What is an ingrown toenail?
Ingrown toenails can be debilitating, footwear-dictating, and just downright painful. They occur when the nail edge pushes into and/or irritates the nail sulci, commonly resulting in infection and inflammation. It can also occur when a nail 'spike' is left behind from cutting the nail incorrectly. For most suffers this occurrence is all too familiar and dreaded, and can interrupt sporting activities and limit shoe selection.
For those with long‐standing discomfort and repeated episodes of inflammation/infection, the best treatment is to undergo a Partial Nail Avulsion (PNA), also known as a nail wedge resection.
It is a more permanent treatment modality and saves you from having to visit your Podiatrist every few months or take antibiotics!
What does the procedure involve?
After the initial pre-op consultation of 20 minutes, the patient has a 'cooling-off' period of 7 days and can then book the surgery if they wish.
The appointment is for 45 minutes and the procedure involves:
A local anaesthetic injection to numb the affected toe and waiting for 10 minutes to ensure the toe is numb
Using a sterile technique and instruments, the nail edge is removed and the sulci is cleared
Application of a chemical called Phenol, that prevents re-growth of the nail
A follow-up appointment with the practice nurse can be booked at 8 days to ensure healing is proceeding well.
What is the recovery time following a Partial Nail Avulsion?
Recovery from a PNA is relatively quick, but depends on your overall foot health.
We recommend taking 1 - 2 days to rest, making sure to elevate your feet, and wear open-toed footwear.
Most people are able to return to normal life after the first day and to sports within a couple of days.
The aim for the next few weeks is to heal the nail bed, which usually takes 2 - 4 weeks in total.
The cost of this procedure is £320 per toe.
Initial Consultation £100.
Optional 15-minute nurse follow-up included.