Ingrown Toenail Removal

(Removal, Ingrown Toenail)

Definition

This is surgery to remove a toenail that has curled and grown into the skin, causing pain.

Ingrown Nail

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Reasons for Procedure    TOP

The entire nail or the portion of the nail growing into the skin may be removed. It is most often done to:

  • Relieve pain
  • Relieve swelling or infection
  • Remove a deformed nail
  • Correct abnormal nail growth

Possible Complications    TOP

If you are planning to have ingrown toenail removal, your doctor will review a list of possible complications, which may include:

  • Infection
  • Excessive swelling or bleeding

Factors that may increase the risk of complications include:

What to Expect    TOP

Prior to Procedure

  • Wear comfortable clothing and loose-fitting shoes.
  • Arrange for a ride home.

Anesthesia

You will be given local anesthesia. Only the area that is being operated on will be numbed by an injection.

Description of the Procedure    TOP

A local anesthetic will be used to numb the toe. Using special tools, the nail will be cut down towards the cuticle (bottom of the nail). Then either the whole nail or part of the nail will be pulled off. A chemical may be put on the cuticle to prevent the nail that was removed from growing back.

How Long Will It Take?    TOP

Less than 1 hour

How Much Will It Hurt?    TOP

It will likely hurt some when the anesthetic is injected into your toe. During the procedure, you will not feel pain, but you will feel pressure and tugging. After the procedure, you will likely have some pain. Your doctor may give you pain relievers.

Post-procedure Care    TOP

When you return home, do the following to help ensure a smooth recovery:

  • Wear cotton socks and loose fitting shoes for about 2 weeks.
  • Do not run or engage in strenuous activities until the toe is healed. You may need to wait 2 weeks.
  • Be sure to follow your doctor's instructions.
  • To avoid future ingrown nails:
    • Do not wear high heels or shoes that fit poorly.
    • Trim your toenails straight across. Do not pick or tear at them.

Complete healing takes about 2-3 weeks. This will not interfere with most activities. If the entire nail was removed, your body will create a hard skin in its place. After the skin has covered the sensitive area, you can resume normal activities.

Call Your Doctor    TOP

After arriving home, contact your doctor if any of the following occurs:

  • Signs of infection, including fever and chills
  • Redness, swelling, increasing pain, excessive bleeding, or discharge from the wound
  • Chalky white, blue, or black appearance to skin of toes or foot

In case of an emergency, call for emergency medical services right away.

RESOURCES:

American Diabetes Association
http://www.diabetes.org
Family Doctor—American Academy of Family Physicians
http://familydoctor.org

CANADIAN RESOURCES:

Nurses Entrepreneurial Foot Care Association of Canada
http://www.nefca.ca
Canadian Podiatric Medical Association
http://www.podiatrycanada.org

References:

Ingrown toenails. American College of Foot and Ankle Surgeons website. Available at:
...(Click grey area to select URL)
Accessed March 2, 2015.
Ingrown toenails. American Academy of Family Physicians' FamilyDoctor.org website. Available at:
...(Click grey area to select URL)
Updated March 2014. Accessed March 2, 2015.
Last reviewed March 2015 by Michael Woods, MD
Last Updated: 3/18/2013