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For the most part really bad ingrown toenails for obvious for the person dealing with the issue because the pain and sensitivity to the delicate area are so great that it's obvious when the area is touched that something is wrong and that one way or another an ingrown toenail solution is needed. For some folks this means fastening a homemade toenail brace while others reach for the nearest available pain relieving topical solution like Outgro which can be found is some major drugstores (CVS, Walgreens, etc.) depending on which region of the country you live in or the over the counter pain relieving medication can be ordered online.
In the most serious cases involving either recurring ingrown toenails, inflamed, or infected toenails the best idea to not try anything drastic that you see on an ingrown toenail removal video and instead talk to some health care providers and your insurance about the cost of ingrown toenail removal.
Of course the term really bad is subjective in many instances in the gray area of the spectrum but certainly if you're considered about a possible infection that appears evident due to discoloration, toe proud flesh, or some other "painfully" obvious indicator please have the problem checked out by a professional ASAP.