If you have a persistent ingrowing toenail more permanent solution may be necessary and nail surgery may be recommended. It is sometime necessary to remove whole nail called total nail avulsion (TNA) or just a section of the nail called a partial nail avulsion (PNA).
What is the procedure?
This procedure is done under a local anaesthetic. An injection is given into either side of the toe with the infected toe nail to numb it so that the process is pain free. Part of the nail is removed (PNA), leaving a permanently narrower nail. In some cases, a total nail avulsion (TNA) may be performed, where the entire nail plate and root are removed. In either case, the chemical phenol is used to cauterise the nail and prevent it regrowing. This is over 95% successful. You will have to go back to your podiatrist for a number of re-dressings so they can check healing progress.
When should I see a podiatrist?
You should see a podiatrist urgently if you have symptoms of infection, have diabetes, poor circulation or a reduced immune system. You should also visit a podiatrist if you experience any persistent pain in your toe from the ingrowing nail or have a condition that affects the nerves and/or feeling in your foot.