Considering ingrown toenail surgery and want to learn more?

Have a reccurent ingrown toenail and dont know what to practise?

Everything about how to care for an ingrown toenail, ingrown toenail surgery recovery and the options bachelor to you. At The Foot Hub, Sydney, we take care of your feet.

Ingrown toenails are a common pes problem we see at The Pes Hub. Information technology is reported that about 20% of people who nowadays to a md for advice for a pes problem have an ingrown toenail. The handling methods vary depending on how advanced the problem is and the private needs of the patient likewise, so nosotros'll always tailor a treatment to you.

For patients whose ingrown toenail issues are long-term and recurring, ingrown toenail surgery is likely to exist the best option. When conservative and not-invasive treatments are unsuccessful, surgery removing the nail edge (which doesn't grow back) can be a meliorate permanent solution to avoid continual discomfort and pain.

If your ingrown toenail problem is non chronic or recurring, visit our ingrown toenail handling page to see some of the non-permanent options that are available to you.

INGrown toenail surgery is indicated for:

  • Chronic ingrown toenail
  • Recurring ingrown toenail despite frequent conservative care
  • Ingrown toenails that are negatively impacting your lifestyle, causing significant pain and footwear use bug

Types of Ingrown Toenail Surgery

PNA surgery permanently removes the side of the nail that is causing damage to the skin. It is a quick and routine procedure, normally used in simple cases of ingrown toenails that tin't be resolved with bourgeois treatments. It's besides preferred past podiatrists as the majority of the nail tin can exist left fastened.

  • A quick procedure – simply 45 to 60 minutes
  • A normal-looking nail is left after healing
  • 98 per cent success rate
  • Fixes the issue permanently
  • A quick recovery time

TNA surgery permanently removes the entire nail, unremarkably carried out only when a severely damaged or thickened toenail causes recurring problems that the more simple PNA surgery will not set. This is non the preferred treatment, but in rare cases it can exist necessary to avoid future problems.

  • A permanent solution for the smash, which won't abound dorsum
  • 98 per cent success rate
  • A uncomplicated and quick procedure – just 45 to hr
  • Rapid recovery rates

Prior to booking in ingrown toenail surgery, patients should have a pre surgery assessment discuss suitability for surgery.

What is phenolisation?

Fractional Nail Avulsion with phenolisation is the almost common solution for ingrown toenails. Safe, unproblematic and effective, it uses phenol (a mild acid) to destroy the boom matrix, with low levels of post-operative pain and infection. With a loftier success rate (98.5 per cent) and a natural-looking nail, this is the preferred treatment for the majority of our patients.

The liquid phenol is practical to the trouble expanse for at least 1 minute, allowing the balmy acid to destroy the nail matrix and remove the crusade of the pain and discomfort. Phenol is safe and approved for use by the Therapeutic Goods Administration (TGA) in Australia.

It's a safe process for use with diabetic patients or those suffering from vascular illness. Although in that location has non been much supporting evidence to suggest there are risk factors, the utilise of phenol treatments is not brash for meaning or breastfeeding patients.

Safe

Effective

Fast Healing

It is a quick and simple solution for painful ingrown nails. Once the toe is numbed, at that place are just four steps to follow.

  • Footstep one – After the toe is numbed, a tourniquet is practical to limit blood period (for ameliorate visibility and phenol efficacy) and the nail edge is cutting and split from the nail plate.
  • Step two – The cut blast edge is gently removed from the nail fold and whatsoever remaining fragments are removed. Extra tissue that has grown over the site will also exist removed at this betoken.
  • Step three – The phenol acid is practical to destroy the boom matrix (in three, 20 second applications) and the toenail is flushed with a make clean solution.
  • Step four – The tourniquet is removed, the toe dressed with an antibiotic ointment and bandaged, and you tin get home and relax.

steps of PNA

Local Anaesthetic

This is a crucial step that is never ignored, ensuring that your ingrown toenail surgery is as comfortable as possible. We know that not everyone is a fan of needles, but our skill and expertise will make the process fast and painless. Nosotros practice these procedures on a daily basis and know just how to help you relax, and get it right first time.

If yous have whatever anxiety around needles and injections, talk over this with your podiatrist. The Human foot Hub likewise offers local anaesthetic without a needle, using the Condolement Injection Technique. If you lot prefer this selection, brand sure to mention this during your pre-surgery assessment.

Don't like injections?

Don't worry, we offer needless injection for local anaesthetic.

