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Ingrown Toenail Removal Surgery

Do you have pain and discomfort due to an ingrown toenail? Get in touch with Pristyn Care and consult the best general surgeon in India to get proper treatment. Book a consultation with our experts to determine if you need ingrown toenail removal surgery.

Do you have pain and discomfort due to an ingrown toenail? Get in touch with Pristyn Care and consult the best general surgeon in ... Read More

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What is Ingrown Toenail Removal Surgery?

Ingrown toenail removal surgery is also known as matricectomy or matrixectomy. It is the procedure in which the nail matrix (the tissue at the base of the nail where the nail cells originate) is removed partially or completely. The surgery is generally recommended to treat chronic ingrown toenails when other conservative and non-surgical treatments fail. 

Matricectomy can be performed using different techniques, including chemical, electrosurgical, or surgical. The most suitable technique is chosen by the doctor after examining the patient and determining the severity of the condition. To learn more about the treatment procedure, you can contact Pristyn Care. 

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What Happens If Ingrown Toenail is Not Removed?

If left untreated, an ingrown toenail can get worse and cause various complications, including:

  • Infection: The skin around the ingrown toenail can become infected, leading to pain, redness, swelling, and pus. The infection can spread to other parts of the foot and even the leg if left untreated, leading to a more serious condition called cellulitis.
  • Chronic Pain: Ingrown toenails often cause chronic pain and discomfort, making it difficult to walk or wear shoes comfortably.
  • Nail Deformity: In some cases, chronic ingrown toenails can cause the nail to grow abnormally or even fall off, leading to a permanent nail deformity.
  • Worsening of Underlying Conditions: People with underlying conditions like diabetes or peripheral artery disease are at higher risk of complications from ingrown toenails, such as foot ulcers or gangrene. 

It is essential to seek medical attention at the earliest as soon as an individual notices the symptoms of an ingrown toenail. Early treatment can prevent serious complications and ensure that the condition doesn’t get worse.

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Ingrown Toenail Treatment Methods

The treatment for an ingrown toenail depends on the severity of the condition. In mild cases, conservative treatments and home remedies can be helpful to relieve the symptoms. However, in severe cases, medical or surgical treatment may be necessary to resolve the problem effectively. Here are some of the common treatment methods for ingrown toenails: 

Seeking medical attention as soon as possible can help prevent complications and ensure effective treatment.

Why Choose Pristyn Care?

BenefitOthersPristyn Care
Blood LossMaximumMinimal
Scars & StitchesYesMinimal
Follow Up ConsultationNoYes
Hospital DurationLongShort
No Cost EMINoYes

How is Ingrown Toenail Surgery Performed?

Ingrown toenail surgery involves partial or complete removal of the toenail growing into the skin tissues. It can be done through avulsion or matricectomy as required. The actual steps vary depending on the technique being used by the surgeon. In general, the procedure is carried out in the following steps- 

  • The patient is given local anesthesia to numb the toe and reduce pain during the procedure.
  • The surgeon will then use a scalpel and specialized nail nippers to remove the affected portion of the toenail. In some cases, the entire toenail may need to be removed.
  • If matricectomy is being performed, the surgeon may use chemical (phenol), surgical, laser, or radiofrequency techniques to remove the affected nail matrix safely. 
  • Once the nail is removed, the surgeon will clean and treat the nail bed to prevent infection.
  • A sterile dressing is then applied to the toe to protect the nail bed and promote healing.

In most cases, ingrown toenail surgery is a quick and simple outpatient procedure that can be completed in a doctor’s office or clinic. The procedure usually takes around 30 minutes. After the surgery, the patient is kept under observation for an hour or so and then sent home on the same day. Then, the doctor will provide instructions on how to care for the toe and prevent post-surgery complications.

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Techniques Used for Ingrown Toenail Surgery

Several techniques are used for ingrown toenail surgery, and the choice of technique will depend on the severity of the ingrown toenail. Here are some of the common techniques used for ingrown toenail surgery:

The surgeon will choose the safest and most effective technique for ingrown toenail removal. It’s also advisable to understand the risks and benefits of each technique to make an informed decision.

Risks & Complications of Toenail Removal Surgery

Though ingrown toenail removal surgery is not complex, it has the following risks and potential complications – 

It’s important to discuss the risks and potential complications of toenail removal surgery with the doctor before the procedure and to follow their instructions for post-operative care to reduce the risk of complications.

What to Expect After Toenail Removal?

Some common things that the patient should expect after toenail removal surgery include the following- 

Most of these will resolve on their own in a few days after surgery. The doctor or his/her team will give detailed instructions for post-surgery care and a follow-up schedule to monitor the recovery. 

