Archways Podiatry & Chiropody
Ingrowing toenails are very common, this can be due to faulty nail cutting, trauma, certain sport participation or family history. They can be very painful and difficult to resolve by self treatment.
Permanent nail surgery may be necessary if the ingrown toe nail is severe or it is a recurrent problem.
Pre - operative appointment
- An appointment discussing the best procedure will be discussed, whether this be partial or whole nail removal
- You will be asked about your health and please bring a list of all the medication that you are taking, also any allergies noted.
- You will be advised that you do not need to stop eating or drinking before the surgery.
- Also you will not be able to drive afterwards because your toe will be numb and you may not be covered by your car insurance, so it will be good if you can arrange a lift home from someone
- You will have to sign a consent form saying you agree to the surgery, in the case of a child a parent or guardian will need to sign. We cannot proceed with the nail surgery unless this is signed and completed
What happens during nail surgery?
- A local anaesthetic will be given to numb your toe so no pain will be felt only pressure. If pain is felt more anaesthetic can be given
- A tourniquet is placed around the toe, which will temporarily restrict blood flow to the area.
- A small edge of the nail at the side is removed in the case of a partial nail removal, or the whole nail if this is advised.is This will be discussed during a pre-op appointment with our podiatrists
- A chemical solution ( phenol ) is applied under the cuticle to make sure the nail production cells are destroyed
- A dressing is then applied to the toe which must stay in place for a minimum of 24 hours and usually until your next appointment with our podiatrists, this is quite bulky so its worth bringing a sandal to change in to.
- The dressing must be kept dry and the foot covered with a plastic bag during showering.
- When the anaesthetic wears off there may be some discomfort, you will be advised on pain relief.
- There may be some bleeding into the dressing over 24 houirs after the surgery