When a standard pedicure isn’t enough

After wearing ill-fitting shoes, one of my toenails started looking completely different than before, and routine at-home care isn’t really making a difference. There is no pain, so I’m unsure whether I need specialized care or if I can simply wait for the nail to grow out. At the same time, I’d rather not get a standard pedicure if the issue requires a more specialized approach. In what situations would you choose a medical pedicure over a regular one?