Toenail Removal Surgery: What You Need to Know Before The Procedure
Aug 23, · 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. Author: Erica Hersh. May 30, · To do this, the doctor must destroy the nail matrix, which is the part of the toe that produces keratin, the element that toenails are made of. The matrix can be dissolved chemically, which is the most common. This is called chemical cauterization, and involves the application of a chemical called phenol.
However, it may be surprising to know that nail removal—specifically, removal of a toenail—is a fairly common procedure. Sometimes removing the nail is the only way to fix, or attempt to fix, a recurring problem. But why would someone need a toenail removed? How is it done, how do you recover, and what are the most important things to know before having it done? Here are some of the most vital things to keep in mind before you go under the knife.
Toenail removal means the surgical excision of all or part of a toenail when it is diseased, painful, or infected. Most frequently, toenail removal is a treatment for advanced cases of toenail fungus. Fungus is a surprisingly common problem; over half of the nail infections treated by doctors are caused by fungi! Many times, a doctor may choose to excise a portion of the toenail to examine the nail bed, nail folds, or matrix more minutely, apply other treatments, or determine whether a biopsy is necessary in cases of potential cancers or fungal infections.
As already alluded to, the entire toenail is not always removed. Sometimes, only a portion is taken off, especially if it is the only diseased, ingrown, or otherwise adversely-affected part. A toenail removal procedure can be done in less than twenty minutes. Your doctor will inject a local anesthetic into your toe so you will not feel any pain or likely any sensation at all. The doctor will then loosen the folds of what the name valerie means around the nail, aptly called nail folds, and separate the nail from the toe by easing a tool beneath the nail.
This process is called avulsion. While some patients report feeling pain during the procedure, most do not, and generally report the pain comes afterwards. At this point, if he or she has not discussed this with you earlier, the doctor may recommend that you have the nail permanently prevented from growing back. This is only done in severe cases of fungus or other disorders where the problem would simply keep occurring if the nail grew back. It can also be done if the nail matrix has been so badly affected by prolonged lack of treatment, or especially severe infection, that scar tissue would prevent the nail from growing normally ever again.
To do this, the doctor must destroy the nail matrix, which is the part of the toe that produces keratin, the element that toenails are made of. The matrix can be dissolved chemically, which is the most common. This is called chemical cauterization, and involves the application of a chemical called phenol. Occasionally, some patients report how to make a living traveling the world nails growing back, but generally this method is effective.
If this how do doctors remove ingrown toenails what time does fat tuesday open work, your doctor will perform a surgical matrixectomy. A flap how do doctors remove ingrown toenails skin is surgically created at the base of the nail, where the matrix is located. After retracting the flap, the matrix is surgically removed.
Surgery can be nerve-wracking and scary. Nobody likes pain, hospitals, scalpels, cuts, and anesthesia. The whole idea can be very unpleasant—even reading about it can turn the stomach! But, it how do doctors remove ingrown toenails very important to remember that thousands of people have experienced nail removal and have lived to tell even laugh!
While there may be some discomfort and pain following the procedure, if a qualified doctor or other medical professional has concluded this is the best treatment for your specific problem, let that give all the comfort it should. We are very blessed to live in a world where so many health problems can be easily corrected! As already mentioned, nail removal is usually a last resort, after other methods have failed to be effective.
As such, your doctor is not likely to recommend or even mention nail removal before trying oral and topical medications, ointments, and various other treatments.
Depending on the precise issue, many people have found great even permanent success and healing using all kinds of other treatments. Because nail fungus see the symptoms here is a very common reason for toenail removal, look at these different options for how to safely and effectively treat toenail fungus.
You can and should also ask your doctor about any preferred or ideal treatments, and be how to care for lilac to involve him or her whenever undertaking whats open on christmas in orange county options.
However, the more severe the case and the longer it has gone without treatment, the more likely your doctor will insist on nail removal as the only possible option. Some important questions include:. Ideally, your doctor or other medical professional will have provided you with clear and understandable instructions for proper self-care following the removal.
If so, be sure to follow these instructions precisely and with no deviation, and be sure to notify your doctor if there is unusual pain, heavy bleeding, or other complications so they can be dealt with immediately.
If your doctor has not given you specific instructions, the following basic ones will be a start:. Doubtless if your doctor is recommending, or even insisting upon, toenail removal, you are at the end of a long road of pain, embarrassment, discomfort, frustration, and any number of other emotions that come with recurrent, recalcitrant medical issues. Listen to your doctor, approach recovery with diligence and determination, and look at the removal as one step pun definitely intended towards the healthy, happy feet you want and deserve.
Registered Nurse, State of Florida, Awarded: Diana is a registered Nutritionist-Dietitian. Graduated with a degree in Nutrition and Dietetics. Introduction to Nail Fungus. Symptoms, Risks and Prevention. Nail Fungus Pictures. Jacob Moss, M. General Practitioner, Colorado Dr.
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There's a very simple in-office procedure they can do to take care of the ingrown, says Andersen, which involves numbing the toe and removing a sliver of the nail itself. They'll also know how to handle infections, which can be serious if left untreated, potentially spreading to the bone. (More reason not to let the problem drag on and on.). Aug 24, · A doctor will be able to diagnose an ingrown toenail with a physical exam. It is essential to seek advice from a doctor if the symptoms are severe, as several types of tumors can mimic the Author: Amanda Barrell. Feb 25, · When an ingrown toenail is very painful, makes walking difficult, or shows signs of an infection, a doctor can treat the nail. They may remove some or .
Your doctor can diagnose an ingrown toenail based on your symptoms and a physical examination of your nail and the surrounding skin. Ingrown toenail treatment may include placing cotton under the edge of the nail to separate the nail from the overlying skin. This helps the nail grow above the skin edge.
Your doctor may also recommend using topical or oral antibiotics, especially if the toe is infected or at risk of becoming infected. Your family doctor or a foot doctor podiatrist can diagnose an ingrown toenail. Prepare a list of questions to ask your doctor during your appointment. Some basic questions include:. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Don't delay your care at Mayo Clinic Schedule your appointment now for safe in-person care.
This content does not have an English version. This content does not have an Arabic version. Diagnosis Your doctor can diagnose an ingrown toenail based on your symptoms and a physical examination of your nail and the surrounding skin.
Treatment Ingrown toenail treatment Open pop-up dialog box Close. Ingrown toenail treatment Ingrown toenail treatment may include placing cotton under the edge of the nail to separate the nail from the overlying skin. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Ingrown toenail. American Academy of Orthopaedic Surgeons. Accessed Oct. Foot care. American Diabetes Association.
Tintinalli JE, et al. Soft tissue problems of the foot. New York, N. Eekhof JAH, et al. Interventions for ingrowing toenails. Cochrane Database of Systematic Reviews. Canale ST, et al.
Disorders of nails and skin. In: Campbells Operative Orthopaedics. Philadelphia, Pa. Goldsmith LA, et al. Biology of nails and nail disorders. In: Fitzpatricks Dermatology in General Medicine. Living with diabetes: Foot complications. Goldstein BG, et al. Paronychia and ingrown toenails. Related Ingrown toenail Ingrown toenail treatment. Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.