The initial approach to fix an ingrown toenail is a partial nail avulsion with phenolisation, and it works very well. It does not require going to the hospital and is performed under local anaesthetic. It is also very affordable, and reliable.

Surgical Management

Partial nail avulsion (PNA) with phenolisation is always considered the first option as shown by research, however, in some instances, a Zadek procedure, Winograd procedure or Subungual exostectomy may be necessary.
After applying a local anaesthetic, Dr Kim removes part of the nail’s side border. Following the nail procedure, a light bandage will be applied. Most people experience very little pain after surgery and may resume normal activity the next day. If Dr Kim has prescribed an oral antibiotic, be sure to take all the medication, even if your symptoms have improved. This procedure provides excellent long-term results with only a slight risk of recurrence.

Rounding C, Bloomfield S. Surgical treatments for ingrowing toenails. Cochrane Database of Systematic Reviews 1999
N Karaca and T Dereli. Treatment of Ingrown Toenail With Proximolateral Matrix Partial Excision and Matrix Phenolization. Ann Fam Med. 2012 Nov; 10(6): 556–9

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