An ingrown toenail develops when the edge of a toenail grows into the surrounding skin. This can cause pain, redness, and tenderness along the nail border. Drainage or infection may develop. Wearing tight shoes can press against the nail and worsen irritation. Walking may become uncomfortable, especially when the toe rubs against footwear. Other causes include cutting nails too short, rounding the corners, or having naturally curved nails. People who sweat heavily or put repeated pressure on the toes may also face greater risk.
Many ingrown toenails improve with early care, but surgery may be recommended when pain continues or the nail repeatedly grows into the skin. A podiatrist may suggest surgery when there is a significant infection, recurring inflammation, or a nail shape that makes conservative care unsuccessful. Surgery can provide longer-lasting relief by removing the portion of the nail causing the problem. It may make daily activities more comfortable.
During a nail procedure, the podiatrist first numbs the toe with a local anesthetic. For a partial nail avulsion, only the affected edge of the nail is carefully removed. This preserves the healthy portion. A complete nail avulsion removes the entire toenail and may be considered when the whole nail is causing problems. The podiatrist may also treat the nail root to reduce regrowth. The toe is then cleaned and covered with a dressing.
Healing usually involves keeping the toe clean and following the podiatrist's instructions for dressing changes. Wearing roomy shoes can reduce pressure while the toe heals. Avoiding unnecessary pressure can support recovery. Your podiatrist may also recommend limiting activities that place stress on the toe. If you have a painful ingrown toenail that needs surgery, it is suggested that you consult a podiatrist who can determine if this procedure is right for you.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Kent DiNucci, DPM of Ankle and Foot Clinic . Our doctor will assist you with all of your foot and ankle needs.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
- Removing foot deformities like bunions and bone spurs
- Severe arthritis that has caused bone issues
- Cosmetic reconstruction
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Neuropathy decompression surgery to treat nerve damage
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
If you have any questions, please feel free to contact our office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot care needs.
