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Nail Surgery – When and Why It Is Necessary?

Toenail surgery is a minor procedure performed to treat ingrown or damaged toenails. It typically involves removing part or all of the affected nail to alleviate pain, reduce inflammation, and prevent infection. The surgery is often done under local anaesthetic, providing a quick and effective solution for persistent toenail issues.

Toenail Surgery

Common Reasons for Toeail Surgery

  1. Ingrown Toenails: When the nail grows into the surrounding skin, causing pain, inflammation, and sometimes infection, surgery may be necessary to remove the offending portion of the nail or to prevent it from growing back into the skin.

Types of Nail Surgery

  1. Partial Nail Avulsion (PNA): This procedure involves removing only the portion of the nail that is causing the problem, such as an ingrown edge. The nail bed and matrix are usually left intact to allow the nail to regrow properly.
  2. Total Nail Avulsion (TNA): In cases where the entire nail is affected the entire nail may be removed. The matrix can also be treated to prevent regrowth if necessary.
Toenail Surgery

The Procedure for Toenail Surgery

Nail surgery is typically performed under local anaesthesia, making it a relatively painless procedure. The area is numbed, and the problematic part of the nail is carefully removed.

After the surgery, the toe is bandaged, and patients are given instructions on how to care for the wound. Healing time varies, but most patients can return to normal activities within a few weeks. Follow-up appointments are usually scheduled to monitor healing and ensure there are no complications.

Post-Surgery Care

Proper post-surgery care is essential to promote healing and prevent infection. Patients are advised to:

  • Keep the foot elevated and avoid strenuous activities for the first few days.
  • Follow the podiatrist’s instructions for wound care, including regular bandage changes and keeping the area clean and dry.
  • Wear comfortable shoes that do not put pressure on the affected toe.

Pain management is typically minimal, and over-the-counter pain relievers are often sufficient. However, if severe pain, redness, swelling, or signs of infection occur, patients should contact their podiatrist immediately.

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