What is an ingrown toenail?
Onychocryptosis (Ingrown toe nail) is a common form of nail disease. It is an often painful condition in which the nail grows so that it cuts into one or both sides of the nail bed. Ingrown nails occur most commonly in the big toe.
What are the causes?
- Involuted nails
- Restrictive footwear
- Incorrect cutting technique
- Onychophagia (picking of nails)
- Trauma to the nail or nail bed
Why would I need to have nail surgery?
Some ingrown toenails can be recurrent, even with professional treatment. When a toenail continues to cause problems for the person, sometimes a simple procedure is required to cut away the part of the nail which is causing the ingrown nail to occur. Nail surgery is a quick and simple procedure conducted under a local anaesthetic to the toe. The offending nail is removed from the root and a chemical is used to burn the root so that part of the nail doesn’t grow back.
Nail Surgery procedure
Your Podiatrist will administer a local anaesthetic injection into the relevant toe/s being operated on. Once the toe is completely numb, a tourniquet is placed onto the toe to reduce local blood flow. Using specialised instruments, the offending nail edge is removed from the nail bed and cut down to be removed from the base of the nail. A caustic chemical, known as Phenol is the applied to prevent future nail re-growth. The tourniquet is then removed, and the toe dressed to prevent infection. Open toe shoes (ie./ thongs) are recommended after the procedure as the dressing can be quite thick, and restrict the ability to put a closed toe shoe on for the first couple of days post-procedure. A re-dressing/review appointment is usually set a week after the surgery has been performed.
We now also offer management of minor ingrown/involuted nails with the use of the BS Brace. Please visit http://www.bs-brace.com.au/ for more information regarding this product.