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Ingrown Toenails

Don’t wait for that ingrown toenail to become infected and painful.
Don’t suffer any longer from recurring or chronic ingrown toenails, there is a cure!

Ingrown Toenails

What is an Ingrown Toenail?

When a toenail is ingrown, it is curved and grows into the skin, usually at the nail border (the sides of the nail). This digging in of the nail irritates the skin, often creating pain, redness, swelling and warmth in the toe.

If an ingrown nail causes a break in the skin, bacteria may enter and cause an infection in the area, which is often marked by drainage and a foul odour. However, even if the toe is not painful, red, swollen or warm, a nail that curves downward into the skin can progress to an infection.

 

There is no waiting time and no rebooking for the procedure. Walk in with an ingrown toenail and walk out without one!

Causes

Heredity: In many people, the tendency for ingrown toenails is inherited.

Trauma: Sometimes an ingrown toenail is the result of trauma, such as stubbing your toe, having an object fall on your toe or engaging in activities that involve repeated pressure on the toes, such as kicking or running.

Improper trimming: The most common cause of ingrown toenails is cutting your nails too short. This encourages the skin next to the nail to fold over the nail.

Improperly sized footwear: Ingrown toenails can result from wearing socks and shoes that are tight or short.

Nail conditions: Ingrown toenails can be caused by nail problems, such as fungal infections or losing a nail due to trauma.

Treatment

Surgical

Surgery is considered in patients who have not responded well to non-surgical treatments.

There are two common surgical options for ingrown toenail treatment.

  1. Partial nail avulsion with chemical applied – done 90% of the time, no stitches.
  2. Sharp nail resection and nail bed scrapped – done 10% of the time, stitches required.

1. PNA (partial nail avulsion) + Phenolisation Procedure: The initial approach to fix an ingrown toenail is a partial nail avulsion with phenolisation, which works very well. It does not require going to the hospital and is performed under local anaesthetic. It is very affordable and reliable.

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 little pain after surgery and may resume normal activity the next day. This procedure provides excellent long-term results with only a slight risk of recurrence.

2. Winograd (Wedge Resection) Procedure: The classic nail surgery is usually indicated for ingrown toenails with hypergranulation (overgrown tissue) in the nailfold, or previously failed ingrown toenail surgery.

This procedure involves the removal of the ingrown nail plate excision and nail matrix, and the wound is closed with a skin suture.  Excellent results (92% – 97% success rate and high patients’ satisfaction) have been reported in the literature.

See our Facebook page for more Before & After Photos

Before & After Photos

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Before & After Photos

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Appointment Information

Cost & Item Codes – Our fees and item codes are under the Fees & Services tab.

Scans – We normally do not require any scans prior to your appointment.

Requirements – If you are coming in for ingrown toenail surgery, please wear loose fitting, open toe shoes.

Telehealth – We may be able to offer an initial telehealth appointment if you live a distance away. Phone one of our friendly staff to see if this is possible for you. We may ask you to email some photos of your toes prior to your appointment.

Surgery Information

Do I need surgery? – Although your surgeon may recommend a procedure, it is your decision if you go ahead with the operation or not.

Both ingrown toenail procedures are usually carried out in our state-of-the-art procedure room unless patients are needle phobic requiring general anaesthesia. This is usually discussed during your initial consultation.

Duration – The procedure typically takes about 45 minutes for PNA + Phenolisation Procedure, and 1 hour for Winograd Procedure, depending on the amount of nail sites required.

Anaesthesia – Clinic procedures are performed under local anaesthesia, with or without oral sedation.

Hospital surgery can be performed under general anaesthesia, local anaesthesia, or regional anaesthesia, depending on the surgeon’s and the patient’s preferences.

Medications – Winograd Procedure

Anitibiotics – take as directed until completed to reduce risk of infection. In case of abdominal discomfort, take acidophilus tablets with each does of antibiotic to reduce symptoms. Should you experience any adverse reaction to the antibiotics, please stop taking them and call Dr. Kim immediately.