Comfort-in ™ is a spring-operated needle-free injection system. This system is a blazon of medical injecting syringe that uses high pressure – it uses the narrow jet of the injected liquid instead of a hypodermic needle to penetrate the epidermis (peel). With this we tin can deliver needleles local anaesthetic to the toe and exist able to perform ingrown toenail treatment.

Don't let the fear of injections stop you from getting rid of your ingrown toenail.

Download our guide on some steps yous can do to overcome needle phobia.

Preparing for your ingrown toenail surgery

So you've had your pre-surgery assessment and your surgery date is scheduled – what practice you need to do before the 24-hour interval?

  • Arrange for someone to drop y'all off, or book a taxi
  • Have enough time off work – we recommend a period of 48 hours of express weight-begetting afterwards the surgery
  • We propose the use of open-toe shoes for a calendar week after the procedure.
  • If your job requires safety footwear then this period tin can exist reduced to 48 hours.
  • Have a meal earlier your surgery
  • Bring open up-toe shoes to article of clothing subsequently the procedure
  • Mention all known medical allergies during your assessment
  • Provide an emergency contact to the dispensary
  • Stay off YouTube! If you need more data or have questions, merely inquire the experts at The Pes Hub

Ingrown Toenail Surgery Aftercare

Do y'all desire to make sure you lot get your nail removal surgery recovery right? When you leave the dispensary after your surgery, we will provide you lot with the dressings to go on your toe clean and healing well, likewise as information about how to apply them effectively. We will also schedule a follow-up appointment inside 48 hours to ensure a successful post-surgery recovery. You'll notice the deviation in your ingrown toenail before and after surgery

There are some important things to proceed in mind subsequently your surgery.

  • You won't be able to bulldoze home, so book a taxi or inquire someone to have you lot. Driving with the local anaesthetic nevertheless active is not appropriate
  • Your podiatrist will use the showtime dressing, however information technology's quite normal that some bleeding can go visible after the procedure.
  • Leave the dressing intact and apply another over the showtime, then rest and drag your foot above hip-height.
  • Keep the toe dry out and clean until your first dressing-change engagement
  • That get-go dressing will be quite beefy, then brand sure you clothing open up-toe shoes that tin accommodate a petty extra
  • Sometimes patients feel a little pain and discomfort after the local anaesthetic wears off and then you lot can take paracetamol for the hurting.
  • If the pain is severe, delight contact the clinic immediately
  • Attend your free follow-upwardly appointments until your podiatrist discharges you
  • Avoid wearing tight-fitting shoes that put pressure on the toe
  • Avoid weight-begetting and strenuous action (including the gym and weight-lifting) for two weeks after your surgery.

Follow upwards appointments

You will have a follow-up appointment with your podiatrist after 48 hours, and this is also when you'll have your first dressing change. Your showtime dressing will be removed and the toenail will be flushed with saline solution and an antiseptic dressing applied to ensure expert healing. You lot'll also receive a complimentary pack of dressings every bit well as clear instructions on how to utilise them to avert toenail fungal infection.

Until your podiatrist discharges you, weekly reviews are necessary to monitor healing and recovery – and information technology is all role of our inclusive and friendly surgery package. In order to reach the fastest and nigh effective healing possible, and avoid post-surgery complications, nosotros inquire all our patients to attend each of their planned appointments.

Ingrown Toenail Surgery Recovery

  • Nail avulsion surgery has a 98.5 per cent success rate, simply in the rare example that the surgery is unsuccessful, nosotros will organise to re-do the procedure at no actress cost to you.
  • Depending on your medical history and whether there is an infection due to the ingrown toenail, healing can vary from person to person.
  • Most patients can return to work afterward 48 hours of rest, especially if they take all the brash post-surgery steps.
  • Total healing of the surgical site can take between two to six weeks, and in some cases longer. The most common post-surgery complexity is infection, especially if there was an infection present before the procedure. We will help you treat whatever infection with oral antibiotics.
  • Nosotros work to give our patients the all-time corrective outcome possible, particularly in the instance of fractional boom avulsion surgery (where a small section of the nail is removed). For larger toes, the change in size and shape is unlikely to be very noticeable, although smaller nail plates may be more afflicted. If yous have concerns most how your toe will look post-functioning, talk to your podiatrist about this during your pre-surgery cess.

elevate-the-legs

ingrown-toenail-surgery-recovery

GUARANTEE

Nail Avulsion surgery has a 98.five per cent success charge per unit. For The Pes Hub patients who have had ingrown toenail surgery and in the rare case it grows back, we will redo the surgery at no charge.

