Surgical nail removal can be done for severe or returning fungal nail infections. The entire nail (avulsion) or only part of the nail (debridement) can be removed. Surgical nail removal can be done in a clinic or your doctor’s office. Your doctor will give you an injection in the finger or toe to prevent pain.
Your doctor may recommend ingrown toenail surgery if:
-at-home remedies don’t resolve your ingrown toenail
-you have recurring ingrown toenails
-you have another condition such as diabetes that makes complications more likely
Part of your toenail or the full toenail may need to be removed, depending on your situation.
To prepare you for surgery, your doctor will first clean and numb your toe with an anesthetic injection. This can be quite uncomfortable. A snug elastic band may be applied to the area near where your toe joins your foot. They may put a wedge under your nail to hold up the ingrown section.
Once you’re prepped, the doctor will use scissors and special tools to separate your toenail from the bed, making a vertical cut from the ingrown side down to the cuticle. They’ll then remove the cut section. If necessary, the entire nail may be removed, particularly if both sides of your nail are ingrown.
Your doctor will use either a heated electrical device called a cautery or an acidic solution such as phenol or trichloroacetic acid to disrupt the nail matrix from which your nail grows. This stops your nail from bleeding. It also means that section of your nail likely won’t regrow. If it does regrow, your nail may look differently than it did before surgery. Finally, your doctor will typically apply a bandage covered with petroleum jelly to your toe.
Here at Charlestown Podiatry Clinic, we have the skills and experience to treat patients with all types of podiatry requirements. Our clients range from children to the elderly and everyone else in between. We treat athletes’ injuries from the elite to social levels and have developed quite a reputation amongst the sporting community.