Ingrown Toenail Surgery · Foot Doctor, Specialist · Podiatrist Midtown Manhattan NYC

Ingrown Toenail Surgery

Ingrown toenails are very common in pediatric and adult patients. An ingrown nail occurs when the corner of a nail grows into the skin causing pain, redness and often even infection in the surrounding skin. Ingrown toenails should be treated in the office of your foot doctor NYC to avoid further complications.If this is a chronic recurring issue, your foot doctor in NYC has a number of treatment options to permanently prevent your ingrown nail from returning.

All symptoms, potential procedural/surgical options should always be discussed with your podiatrist after a thorough consultation and examination for an accurate diagnosis and treatment plan.

The Anatomy of the Toe

If this is a chronic recurring issue, your foot doctor in NYC has a number of treatment options to permanently prevent your ingrown nail from returning.
Your nail consists of visible and hidden portions. Under the cuticle and the proximal nail fold you will find the root of the nail. The root is where the cells that produce the nail plate sit. Sometimes these cells can become damaged through trauma or tight shoes and begin to produce a nail that is thickened or abnormal in shape. Center for Podiatry in New York and frankly all over the world encounter patients with ingrown nails and other nail problems pretty much every day. Your NYC foot doctor can diagnose and treat your ingrown nail and answer any questions you have about your condition.

Causes of Ingrown Toenail

It is important to consider the cause of your ingrown nail rather than just treating the problem and you can count on your Midtown NYC foot doctor to make a proper diagnosis. The causes that can lead to an ingrown toenail include:

• Incorrect toenail trimming: When toenails are cut too short or the edges are trimmed, the skin can push over the top of the nails, and the nails grow into the skin.
• Poor fitting shoes: Wearing shoes that are too tight can increase the pressure on the skin around your nails. Your toenail can puncture your skin if pressed into the flesh for too long.
• Physical damage: Stubbed toes can occasionally promote ingrown nails.
• Foot perspiration: Feet inside of non-breathable shoes become moist with sweat, which causes the skin to soften and allows the toenail to more easily penetrate.
• Nail shape: Curved nails tend to dig into the skin more often than square-shaped ones.
• Nail infections: Fungal infections can thicken toenails to the point where they pierce the flesh.

The root is where the cells that produce the nail plate sit. Sometimes these cells can become damaged through trauma or tight shoes and begin to produce a nail that is thickened or abnormal in shape.

Prevention of Ingrown Toenails

If an ingrown toenail is untreated, it can become infected. Your good podiatrist suggests some simple ways to prevent ingrown nails

• Wash your feet regularly to keep them clean.
• Cut your nails straight to prevent them from growing underneath adjacent skin.
• Keep your feet dry by changing socks often.
• Wear shoes that are wide and comfortable

Generally a podiatric doctor will start with a simple office procedure to remove the offending nail under local anesthesia. If an infection is present, antibiotics may be necessary.

Partial Nail Avulsion

The partial nail avulsion — the removal of part of the toenail — is a surgical procedure that’s very common for the treatment of ingrown toenails. The best foot doctor in NYC has reported over 95 percent success rates with this common procedure.

Partial nail avulsions may be performed with only a local anesthetic to numb your toe. The side of the nail can then safely and painlessly be removed. Phenol is a chemical used prevent nail growth and may be used to kill the nail root in patients with recurrent ingrown nails. Antibiotics are generally prescribed following this procedure if pus is draining.

Total Nail Avulsion

A Matrixectomy is a procedure resulting in permanently removing a portion of the nail matrix which will prevent further growth at that site.

In some rare cases a total nail avulsion may be necessary. This is a procedure to completely remove your toenail. Your podiatric doctor in NYC generally avoids this procedure since your nail is important to protect your toe from damage.  In some cases this procedure is necessary if the nail is growing upward or in a direction where it is doing more harm than good. You may also need a total nail avulsion if an infection is trapped under the toe or if you have blood trapped under the nail. Following the procedure, you end up with an indentation where the nail used to be. If the nail root is not destroyed with a chemical or surgical means, the nail will grow back.

Matrixectomy

If your foot doctor in NYC believes your toenail will become ingrown again, a partial or complete matrixectomy may be indicated. A Matrixectomy is a procedure resulting in permanently removing a portion of the nail matrix which will prevent further growth at that site. A matrixectomy is a procedure resulting in permanent destruction of the nail matrix by several possible methods:

• Applying chemicals such as the aforementioned phenol to the nail matrix.
• Burning the matrix with electricity, a process called electrocautery ablation, or with laser equipment are also effective methods, although more expensive.
• The cells that produce the nail can be surgically removed preventing nail growth

Complications from Ingrown Toenail Surgery

The simplicity of the surgery is such that complications are unusual. However, podiatrists report that partial regrowth of the toenail can happen after a failed matrixectomy.

Additionally, infections are possible after any type of surgery. The recovery depends on the procedure type you have which can be as short as a week to up to a month. Complications can always occur and result in a increase in recovery time.

After Ingrown Toenail Surgery

Post-operative treatment varies depending on the specific procedure you receive so please consult your doctor for specific detailed post-operative instructions.

After your surgery, you’re typically sent home with a bandaged toe. You’re instructed to keep your foot elevated for the next day or two. You may have to wear special footwear for a couple weeks to allow your toe to properly heal. Our Podiatrists are highest rated NYC foot doctors often recommends wearing a surgical shoe during the recovery period. Follow your podiatrist’s instructions completely because the nail is very close to the underlying bone and any infection could spread to the bone complicating the treatment extensively.

Between the first and second week following the surgery, visit your foot doctor in New York City to verify that no infections have developed and to clean the surgical site and change the bandage.You may be prescribed antibiotics and medicine to control pain. You should feel much better after just a few days and can return to normal activity within a couple of weeks and often much quicker depending on the procedure performed.

All symptoms, potential procedural/surgical options should always be discussed with your podiatrist after a thorough consultation and examination for an accurate diagnosis and treatment plan.

Do you have any questions about Ingrown Toenail Surgery procedure in NYC? Would you like to schedule an appointment with an internationally recognized, top NYC Podiatrist and foot doctor at Manhattan Foot Specialists?  Please contact our office for a consultation.

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