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Nail Surgery
Surgical procedures are commonly performed by podiatrists to treat recurrent nail problems, such as ingrown nails. An ingrown toenail is a nail that has pierced (or is pressing against) the adjacent skin of the toe causing pain and inflammation and sometimes infection.
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Surgery may be required when an ingrown toenail repeatedly gets infected, is painful, the sufferer is unable to wear shoes or the condition inhibits work, sports or other activities.
​​​​NAIL SURGEY PERFORMED BY PODIATRISTS
One of the most common nail procedures is partial nail avulsion. The procedure is usually performed in podiatrists' rooms and the patient is able to walk immediately afterwards.
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WHAT DOES A PARTIAL NAIL AVULSION INVOLVE?
The procedure itself is generally performed under local anaesthetic via injection to the toe to numb the area. The anaesthetic will most often wear off in about 1-2hrs.
​Once numb, a tight elastic ring called a tourniquet is applied to the toe to control bleeding and the area is prepped to minimalise risk of infection.
​The portion of nail to be removed is then gently lifted and resected, generally without the toe being cut or stitched. Both sides of the entire nail may be removed this way for a total nail avulsion. A chemical is used to assist in preventing nail regrowth.
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Once the procedure is completed, the tourniquet is removed and a sterile surgical dressing is applied. The patient is able to walk immediately afterwards, however assistance getting home is strongly recommended.
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WHAT HAPPENS AFTER THE PROCEDURE?
After the procedure, you will need to keep the entire foot dry for at least 48 hours. A follow up appointment is required with the podiatrist 2-3 days following the procedure to re-dress the toe and check the healing process as well as for infection. Minimal pain relief medication may be required, usually involving panadol or nurofen, which can be discussed with your podiatrist.
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WHAT ARE THE POTENTIAL COMPLICATIONS?
All nail procedures have been associated with a slight chance of recurrence. Infection whilst the wound is healing can also be an issue.
​Your podiatrist can advise you and manage these other complications which may occur.
​All surgical procedures have some risks of complications; however, this procedure is associated with a low rate of complications. Certain measures, such as cessation of smoking, can help to lower these complications. For patients who are taking blood thinners, discussion with your GP prior to the procedure is recommended. Blood thinners can increase your risk for prolonged bleeding and may impact the ability for us to perform surgery. More information can be found HERE.
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HOW YOUR PODIATRIST CAN HELP
Regular visits to your podiatrist can manage and prevent ingrown toenails, alleviate pain and help keep you on your feet and mobile.
​Podiatrists are highly-skilled health professionals trained to deal with the prevention, diagnosis, treatment and rehabilitation of medical and surgical conditions of the feet and lower limbs. Podiatrists currently complete a Bachelor of Podiatry or higher degree and are continually upgrading their skills and knowledge through further education and training.
​Many health funds in Australia provide for podiatry services through their 'Extras' programs. Please speak to your fund to see if your plan covers podiatry services
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TO BOOK A NAIL SURGERY
Please call the Bayside Foot Clinic on 3821-4524 for more information or to book in for an assessment for nail surgery.
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