An ingrowing toenail occurs when the sides of the nail pierces the surrounding skin, this can be on one side, or both sides of the toe. It may appear red and inflamed, with some pus discharging from the toe.
An ingrown toenail can be caused by a number of reasons, improper toenail cutting, tight fitting footwear, or from a break in the nail where a spike or shoulder is left in the corner of the toe. The nail spike or shoulder of nail, can pierce the surrounding skin, causing a wound. This may lead to an infection if not treated promptly.
The first line of treatment is usually conservative care, where I trim the nail and give you advice on self-management. For cases that fail to resolve with conservative care, or prove persistent with re-current infection, toenail surgery can be considered.
Toenail surgery is a widely accepted minor procedure proven to resolve ingrown toenails. A part or whole of the problematic nail, is removed under local anaesthetic.
Toenail surgery is also indicated for the treatment of painful thickened, deformed, or excessively curved nails.
To ensure you are suitable for the procedure, a thorough review of your medical health will be completed. I will make an assessment, explain the whole process, and come to agreed plan with you. An appointment for the nail surgery will be booked, and a follow-up appointment is scheduled 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 is 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, I check the toe and change your dressings. I take you through the process of aftercare, and you will be given a set of instructions to follow. A dressing pack to last two weeks will be issued at this 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 occupation and personal circumstances; we can discuss your best course of action at your consultation appointment. You will be able to go back to work or school wearing shoes, by the following day. Your shoes will need to be accommodative, and put no pressure on your toe.
Healing times vary, the times stated here are to be used only as a guide, each individual heals at different healing rates. 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.
The cost of the nail surgery package is dependent on the number of toes to be operated upon. The procedure appointment, and a 2-week dressing pack is included in the nail surgery fee. The three follow-up appointments are charged separately.
To discuss any aspects of the above, or you will like to find out more, please call clinic on 07988 916 198. Alternatively, you can book an initial consultation appointment using the button below.