Ingrown Toenail Procedure

Surgically fix a chronic ingrown toenail using partial nail avulsion or a total nail avulsion

Chronic Ingrown Toenail Procedure

A podiatrist can surgically fix a chronic ingrown toenail using a procedure called a partial nail avulsion or a total nail avulsion, often accompanied by a technique called matrixectomy to prevent recurrence.

Ingrown Toenail Procedure

Here’s a breakdown of the process:

Pre-Procedure Steps

Assessment

The podiatrist will assess the toenail, surrounding tissue, and any signs of infection.

Anaesthesia

Local anaesthesia is applied to numb the toe.

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Procedure Options

Partial Nail Avulsion

Purpose

Removes only the ingrown portion of the nail.

Steps

  1. The podiatrist carefully trims and removes the ingrown side of the nail.
  2. A chemical (like phenol)is applied to the nail matrix (growth area) to stop the ingrown section from regrowing.

Total Nail Avulsion

Purpose

Removes the entire nail if the ingrown issue is severe or recurrent across the whole nail.

Steps

  1. The entire nail plate is removed.
  2. A chemical is used to destroy the matrix, preventing nail regrowth.

Post-Procedure Care

Wound Care

The toe is cleaned, and a sterile dressing is applied.

Follow-Up

The patient is advised to keep the toe clean and change dressings regularly.

Pain Management

Over-the-counter pain relievers are usually sufficient.

Infection Prevention

Antiseptics will be advised or Antibiotics prescribed if an infection is present.

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Recovery

Here’s a breakdown of the process:
Healing

Healing generally takes 2-4 weeks, depending on the procedure.

Regrowth

The nail may not regrow if the matrix is destroyed, or it may grow back narrower and properly shaped.

This type of surgical treatment is typically effective for chronic ingrown toenails that do not respond to conservative treatments. If you're considering this, consult a podiatrist to determine the best approach based on your specific condition.

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