This is a widely accepted minor operation proven to resolve ingrown toenails. It is also indicated for painful thickened, deformed, or excessively curved nails. A part or whole, of the offending nail is removed under local anaesthetic in a sterile clinical setting.
An ingrown toenail can be caused by a number of reasons, improper toenail cutting, tight fitting footwear or where the nail has broken off and a nail spike or shoulder is left and consequently breaks the integrity of the surrounding skin. This can become very painful and lead to infection if not treated promptly.
The first line of treatment is usually conservative care, where the Podiatrist cuts the nail and gives you advice on self-management. For cases that fail to resolve with conservative care, or prove persistent with re-current infection, nail surgery can be considered.
A thorough review of your medical health is completed, to ensure that you are suitable for the proposed procedure. The Podiatrist will make an assessment of the presenting problem, explain the whole process and come to agreed plan with you. An appointment for the nail surgery will be booked. A follow-up appointment is required within three days of the surgery taking place.
It is advised that you organise transport to and from your appointment, as you will not be able to drive yourself. Eat and drink as normal, and bring any regular medications such as an inhaler with you to the appointment.
The procedure takes place in a sterile clinical environment. The toe/s to be operated on is administered with local anaesthetic, and the piece or whole of nail painlessly removed. You will go home with a large toe bandage, and advised to rest with your foot elevated for the remainder of the day.
The follow up appointment is usually scheduled within 72 hours, for a check up and a dressing change. The Podiatrist will explain the process of after care, and you will be given a set of instructions to follow. A dressing pack to last two weeks will be issued at your follow-up appointment, the cost of which is included in the nail surgery fee. Further dressings can be purchased at the clinic if required.
Appointments will be made to review your healing progress, at two and four weeks after your procedure.
Usually you can be back to your normal activities within a day or two, however, this will depend entirely on your individual situation or occupation; the Podiatrist will discuss with you the best course of action. You will be able to go back to work or school wearing your normal shoes – if suitable, by the following day.
The healing times of the toes operated on will vary, the times stated here is only to be used as a guide. For partial nail surgery, healing is expected between four to six weeks, and in the case of a total nail procedure, up to twelve weeks. During this time, you will be expected to bathe and dress the toe daily until it heals.
To discuss any aspects of the above, or you will like to find out more, please contact The Vale Clinic to speak to Ronke the Podiatrist on 07988 916 198. Alternatively, you can book an initial consultation appointment using the button below.