WHAT IS AN INGROWN TOENAIL?

One common foot problem that needs a quick yet simple surgery is an ingrown toenail. It happens when the toenail's top corner or side develops into the underlying flesh. Ingrown toenail most frequently results from:

  • Wearing footwear with a toe box that is too small
  • Too short or a too-sharp curve when trimming the toenails
  • A broken toe or toenail
  • A toenail that develops a natural curvature

The best option for people who experience chronic and repeated ingrown toenail difficulties is an MIS (Minimally Invasive Surgery) ingrown toenail surgery. If traditional and non-invasive treatments are unable to stop persistent discomfort and pain, surgery to remove the nail edge (which doesn't grow back) could be a better long-term solution.

WHAT EXACTLY IS DONE IN MIS INGROWN TOENAIL SURGERY?

Typically, a local anesthetic is used during the procedure.

It is hardly a 10 minutes surgery and may include one or more of the following methods.

Your entire toenail is removed during nail avulsion.

Wedge excision: Removing the corner of the tissue from which your toenail grows and a portion of your toenail that is growing into the skin.

Nail-bed ablation: Removing a portion or the entire toenail, followed by the application of a chemical (often phenol) to the area of tissue where the toenail develops. You could also undergo surgery or Electrocautery, which removes damaged tissue by heating it with an electric current.

The Zadek method involves removing the entire toenail and then slicing away the tissue where the toenail develops.

WHEN TO SEE A DOCTOR?

  • Your toenail is not healing with home remedies
  • Fever or chills
  • Pain, even after taking pain-relief medicine
  • Bleeding from the toenail
  • Pus from the toenail
  • Swelling or redness of the toe or foot
  • Regrowth of the nail into the skin of the toe

 

WHAT IS THE BENEFIT OF MIS INGROWN TOENAIL SURGERY? 

To reduce patients' pain and fasten recovery, minimally invasive surgical techniques are now being researched and developed all over the world. Orthopedic and podiatric doctors have used the MIS surgical approach to treat ingrown toenails. Patients who undergo minimally invasive surgery can continue their regular daily activities after returning home the same day. Patients that receive MIS have been observed to heal rapidly and with minimal to no possibility of infection in the future.

AFTERCARE SURGERY TIPS

  • To reduce swelling, elevate your leg for the majority of the first several days. You can typically start to become a little more active after that.
  • Do not engage in any vigorous activity for two weeks. Dry off the dressing.
  • When it's safe to resume your regular activities, your doctor will let you know.
  • Try to avoid leaving any sharp edges when you cut your toenails.

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Frequently Asked Questions

  • Nail spike or sharp corner of the nail digging into the tissue around the nail.
  • Poor nail-cutting techniques
  • ­Having excessively curved toenails
  • Wearing poor-fitting footwear

 

  • Pain and tenderness around the toenail
  • Redness around the side of the toenail
  • Swelling, pain & irritation
  • Pus discharge or serious infections around the toenail

 

As the procedure is done under anesthesia, your foot will be under its effects for some time affecting your ability to use car operation pedals. Thus, it is not recommended for patients to drive home post-surgery.

Due to the bulk dressing on the toe, the patient finds it difficult to wear normal shoes for work. Hence, we suggest wearing open-toe footwear for the next 3-5 days due to the bulk dressing on the toe. 

Although ingrown toenails sometimes run in families, you can still develop them even if no one in your family has ever had them before. wearing ill-fitting footwear and improper hygiene of the foot causes ingrown toenails. 

Ingrown toenails can be brought on by trauma (such as jamming or stubbing your toe), wearing ill-fitting shoes, and hereditary. Improper nail cutting is one of the most common causes of ingrown toenails. Ingrown toenails can also be caused by a bone spur under the nail.

It is not suggested to perform an at-home ingrown toenail cut. It's a common misconception that slicing a "v" into the nail's corner will solve the issue. The growth of new nails is unaffected by the "v" cutting shape. The nail will only keep growing lower and causing greater discomfort.

In both treatments, the entire nail border is removed, but in the permanent method, phenol is used to help stop the nail corner from regrowing.

Most certainly not, however, there is a little possibility. The chemical that is put in the nail's corner stops the nail's regrowth.

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