In certain circumstances, despite conservative treatment, some toe nails may need to be removed to prevent the condition worsening. Partial or total removal of the nail under local anaesthetic is a highly successful technique which has been used by Podiatrists for many years to treat all different types of painful nail conditions - from nails which have become ingrown and infected to nails which have become painful or troublesome due to their abnormal shape.
Before the procedure
Before the procedure, a full assessment will be carried out at a convenient time to ensure it is safe to be performed. This will also be an opportunity to discuss at length the procedure. Our aim is to ensure you are fully informed and happy as to what is to be done. We will not carry out the procedure if there are any concerns which we cannot address satisfactorily.
During the procedure
There are 3 stages to the operation:
- You will be given an injection of local anaesthetic which will make your toe numb
- Once the toe is numb, the podiatrist will remove all or part of the nail and will use a chemical to destroy the exposed nail bed. This normally ensures that the removed nail will not grow back.
- A dressing will then be applied to the toe and you will be able to walk normally, although you are strongly advised not to drive whilst the toe is numb.
Will it be painful afterwards?
There may be some discomfort after the anaesthetic wears off, but in most cases this can be relieved with your usual pain killers.
Dressings and follow ups
You will need to return to have the dressings changed within a few days of the procedure being carried out. The dressing will need to be changed on a regular basis and we will discuss with you the best arrangements to ensure your toe receives appropriate care until it is healed.
Ensuring your safety
All surgical procedures are carried out at one of our clinics. They are fully equipped to the highest standards with modern and up to date instrument cleaning and sterilising facilities. All operative procedures are carried out using sterile, single use disposable instruments to ensure a safe and clean environment.
As a further aid to safety and clinical efficiency a qualified medical assistant is also present to assist during the surgery.
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