Recovery After Ingrown Toenail Removal Surgery

The ingrown toenail surgery recovery time can be around 3 weeks to 3 months, depending on the severity of the ingrown toenail and the type of surgery performed. Throughout the recovery period, the patient will have to follow the guidelines below for a smooth and quick recovery – 

In most cases, patients get back to normal activities within a week or so after toenail removal, but others may require longer if the condition is severe. 

Benefits of Ingrown Toenail Treatment

Ingrown Toenail Treatment provides the following benefits- 

Ingrown Toenail Surgery Cost in India

Generally, the ingrown toenail surgery Cost in India can range from around Rs. 10,000 to Rs. 50,000 or more. The overall cost varies for each patient due to the following factors- 

Other expenses may include pre-operative consultations, diagnostic tests, medications, and post-operative care. These additional expenses can also add to the total cost of the surgery.


Stages of Ingrown Toenails

Stage I- Inflammatory Stage

Mild edema and pain are present at this stage, but the nail fold doesn’t extend over the nail plate. General measures or conservative techniques are used for treatment at this stage. Excision of spicule and partialmatricectomy may be recommended for adults and Type I Diabetes Mellitus. 

Stage II- Abscess Stage 

Pain, edema, erythema, hyperesthesia, and infection are present at this stage. The nail fold extends over the nail plate and measures less than 3 mm. In young patients and in controlled diabetics, this stage is managed by chemical partial matricectomy with phenol. 

If the hypertrophic nail fold extends over the nail plate and measures more than 3 mm, the nail fold and toenail are removed by wedge resection to perform the aesthetic reconstruction. 

Stage III- Hypertrophic Stage 

Chronic hypertrophy is present at this stage, and granulation may also start to occur. The overgrowth on the lateral nail plate is done through the Winograd technique, which involves wedge resection of the toenail and nail fold. 

Stage IV- Distal Hypertrophic Stage 

This is the most severe stage in which chronic toenail deformity is present in both lateral and distal nail folds. The hypertrophic tissue entirely covers the lateral, medial, and distal nail plate. In young patients, wedge resection is done using the Winograd technique. And in adults, total matricectomy with phenol is recommended. 

FAQs around Ingrown Toenail Treatment

Is it possible to remove ingrown toenails at home?

It is generally not recommended to remove an ingrown toenail at home, as doing so can lead to further complications such as infection or abnormal growth of the toenail. In some cases, attempting to remove the nail at home can also cause significant pain and discomfort.

You can try soaking the feet in warm water, OTC medications, or topical ointment to get proper relief. And if these don’t work, it is best to seek the advice of a medical professional who can assess the severity of the condition and recommend the most suitable treatment plan. 

Who to consult for ingrown toenail removal?

Initially, if you have an ingrown toenail, you can also consult with a primary care physician or a dermatologist, who may be able to diagnose and treat less severe cases of ingrown toenails.

However, if the ingrown toenail is severe or has led to infection or other complications, a podiatrist or a general surgeon is usually the best healthcare provider to consult.

How can I contact Pristyn Care doctors for toenail removal?

To get in touch with Pristyn Care’s best doctors for toenail removal, you can choose any of the following ways- 

  • Call us on the number given at the top and talk to our care coordinators to schedule your appointment. 
  • Fill out the “Book Appointment” form and submit your details. Our coordinators will call you back and confirm the appointment at a date and time which is convenient for you. 
  • Schedule the appointment directly with the doctor of your choice through the Pristyn Care app. 

Is ingrown toenail surgery covered by health insurance?

Most health insurance plans cover medically necessary surgical procedures, which may include ingrown toenail surgery if it is deemed necessary. However, some insurance plans may have limitations or exclusions for certain treatment types of toenail fungus, so it’s always recommended to check with your insurance provider to determine if your plan covers the surgery and to what extent. 

When can I walk after undergoing toenail removal surgery?

The patient should avoid putting weight on the affected foot for the first 24-48 hours following surgery. It is generally recommended to limit activity and rest for the first few days after undergoing toenail removal surgery.

This can help to reduce pain and promote healing. After the initial recovery period, the patient may be able to walk with the assistance of a protective shoe or other devices. 

Why diabetic patients are at high risk of having ingrown toenails?

Diabetic patients are at higher risk of developing ingrown toenails due to a combination of factors related to their condition.

  • The primary reason is that diabetes can cause nerve damage, known as diabetic neuropathy. This can affect sensation in the feet, making it harder to feel pain or discomfort from an ingrown toenail, and delaying treatment.
  • Diabetes can also lead to poor blood circulation, which can affect the healing process and increase the risk of infection, making it more difficult for the body to fight off infections like those that can occur with an ingrown toenail.

For these reasons, diabetic patients should take extra care when it comes to foot health, including regularly checking for signs of an ingrown toenail, wearing properly fitted shoes, and seeking prompt medical attention for any foot-related issues.