Contradictions

We can perform ingrown toenail surgery on most patients, and the process is quick and safe, notwithstanding nosotros do non recommend surgery if the following applies to you lot:

  • You are pregnant or breastfeeding
  • Y'all have macerated blood supply to your anxiety (Peripheral Vascular Disease)
  • You are allergic to local anaesthetic
  • Your toenail is severely infected – we advise a one to two-calendar week class of antibiotics to ensure the surgery is equally effective every bit possible

side effects

The most common side-issue of ingrown toenail surgery is pain. With the majority of patients this is mild and can exist managed with over-the-counter painkillers like paracetamol.

Postal service-operative infections can also be present, ordinarily within the first few days after the process. These are normally caused by leaner (Staphylococcus aureus) or fungus (Candida).

On rare occasions the surgery is not as effective as desired and ingrown toenails tin can re-occur.

Cost Ingrown Toenail Surgery

Ingrown toenail surgery toll is dependent on how many toenails are being operated on. Delight see detail pricing beneath:

One Toe/ Ii Sides

Partial Nail Avulsion With Phenolisation

$ 465 Full

Local Anaesthetic included

i Gratuitous follow up appointment

Health Fund Rebates Available

One toe/ I Side

Fractional Blast Avulsion With Phenolisation

$ 365 Full

Local Anaesthetic included

Free dressing changes until discharge

ane Gratis follow upwards appointment

Wellness Fund Rebates Available

One Toe/ Entire Nail Plate

Total Nail Avulsion With Phenolisation

$ 465 Total

Local Anaesthetic included

1 Free follow up appointment

Health Fund Rebates Available

Oftentimes Asked Questions

We recommend you lot keep your toenail dry out for 7 days after your operation. After this, you can swim and get it wet, preferably with a waterproof dressing. To preclude infection and to maximise healing, ensure that debris like beach sand is cleaned from the area.

Recovery normally takes between 4 to 6 weeks. Walking is possible immediately, and patients can return to piece of work after 48 hours. Our communication is to wear open-toe shoes for vii days after the surgery to promote healing and comfort.

If yous are eligible nether the Chronic Disease Management plan, you can receive a rebate of $53.80 from Medicare nether the Enhanced Primary Care Programme. Just your GP can refer you on this programme and y'all would demand to meet the inclusion criteria.

Yep information technology does; with private health insurance you tin claim for your ingrown toenail surgery. See our relevant pricing tabular array and item codes to exist able to accurately communicate with your insurer. Our clinics are registered HICAPS terminals, and can offer on-the-spot rebates. Nosotros also accept AfterPay for ingrown toenail surgery too.

Yes absolutely – multiple research studies have proven Partial Nail Avulsion with phenolisation to have a success charge per unit of 98.5 per cent.

Fractional Blast Avulsion and phenolisation have lower postal service-operative hurting compared to more than aggressive ingrown toenail surgery methods. At that place may be some post-operative pain once the local anaesthetic wears off, and this should be managed by over-the-counter painkillers like paracetamol.

We suggest you wait two weeks earlier resuming vigorous concrete do, to assist in the healing process.

As Partial Nail Avulsion involves removing merely a small portion of the nail, virtually patients will retain a cosmetically satisfactory result. If you have an especially pocket-size or delicate nail plate, and then extra care will be taken to give the best possible cosmetic outcome.

Total Smash Avulsion surgery removes the entire toenail, and this process normally results in a practiced advent with limited scarring.

Nosotros recommend yous wear open-toe shoes for the showtime 48 hours. Yous should also avoid wearing constricting shoes until the nail has fully healed, for the best outcome.

Although your toe will be numb later the procedure, yous can yet walk out of the dispensary. We recommend that you residue and avoid activity for the rest of that day to minimize pain and ensure good healing.

Although our surgery methods have a 98.5 per cent success rate, there are rare cases where the blast grows back. At The Foot Hub, we are here to look after y'all, so if this happens later your ingrown toenail surgery, nosotros will re-exercise the procedure at no extra cost.

From starting time to terminate the whole process only takes an 60 minutes. If at that place are more toenails being operated on, the procedure may take longer.

We recommend a minimum of 48 hours off work. Your podiatrist will be able to write a medical certificate if needed.

No. You will be able to walk after your ingrown toenail surgery. We recommend not to drive to and from your surgery. And we likewise recommend to raise your anxiety after your surgery.

Request AN APPOINTMENT. ASK A QUESTION