7 Things to Know About Ingrown Toenail Surgery: How to Prepare

Ingrown toenails are a common and painful condition where the edge of the toenail grows into the surrounding skin, causing inflammation, swelling, and infection. When conservative treatments fail, ingrown toenail surgery may be necessary to alleviate pain and prevent recurrent infections.

Here are seven things to know about ingrown toenail surgery and how to prepare for it.

1. Consultation and Diagnosis
Before the surgery, you will have a consultation with a healthcare provider, typically a podiatrist. They will examine your toenail, assess the severity of the condition, and discuss your medical history. It’s important to inform your doctor about any medications you are taking, allergies, or pre-existing conditions that might affect the surgery or healing process.

2. Understanding the Procedure
Ingrown toenail surgery typically involves removing a portion or the entire toenail to prevent the nail from growing into the skin again. There are several surgical methods, including:
- Partial Nail Avulsion: Only the ingrown portion of the nail is removed.
- Total Nail Avulsion: The entire toenail is removed.
- Matrixectomy: The nail matrix (the root of the nail) is destroyed to prevent regrowth of the ingrown part. This can be done chemically or surgically.

Your doctor will determine the best procedure based on the severity and recurrence of the ingrown toenail.

3. Pre-Surgery Instructions
Your doctor will provide specific pre-surgery instructions. These may include:
- Avoid Certain Medications: You might need to stop taking blood-thinning medications, such as aspirin or ibuprofen, a few days before the surgery to reduce the risk of bleeding.
- Foot Hygiene: Keep your feet clean and dry before the surgery. Avoid applying lotions or creams on the day of the procedure.
- Transportation Arrangements: Arrange for someone to drive you home after the surgery, especially if the procedure involves anesthesia or sedation.

4. Anesthesia and Pain Management
Ingrown toenail surgery is usually performed under local anesthesia, which numbs the affected toe. This means you’ll be awake during the procedure but won’t feel any pain. You might experience some pressure or discomfort. Discuss pain management options with your doctor beforehand. After the surgery, over-the-counter pain relievers like acetaminophen or prescribed medications can help manage post-operative pain.

5. Post-Surgery Care
Proper post-surgery care is crucial for a smooth recovery. Your doctor will provide detailed instructions, which may include:
- Wound Care: Keep the surgical site clean and dry. Change the dressing as your doctor directs, usually once or twice a day.
- Elevation and Rest: Elevate your foot to reduce swelling and avoid putting pressure on the affected toe. Limit your physical activities for the first few days.
- Pain Management: Take prescribed pain medications as directed. Over-the-counter pain relievers can also be used to manage mild discomfort.
- Follow-Up Appointments: Attend follow-up appointments to ensure proper healing and address any concerns.

6. Potential Complications
While ingrown toenail surgery is generally safe, there are potential complications to be aware of:
- Infection: Signs of infection include increased redness, swelling, warmth, or pus discharge from the surgical site. Contact your doctor if you notice these symptoms.
- Nail Regrowth: In some cases, the toenail may grow back and become ingrown again. This is more common if the matrixectomy procedure is not performed.
- Prolonged Pain or Swelling: If you experience persistent pain or swelling that doesn’t improve with time, consult your doctor.

7. Tips for a Smooth Recovery
To ensure a smooth recovery, follow these additional tips:
- Wear Comfortable Footwear: Choose shoes with a wide toe box and avoid tight or high-heeled shoes that can pressure the toes.
- Maintain Good Foot Hygiene: Keep your feet clean and dry, and avoid walking barefoot in public places to reduce the risk of infection.
- Monitor Healing: Keep an eye on the healing process and report any unusual symptoms to your doctor immediately.

Conclusion
Ingrown toenail surgery can provide significant relief from pain and prevent recurrent infections. By understanding the procedure, following pre- and post-surgery instructions, and being aware of potential complications, you can ensure a successful outcome and smooth recovery. If you suspect you have an ingrown toenail, consult with a healthcare provider to discuss your treatment options and take the first step towards healthier, pain-free feet.