Our team of Podiatrists at Performance Podiatry are extensively experienced at performing the most up to date, minimally invasive ingrown toenail surgeries. These toenail surgeries treat the most recurrent, stubborn and problematic of ingrown toenails.
For those of you that suffer from reoccurring and problematic nail issues, we understand your pain! Once you have met with us, your podiatrist will put an individualised treatment plan into place. This may involve performing a minor procedure to permanently resolve the issues. The most common procedures we perform are the Partial Nail Avulsion (PNA) and Total Nail Avulsion (TNA).
Partial Nail Avulsion – Safe, Effective, Pain-Free and Fast Healing
The most common procedure that we perform is called a Partial Nail Avulsion (PNA) or wedge resection. In this procedure, the piece of the nail that digs into your skin is removed and a chemical called Phenol is applied to prevent the regrowth of just that section of nail.
The procedure is a routine, simple, in-clinic treatment that takes around 1 hour from entering the clinic to leaving.
This treatment is highly effective, requires minimal downtime and importantly, it results in an immediate improvement in pain. We use special injection techniques to numb the area with Local Anaesthetic to ensure a gentle, straight forward experience for you.
Will my toenail look normal afterwards?
At Performance Podiatry, we understand the importance of maintaining the appearance of a beautiful toenail. We always work to give our patients the most cosmetically appealing results by taking only what nail is necessary and using the latest in minimally invasive techniques.
We understand that no one is particularly fond of receiving needles and others are downright scared. You can rest assured that this is incredibly common and something which our Podiatrists are experienced at managing every day.
We use the smallest gauge needle available and the latest in minimally invasive injections techniques to put you at ease and ensure you have a comfortable and stress-free experience.
If you do have any anxiety in regard to this part of your treatment, please do not hesitate to contact your Podiatrist prior to your appointment to answer any questions you may have.
- Your toe is anaesthetised using our minimally-invasive local anaesthetic technique to ensure the toe is completely numb.
- Your podiatrist carefully marks your nail edge. This thorough planning process ensures the Podiatrist only takes out the piece of nail that is necessary and helps to ensure an aesthetically pleasing nail when fully healed.
- The nail edge is cut and separated from the edge to the nail base.
- Your podiatrist removes the offending piece of nail and cleans out any extra debris in the nail sulcus.
- A mild acid called Phenol is applied to destroy the nail matrix. This is the step that ensures the ingrown toenail does not return.
- The nail edge is flushed with a saline solution and final inspections are undertaken.
- The toe is carefully bandaged with final instructions issued to you on how to take care of it.
After the procedure
After the surgery you can expect minimal post-operative pain. You are able to walk immediately afterwards and fit into your normal day to day shoes within 48 hours. In the meantime you can wear open toe shoes such as sandals, slides or thongs. The surgery site takes between 1-5 weeks to heel completely. Normal activity and sports are usually fine to continue with during the healing process.
A ‘redressing and review’ appointment is usually required at both 2 days and 2 weeks after your procedure.
Total Nail Avulsion (TNA)
The second most common surgical procedure we perform for ingrown toe nails is called a Total Nail Avulsion.
Unlike a Partial Nail Avulsion, a TNA removes the whole nail base before the nail matrix is destroyed with Phenol.
We use this procedure only when absolutely necessary. It is generally for patients who have had severely damaged, thickened and problematic toe nails or those with painful recurring ingrown nails that a PNA will not fix.
The TNA means that you will no longer have any toe nail that grows on your toe. This may bother some people but it does mean, importantly, that there is no ongoing issues with ingrown toe nails.
Caring for the toe after a TNA is identical to that of a PNA. You are able to walk immediately afterwards and fit into your normal day to day shoes within 48 hours. This surgery usually heals a little faster; it will take between 1-4 weeks. Normal activity and sports are typically fine to continue with during this process.
A redressing and review appointment is typically required 2 days and 2 weeks after the procedure.