The procedure takes about an hour and starts with an injection of local anaesthetic which will make your toe numb. Once the toe is numb, the podiatrist will then remove either all or part of the nail, and will then use a chemical called phenol to destroy the exposed nail bed. This normally ensures that the nail will not re-grow again. Following the procedure a dressing will be applied to the toe and you will be able to walk normally although you are advised not to drive whilst the toe is numb. Some patients may experience slight discomfort after the anaesthetic has worn off. If this occurs, your usual painkillers are normally sufficient to reduce the discomfort. It is advisable to bring loose fitting or open-toed footwear with you on the day of the procedure.
The procedure for removing an ingrown toenail is commonly performed and is generally safe. However, in order to make an informed decision and give your consent, you need to be aware of the possible side-effects and the risk of complications of this procedure.
Side effects are mostly temporary. Typically, your toe may feel sore, stiff and swollen for several days afterwards. Your nail bed may weep and look greyish for a few weeks after phenol treatment and your podiatrist will advise you how to look after your toe until it has completely healed.
As with any procedure, complications can occur during or after the operation, but most people are not affected. The possible complications can include infection, excessive bleeding or an unexpected reaction to the anaesthetic. Complications specific to this operation are rare, however, it is possible for an ingrown toenail to re-occur. This is more likely if the nail cells are left in place.
If you have any questions or concerns, please discuss with the podiatrist.
