If the toe still does not heal, a doctor may recommend surgery. For most people, the wound will heal within several weeks.
The pain will steadily lessen in the days following surgery and should have gone by the time the wound heals. It can take several months for the nail to regrow, but the length of time will vary from person to person. Minor complications are common following nail surgery, though serious complications are rare. However, an untreated ingrown toenail carries a much higher risk of complications than nail removal. People should discuss the benefits and risks of surgery with their doctor, who will take into account their particular risk factors.
People with a history of anesthesia complications and those with weakened immune systems may be more vulnerable to complications. Ingrown toenails can be painful, but with proper home or medical treatment, they are rarely serious. Surgery presents some risks, but it can alleviate the chronic pain of an ingrown toenail. People with ingrown toenails should discuss their treatment options with a skilled, experienced podiatrist or orthopedic surgeon.
Excellent medical care and diligent home management can reduce the risk of complications following surgery and increase the likelihood of a full recovery with the regrowth of a healthy nail. Learn about keyhole surgery, including the benefits, risks, and complications, as well as what to expect during surgery and how to prepare.
A lymph node dissection is a surgical procedure to remove lymph nodes. Learn more about the types and procedure here. Lung volume reduction surgery LVRS removes damaged tissue from the lungs so that they can work more effectively. You should also avoid wearing constricting shoes until the nail has fully healed, for the best result. Although your toe will be numb after the procedure, you can still walk out of the clinic.
We recommend that you rest and avoid activity for the rest of that day to minimize pain and ensure good healing. Although our surgery methods have a At The Foot Hub, we are here to look after you, so if this happens after your ingrown toenail surgery, we will re-do the procedure at no extra cost. From start to finish the whole procedure only takes an hour. If there are more toenails being operated on, the procedure may take longer. We recommend a minimum of 48 hours off work.
Your podiatrist will be able to write a medical certificate if needed. You will be able to walk after your ingrown toenail surgery. We recommend not to drive to and from your surgery. And we also recommend to raise your feet after your surgery. Skip to content. Considering ingrown toenail surgery and want to learn more? Have a reccurent ingrown toenail and dont know what to do?
INGrown toenail surgery is indicated for:. Chronic ingrown toenail Recurring ingrown toenail despite frequent conservative care Ingrown toenails that are negatively impacting your lifestyle, causing significant pain and footwear use problems.
Click to see see classification of ingrown toenails. Types of Ingrown Toenail Surgery. During your pre-surgery assessment, your podiatrist will explain the different surgery options, and work out the best plan for your ingrown toenail removal as there are various options available. Partial Nail Avulsion with phenolisation PNA is the most common procedure; the side of the toenail is permanently removed while maintaining a natural look.
In rare cases, a Total Nail Avulsion TNA surgery will be required, where the entire nail is removed to avoid any potential future complications. Partial Nail Avulsion. A quick procedure — just 45 to 60 minutes A normal-looking nail is left after healing 98 per cent success rate Fixes the issue permanently A quick recovery time.
Total Nail Avulsion. What is phenolisation? Fast Healing. Step one — After the toe is numbed, a tourniquet is applied to limit blood flow for better visibility and phenol efficacy and the nail edge is cut and split from the nail plate.
Step two — The cut nail edge is gently removed from the nail fold and any remaining fragments are removed. Extra tissue that has grown over the site will also be removed at this point. Step three — The phenol acid is applied to destroy the nail matrix in three, 20 second applications and the toenail is flushed with a clean solution.
Step four — The tourniquet is removed, the toe dressed with an antibiotic ointment and bandaged, and you can go home and relax. Local Anaesthetic. Download our guide on some steps you can do to overcome needle phobia. Get your guide. Preparing for your ingrown toenail surgery.
Arrange for someone to drop you off, or book a taxi Take enough time off work — we recommend a period of 48 hours of limited weight-bearing after the surgery We advise the use of open-toe shoes for a week after the procedure.
If your job requires safety footwear then this period can be reduced to 48 hours. Have a meal before your surgery Bring open-toe shoes to wear after the procedure Mention all known medical allergies during your assessment Provide an emergency contact to the clinic Stay off YouTube! If you need more information or have questions, simply ask the experts at The Foot Hub. Ingrown Toenail Surgery Aftercare. Leave the dressing intact and apply another over the first, then rest and elevate your foot above hip-height.
Keep the toe dry and clean until your first dressing-change appointment That first dressing will be quite bulky, so make sure you wear open-toe shoes that can accommodate a little extra Sometimes patients experience a little pain and discomfort after the local anaesthetic wears off so you can take paracetamol for the pain. If the pain is severe, please contact the clinic immediately Attend your free follow-up appointments until your podiatrist discharges you Avoid wearing tight-fitting shoes that put pressure on the toe Avoid weight-bearing and strenuous activity including the gym and weight-lifting for two weeks after your surgery.
Follow up appointments. Ingrown Toenail Surgery Recovery. Nail avulsion surgery has a Depending on your medical history and whether there is an infection due to the ingrown toenail, healing can vary from person to person.
Most patients can return to work after 48 hours of rest, especially if they take all the advised post-surgery steps. Full healing of the surgical site can take between two to six weeks, and in some cases longer. The most common post-surgery complication is infection, especially if there was an infection present before the procedure.
We also understand the pain and discomfort ingrown toenails cause and realise there can often be an urgency with ingrown nail surgery, so we always try and find a time to fit you in as quickly possible.
Following the initial appointment, we will then have the nail surgery appointment. Ingrown nail surgery is quite a simple procedure, and will be able to walk after the surgery. The nail surgery procedure usually requires about an hour, although the actual procedure itself is quite quick.
It is also advised to wear open toed footwear as you will have a large, bulky dressing on the toe post surgery. The ingrown toenail surgery consists of 4 simple steps:. Local anaesthetic is injected into the toe, to ensure the toe is numb 2. The ingrown nail section is removed from the root of the nail 3. Phenol, a chemical used to stop nail regrowth, is applied to the nail bed to prevent the ingrown nail returning in the future 4.
The toe is cleaned and dressed with sterile dressing to encourage healing and prevent post-op infection. Following the nail surgery appointment our podiatrist will schedule a follow up review appointment days post surgery. At this appointment the podiatrist will check the healing process of the toe, making sure there is no infection or nail regrowth. You may have to take an oral antibiotic if your toenail was infected. Follow Dr. To promote healing after toenail removal, we generally recommend that you:.
You have to limit your activity for the first day or two after surgery. Be careful to avoid bumping the affected toe. It can take about two to three weeks for the wound to heal. Watch for signs of infection during the healing period. Contact Dr. Moran if you experience increasing pain, swelling, drainage, or redness at the surgical site. Our patients usually resume normal activities a few days after surgery.
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