Ingrowing toenail? Nail fell off!

[mollyminniemo]

Hi, my big toe nail came off around 8 months ago. Happens every few years. I run and it happens. It seems to have part grown back verrrrry slowly but the area around my big toe seems permanently swollen (feels very tough not tender not painful) and seems impossible for the toenail to keep growing through/up/around my surrounding skin as it’s so puffy rather than flat.
Sorry for disgusting photo but if anyone is a toenail expert/ has been through similar would appreciate any thoughts. My feet look so horrible I don’t dare get them out in sandals and now in hot weather I’m suffering in sweaty trainers constantly. Thankyou!

The top of that looks maybe fungal to me.

But IDK what you expect really. Nail is repeatedly falling off through constantly being bruised or pried away from the nailbed. Without a nail the skin itself is unprotected so will toughen up. The toe itself looks normal under the circumstances.

Just keep the nail cut short so it sits below the bulbous bit then it'll stop getting bruised and pried off.

Thankyou!