Chiropodists and Podiatrists based in Newton Abbot, Devon
Many nail problems can be improved considerably by straightforward chiropody. However,
nails that are very curved, hard or continually inflamed around the edges may require
minor surgery to remove the problem. This is also true of nails which have become
badly in-grown due to poor nail cutting over time.
If surgery is required then the treatment of choice for persistent ingrown toenails
is partial Nail Avulsion with Phenolisation. The toe is numbed with an injection
of anaesthetic, the offending section of nail is removed and part of the nail root
from which it grew is selectively destroyed by applying a chemical.
The remaining nail and its root are left intact and will continue to grow normally,
except that the nail will now be slightly narrower. The piece of removed nail that
caused the problem does not grow again.
The operation lasts about an hour from arrival at the surgery to departure and after
two or three dressings the toe is normally healed in about 2 weeks.
Patients are understandably concerned about having to take time off after a procedure
of this type. A day of rest is all that is necessary following the operation and
many patients having a PNA choose to have it scheduled for a Friday evening for this
reason. Then patients simply have to ensure that the dressings on the toe are kept
dry between appointments.
Re-dressings continue until the toe is healed. Usually the toe will require two to
An important part of the follow-up care is to attend for a check-up 3 months following
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