Ingrown toenail removal Treatment | Step by step

Onychocryptosis, or ingrown toenail, is a condition that occurs when the edge of the nail grows into the skin, causing pain, redness, and inflammation. This pathology mostly affects the big toe but can occur in any of them.

There are two types of ingrown toenail:
-Side, which is the most common.
-Previous that appears when the nail incarnates forward.

There are several causes for ingrown toenails, for example; ill-fitting shoes, constant and repetitive pressure on the toe, deformed nails, frequent long distance walking, trauma, and improper nail trimming.

To treat this problem, the doctor will examine the patient's nail and ask several questions about their symptoms. Medical tests or X-rays are usually not needed.

Depending on the state in which the nail is found, the doctor can opt for a conservative treatment instead of a surgical intervention.

In conservative treatment, a smooth cut is normally made with a scalpel on the ingrown nail and then tensors are applied to educate and correct the shape of the nail so that it corrects its course and avoids resorting to surgery.

For the surgical intervention, the doctor will inject an anesthetic into the base of the affected toe so that the patient does not feel pain during the intervention. After this, the patient's finger will be wrapped for 10 to 15 minutes with alcohol-soaked gauze, after which time more anesthesia is applied to the fingertip and a smaller portion of the proximal nail fold on the side to be operated on.

After that, the entire area will be washed with chlorhexidine, an antiseptic with bactericidal action. Subsequently, all the foam will be removed from the surface with saline and the area will be disinfected once again, but this time with iodine.

Once the area is covered with the sterile field, the surgeon will proceed to make a longitudinal cut in the nail with dissecting scissors, leaving the nail barely visible between the affected nail fold and the cut. With the help of an instrument called a Gouge, the doctor will finish cutting the entire nail matrix, and later with another tool called a straight halsted forceps, holding the fragment of the nail to rotate the ingrown part and then pull it until it is completely removed.

Once this was done, the doctor will carry out a detailed inspection of the intervened area to make sure that no nail remains were left. Once verified, the specialist will clean the area with saline solution and proceed to cauterize the intervened tissues.

Finally, the affected area will be covered with antibiotic cream, then the finger will be wrapped with a compression bandage, which will be removed until the doctor indicates it.

During the next 48 hours the patient will be recommended to apply a cold pack, rest, antibiotic cream at least 3 times a day, as well as the use of analgesics.

It is important that this intervention is carried out only by experts, so please, if you have this problem, before undergoing any procedure, verify that your doctor is certified. Your health and that of your loved ones is the most important thing.

#Education #Toenail #Surgery

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[Alrapter]

The method I personally use is:
1.) get some nail clippers
2.) identify the location
3.) grab the skin around it and pull it away as much as possible
4.) clip away at the area starting from the front
5.) if some can’t be reached by trimming away grab some tweezers
6.) if tweezers are used get as best as grip as possible
7.) pull the leftover nail out (hello pain)
8.) after getting as much as possible out apply disinfectant (i.e. neosporen)
9.) put on a bandaid (stronger the adhesive the better)
10.) continue on with one’s daily routine

[DescendDab]

When u fall asleep first at the sleepover:

[Fleta_Maughner]

I'm glad to see that i'm not the only one who did this on my own. I was so annoyed by my sore toe. So i took a dose of pain killer and remove the ingrow parts and bits with a nail clipper and tweezers. It wasn't painful at all, in fact it was so satisfying as my toe was relieved from all the redness and pain.

edit: guys, just to clarify, i actually didn't take painkiller, it was just my fever prescription that contained some paracetamol, i was having the rona lol

[simonnachreiner]

The thing that surprised me the most after my home done extraction was just how little it hurt compared to the sheer relief. It’s amazing what you can do with nail clippers, pliers, some soaking and a bite stick.

[x_architecture]

I do this surgery to myself all the time. It's painful, but only for a short time, it's a big relief when it's done.

[seanfisher]

I’ve had this surgery 9 times (both sides of both big toes twice, plus a bonus round). It has never been anywhere near as peaceful and pristine as this clip makes it seem.

