A very distressing sight in a baby is when the side of a toenail is red and swollen. Added to that is that the nail appears to be ingrown. I see this most often at 6 weeks of age. Many times the parent has already taken the baby to the pediatrician and oral antibiotics hav been started. The worry begins when the problem does not get better or starts again after the antibiotics have run out. Most of the time I train the parents on how to apply a topical antibiotic and pull the skin away. Occasionally I need to trim the corner as well. Either way the parents are then instructed on how to prevent this problem in the future.