An ingrown toenail can cause intense pain and might even drain pus. In such cases, the doctor might recommend the removal of part of the nail. The removal process can alleviate most of the pain, but the affected toe will remain sore until it fully heals. Proper care after surgery is vital to ensure faster healing and minimize the risk for recurrence.
Removal of the ingrown toenail
The objective of surgery is to reduce the pressure and irritation caused by the ingrown toenail. The frequency and severity of the ingrown toenail is used by the doctor to determine if only a part of the nail or the entire nail should be removed as well as the underlying tissue.
In case it is a chronic issue, the doctor might utilize a special medication that prevents the regrowth of the removed part of the nail. In severe cases, removal of the whole toenail is needed.
Care for ingrown removal
The risk for infection and intense pain after surgery is reduced if proper care for the nail is provided. The doctor will instruct the individual to avoid placing any weight on the affected toe and keep it elevated for a few days after surgery.
Pain medications such as ibuprofen or acetaminophen can be given if allowed by the doctor to minimize the pain. Always wash hands before providing care to the affected toenail to minimize the introduction of bacteria to the open wound.
Make sure that the dressing is clean and dry. It is recommended to wear cotton socks and loose shoes during the initial 1-2 weeks after surgery to improve the circulation of blood to the wound and reduce pressure on the toe. In some cases, the doctor might also prescribe oral antibiotics or ointment.
Activity level
Normal activity can trigger pain and increase the swelling of the affected toe, if started too soon. Generally, light activities can be started after a few days as the pain settles. Activities such as jumping, running and more strenuous activities must be avoided for several weeks after surgery.
Preventing regrowth
Regrowth of the ingrown toenail can be avoided by wearing shoes that allow enough space for the toes to move. You can also soak the foot in warm water to soften the nail.
A hard nail can press on the skin which results to irritation and infection. You can utilize a sharp, clean nail trimmer to trim the nails straight across. The nails that are tapered at the side or picked off are at higher risk to become ingrown.
Quick Note / Disclaimer
The material posted on this page on an ingrown toenail is for learning and educational purposes only. To learn to recognize and manage an ingrown toenail, register for a first aid and CPR course with Saskatoon First Aid.