<s>[INST] 7 years ago I crushed my left ankle. It required surge and 7 screws to more or less repair it. the nerve damage has caused my left toes to be stiff and raised or humped up. Is has not been an issue until recently. The big toe is not bent so much but has become sore on both sides of the nail. But not what I would describe an in grown. But seems to me to be caused by the toe not flexing and causing excessive pressure on the deep down sides of the nail. In trying to read about the what might be the cause I discoverd the Paronychia issue . wondering If that could be the problem. Thanks for your consideration. Roger Brown 74 year old , 190 lb. male [/INST] Hello, Thanks for writing to us, I have studied your case with diligence.Yes this can be arthritis.You may need MRI /x ray of ankle and foot and spine.Shoe/footwear should be with soft sole. You can use silicon pad insoles.Start plantar exercises consulting physiotherapist also Physiotherapy like TENSTake calcium supplement with vit D. Paronychia can be treated with medicine.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. </s>