NAIL SURGERY

                                                                  


                                                                               NAIL SURGERY 

What is the treatment of Nail Surgery?

In some cases, part of the nail or the toenail is to be removed so as to ensure that the nails are growing properly without any infection or discomfort. This removal is done via Nail surgery. The toenail can grow into the flesh of the finger and it can occur due to wearing too tight shoes around a toe, or by cutting toenails with too much of a curve due to a toenail injury or any fungal infection, or due to a naturally grown curve. In all these cases this toenail may bring in discomfort. Similarly, the nail may get injured and can get infected. In such cases, there is a need to remove the part of the nail or the entire toenail so as to eliminate the infection growth and bring down the discomfort. This is done through nail surgery.

The surgery is done under the effect of local anesthesia so that the patient doesn’t feel any discomfort while undergoing the procedure. When the Nail has been successfully removed a particular chemical substance is applied on the nail bed so as to ensure that there is no regrowth of bad cells. Thus the regrowth of the nail cells is destroyed through the application of the chemical but in some cases a regrowth may take place. The surgery is a very simple process and the entire process can take a time period of 1 hour. The recovery time shall be between 4 to 8 weeks so that the entire healing of the affected area takes place.

How is the treatment done?

  1. The Nail surgery is done by the Dermatologist. The Nail surgery is a simple procedure and it lasts for nearly 1 hour or less than it. It is done under the effect of local anesthesia.
  2. The doctor shall examine the condition of the nail and then shall recommend nail surgery. The procedure for the Nail surgery is as follows:
  3. The doctor shall first clean the affected area to prepare the area for the surgery.
  4. Local anesthesia injection shall be injected to numb the area. The process of giving anesthesia may be painful.
  5. Once the toe has been fully anesthetized, an elastic tight band will be applied to the toe to prevent bleeding during the procedure. A wedge may be used under the nail to hold the ingrown section.
  6. The doctor then shall use scissors and other special tools to separate the grown toenail from the nail bed by making a vertical cut from the ingrown side down to the cuticle. A cut section then shall be removed. If required the entire nail may be removed if there are ingrown nails from both sides.
  7. The doctor shall make use of a heated electrical device known to be a cautery or an acidic chemical solution like phenol to ensure that there is no regrowth of the nail. This shall also stop the bleeding from the nail.
  8. After the surgery, the elastic band will be removed, the toe will be checked for return of your blood supply to the toe and a sterile dressing will be applied.
  9. The patient shall be asked to remain for a short period of time in the clinic with her foot up. Finally, the bandage shall be checked to make sure there is not too much bleeding before you leave the clinic. After the surgery, the patient may be given medicines for pain relief and antibiotics for healing the infection.

Who is eligible for the treatment? (When is the treatment done?)

Patients who have in-grown toenails, or are having nails that are injected due to either bacterial infection or fungal infection, or who are having naturally curved grown toenails, or have suffered an injury of the nail are eligible for the treatment of the nail surgery. The decision to go for the nail surgery shall be diagnosed by the Podiatrist after examining the affected area.

The general symptoms that the Podiatrist shall suggest for Nail surgery thus are as follows:

  • If there is pain around the toenail edges
  • If there is a buildup of fluid around the toenails
  • If there is a thickening in the skin around the toenail
  • If there is redness and swelling around the toenail
  • If there is an infection with draining pus around the toenail
  • If the toenail is curved naturally
  • If the toenail or nail part is injured

When is surgery necessary?

  • An ingrown toenail, which doctors might call onychocryptosis, is a common complaint. About 20%Trusted Source of people who see their doctor for foot problems needs help with an ingrown toenail.
  • This painful condition happens when the toenail grows down into the skin. It most commonly affects the big toe, with the corner of the nail growing into the nail bed. In most cases, it occurs due to tight-fitting footwear or improper trimming of the nails.
  • People can often treat ingrown toenails at home by wearing sandals to avoid putting pressure on the toe, soaking the toe in warm water, and keeping the area clean to help it heal on its own.

However, if there are signs of infection, a person should see a doctor rather than try to treat the nail at home. People should also seek medical care for an ingrown nail if they have a health condition — such as diabetes, nerve damage, or poor circulation — that makes home treatment risky.

Ingrown toenails irritate the skin. As a result, they can make it easier for bacteria and other microbes to get in, which increases the risk of infection. Promptly treating an ingrown toenail reduces this risk. Some signs of infection include:

  • Swelling
  • Pus
  • Redness
  • Extreme pain
  • Fever

If the toenail is very swollen or inflamed, or it does not get better after a few days, a doctor may diagnose an infection and prescribe antibiotics. They might also prescribe Trusted Source a special splint to prevent the toenail from growing deeper into the skin. If the toe still does not heal, a doctor may recommend surgery.


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PRISTINE COSMESIS CENTRE 


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