting in full resolution of the condition and improvement in nail thickening after 17 months. This case highlights the slit-tape strap taping method as an easy-to-apply, noninvasive, and effective treatment for DNE.