Ingrown Toenail Removal
(Removal, Ingrown Toenail)
DefinitionThis is surgery to remove a toenail that has curled and grown into the skin, causing pain.
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Reasons for ProcedureThe 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 ComplicationsIf you are planning to have ingrown toenail removal, your doctor will review a list of possible complications, which may include:
- Excessive swelling or bleeding
- Problems with blood circulation
What to Expect
Prior to Procedure
- Wear comfortable clothing and loose-fitting shoes.
- Arrange for a ride home.
AnesthesiaYou will be given local anesthesia. Only the area that is being operated on will be numbed by an injection.
Description of the ProcedureA local anesthetic will be used to numb the toe. Using special tools, the doctor will cut the nail 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?Less than 1 hour
How Much Will It Hurt?It will likely hurt some when the doctor injects the anesthetic 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 CareWhen you return home, do the following to help ensure a smooth recovery:
- Do not put weight on the affected toe.
- If needed, take pain medicine.
- Keep your foot elevated when possible.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- If your doctor says it is okay, soak your toe in warm water for 10-20 minutes. Do this 2-3 times a day for one week.
- Keep a clean, dry dressing over the toe for the first few days.
- Apply the prescribed antibiotic cream or ointment to the area if advised to do so by your doctor.
- Wash your hands before caring for the nail area or changing the dressing.
- Wear cotton socks and loose fitting shoes for about two weeks.
- Do not run or engage in strenuous activities until the toe is healed. You may need to wait two weeks.
- Be sure to follow your doctor's instructions .
- If your toe is infected, do not touch the antibiotic with your finger. Instead, put a small dab of the cream on a clean dressing. Use that dressing to apply the medicine to your toe.
- 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.
Call Your DoctorAfter 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
American Diabetes Association
American Academy of Family Physicians
Nurses Entrepreneurial Foot Care Association of Canada
Canadian Podiatric Medical Association
Ingrown toenails. American College of Foot and Ankle Surgeons website. Available at: http://www.foothealthfacts.org/Content.aspx?id=1339&terms=ingrown%20toenails. Updated December 18, 2009. Accessed May 2, 2013.
Ingrown toenails. American Academy of Family Physicians' FamilyDoctor.org website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/ingrown-toenails.html. Updated December 2010. Accessed May 2, 2013.
Roberts JR, Hedges JR, Custalow C. Clinical Procedures in Emergency Medicine . 4th ed. Philadelphia, PA: Elsevier Health Sciences. 2004; chap 52.
- Reviewer: Michael Woods, MD
- Review Date: 02/2014
- Update Date: 03/18/2013