Nail surgery

Nail surgery can provide permanent pain relief for an ingrowing toenail and prevent recurrent infections. The procedure usually involves removal of part of the problem toenail, and sometimes the whole toenail.

What is an ingrowing toenail?

An ingrowing toenail occurs when a piece of nail pierces the flesh at the side of the nail. This condition occurs most commonly in the big toe. It may feel as if you have a splinter at the side of the toe, and can be excruciatingly painful. Sometimes it’s possible to treat the condition with careful nail cutting. In severe cases, the toe might become very red, swollen and infected.

What can be done for ingrowing toenails?

The good news for people suffering from ingrowing toenails is that simple nail surgery can provide permanent pain relief. Kelso Foot Clinic will remove the painful spike of nail using local anaesthetic if necessary. If the condition is very severe, we also have the option of removing part or all of the nail permanently. This is done by obliterating the nail bed using phenol.

What should I do if I have an ingrowing toenail?

If you are suffering from an ingrowing toenail, the first thing to do is to make an appointment with the Kelso Foot Clinic. At your first appointment, you will be assessed by podiatrist Ruth Mole or Matthew Aplin. An appointment for surgery will be made if required, and your podiarist will explain everything you need to know and how to care for your toe in the meantime.

Practical tips for before and after nail surgery

On the day of your nail surgery appointment, it’s a good idea to wear open shoes to allow for the dressing to be applied to your toes. Please also wear loose-fitting clothing which can be rolled up to the knee.

The local anaesthetic will usually wear off after 2-4 hours and during that time it’s important to avoid unnecessary activity. This includes walking and using public transport. That’s why recommend that you ask someone to drive you home after the procedure. Driving with an anaesthetised toe may make you unfit to drive. It could also invalidate your insurance.

In the days following surgery, the wound will likely be tender. In addition, there may be some bruising and temporary discharge. You might also have some inflammation and tenderness for a few weeks but this will settle down.