Analgesics – take pain medication only if you need to with some food to reduce the risk of nausea.

Smoking – If you are a smoker, you need to stop the habit of smoking for best results for normal healing and reduce postoperative complications.

Recovery Process

Patients must follow their surgeon’s instructions carefully during recovery to ensure proper healing and minimize the risk of complications.

The following should be adhered to in order to hasten your recovery from foot surgery. In general, the following timeline can be expected:

1. PNA + Phenolisation Procedure

Immediately after surgery: When you get home lie down and place your feet above your heart until the local anaesthetic wears off. This will prevent the throbbing pain that tends to occur when individuals walk around and continue to engage in activities while numbed up and the agent wears off.

The first few days: Keep your foot clean and dry. You can resume daily activities. You may take a shower if tolerated.

Driving – Patients can drive immediately after nail surgery.

For any hospital procedures under general anaesthesia, you cannot drive until after 24 hours when you are off narcotics. Therefore, you will need someone to drive you home from hospital.

Return to Work

sedentary – If you work at a desk with minimal time on your feet and you are able to elevate your foot/feet, you may be able to return to work 1 day following a clinic procedure, or 1-2 days for hospital surgery.

active – If you have a physical job or are standing a lot and unable to elevate your foot/feet, you may be able to return to work 3-5 days following a clinic procedure, or 5-7 days for hospital surgery.

Low impact exercise5-7 days as tolerated.

High impact exercise – should be avoided for 2-4 weeks.

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2. Winograd Procedure

Immediately after surgery: When you get home lie down and place your feet above your heart until the local anaesthetic wears off. This will prevent the throbbing pain that tends to occur when individuals walk around and continue to engage in activities while numbed up and the agent wears off.

The first few days: Keep your foot clean and dry until your follow-up appointment usually scheduled 7 days after surgery. Until suture removal, you are required to keep your foot clean and dry. (You may take a shower after 12 hours, but you need to cover your foot and not get it wet).

7-10 days: Your suture is usually removed during your second follow-up appointment between 7-10 days post-surgery.

You can resume daily activities but may have some pain.

Driving – Patients can drive immediately after nail surgery.

For any hospital procedures under general anaesthesia, you cannot drive until after 24 hours when you are off narcotics. Therefore, you will need someone to drive you home from hospital.

Return to Work

sedentary – If you work at a desk with minimal time on your feet and you are able to elevate your foot/feet, you may be able to return to work 1 day following a clinic procedure, or 1-2 days for hospital surgery.

active – If you have a physical job or are standing a lot and unable to elevate your foot/feet, you may be able to return to work 3-5 days following a clinic procedure, or 5-7 days for hospital surgery.

Low impact exercise5-7 days as tolerated.

High impact exercise – should be avoided for 2-4 weeks.

Nail surgery is considered very safe although not without risks/complications.

Some possible complications may include infection, pain, recurrence, swelling. Patients should contact their surgeon if they experience excessive pain, see signs of infection, see a presence of pus, or have excessive swelling and pain.

Surgery

When to consider surgery?

Surgery is considered in patients who have not responded well to non-surgical treatments.

Both ingrown toenail procedures are usually carried out in our state-of-the-art procedure room, unless patients are needle phobic requiring general anaesthesia.

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

Podiatric Surgeon Dr Kim is the leading surgeon for Foot Surgery in Brisbane and Gold Coast, contact him today for a consultation regarding your ingrown toenail.

No referral needed

Contact Us

A GP referral is welcome however it is not essential for your appointment

About

Dr Ji Soo Kim (Specialist Podiatric Surgeon) BPodM, DClinPod, FFPM RCPS(Glasg)

Book Appointment

Dr Kim has two offices, one located in Kelvin Grove, Brisbane. The other is in Southport, Gold Coast.

Please call 1300 522 096

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