[ShaeFur]

Had this surgery on both big toes when I was around 10 or 11, interesting to see how the surgery actually works

[BeachLife]

The AI just referred to the toe as a “finger”
LMAO

[aponisuka]

I have suffered from this for almost eight years. All because of improper nail trimming and tight shoes. It started in 2013. As the years went by I slowly accepted the fact that I really need to have this surgery done on my foot. But the pandemic came, going outdoor becomes restricted, it began to heal slowly without me doing anything. Now it's fully healed.

Edit: Additional info. What I did was during the pandemic, I let the nail grew so long until the hurting part of the nail came out forward. After that, the flesh began to heal since the nail stopped poking it from the inside anymore. Now I only trim the nail on the front not like what I used to do before.

[tikanii]

I’ve never had an ingrown toenail so watching this and reading comments I’m really glad that being a combat medic really helps out

[natanmoses]

I’ve had this surgery done not once, not twice, but 8 times. My big toenails just hated me once I hit teenage years. I eventually had one big toenail permanently removed, and the other had 1/3 permanently removed. Take care of your nails folks.

[christophermetcalf]

I remember having an ingrown toenail for 2 weeks as a kid. By the time my mom noticed, because I was hiding the pain, and helped me deal with it, the amount of yellow puss that oozed out was astonishing. I've always made sure to deal with ingrown toenails as soon as possible ever since.

[NameNik]

I had this surgery a few years ago. Before it, my toenail was so bad that it started growing inside from both sides, and my toe was so swollen that even a blanket falling on my foot would cause pain.
During the surgery, the doctor had to give me painkillers 5 times because it still hurt like hell even after the first 3 shots. After the surgery, there was annoying pain like an itch for about 30 minutes, but after that, it was paradise. The toe hasn't bothered me since. If you have an ingrown toenail in a pretty critical condition, do this surgery. It is pretty short, and it's really worth it 👌

[lonewolf]

I've gotten the surgery on my first ever appointment with a foot doctor. The surgery is pretty common, but unless there's 2 different types of toe surgeries you forgot something VERY important. After they take out the ingrown nail and the very slim amount of nail attached in the way you described, they then apply acid to the part of your toe were the nail would grow from so that part doesn't grow back. There's still a chance that you'll get ingrown nail in the side of the toe you had surgery on, but I can tell you that I haven't had one in five years since the surgery. I'm genetically proun to ingrown toe nails and yes there's some you can get out on your own, but then they're some that are so deep an so far to the side that you can't get out without surgery. Also be careful about your doctor an ask how much nail they're going to take off before you have them do it. The older/old school doctors will just take half of your toe nail when they only then to take a smiggine. If you're proun to getting ingrown toe nails going to nail salon an getting a pedicure once a month also helps prevent them since they can more properly an easily not only cut your nails so the dont/have a harder time digging into the sides of your toe but will also cut out your more minor ingrown nails.

[xXShadowRejectsXx]

I suffered from an ingrown nail on my big toe for about 6 months. I tried my absolute best to get it out but it was too painful and I just learned to live with it.
One day, I stepped out of the shower and noticed something on the edge of my toe. The water had softened up my skin enough to allow something to poke through. I looked closer, it was the ingrown toe-nail, growing out of the side of my toe. I grab a pair of tweezers and pluck out this nail that's probably 1/4" long from an exit hole in the side of my toe. 6 months of pain gone almost immediately. I'll never forget how disgusting but satisfying it was.

[BowelSyndrome]

For those who are anxious about this process, it’s completely painless. I’d say day 1 was a bit difficult with the toe itching, but trust me, going through the process is a piece of cake compared to the hell that is an ingrown toenail.

[Protestant_Caesar]

I used to do it myself, and then I had it professionally done on both big toes when I was 13 or 14, and the numbing injections were probably the worst pain I’ve ever felt in my life. I'm (edit) 16.

[BlooHoots]

i know most yall watching this laying on the bed

[b.k.]

I have a history of ingrown nails on basically all my toes. It's kind of a genetic thing because I have super hard and weird growing nails but also had to do with me wearing small shoes while doing sports, a lot of factors combined . Had multiple surgeries done and stuff went to an Podiatrists weekly for a couple of months, I'm better now but problems still pop up every once in a while