
Toenail removal surgery is a procedure that involves removing part or the whole of an ingrown toenail. Ingrown toenails occur when the corner or side of the toenail grows into the soft flesh, causing pain, redness, swelling, and sometimes infection. The surgery is typically performed under local anaesthesia, numbing the toe to prevent pain during the procedure. While the injection may cause a mild burning sensation, it is generally well-tolerated, and the surgery itself is relatively painless. Post-operative care is crucial, and patients may experience mild swelling and discomfort, which can be managed with ice packs and over-the-counter painkillers. Toenails usually regrow within 18 months, but proper aftercare ensures a smooth recovery process.
| Characteristics | Values |
|---|---|
| Pain | It is normal to feel some pain after the procedure, especially when the numbing medicine wears off. The pain typically lasts 1 to 2 weeks, but it can differ based on the cause of the pain and how well the toe is taken care of. |
| Healing Time | The healing process can take time, and the pain should gradually decrease. The toenail may grow inward again. The toenail takes 6 to 18 months to reach a normal length. |
| Aftercare | Keep the foot elevated for a few hours after the procedure and rest. Refrain from vigorous exercise for 2 weeks. Wash the toe gently with soap and water, and dry it thoroughly. Avoid soaking the toe to prevent infection, except when instructed by a doctor. Apply ice wrapped in a cloth for 10-15 minutes, several times a day, especially in the first 48 hours. Use painkillers such as ibuprofen or acetaminophen as directed. Choose comfortable shoes with a wide toe box or soft cushioning to avoid pressure on the toe. |
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What You'll Learn
- Ingrown toenail surgery involves numbing the toe with a local anaesthetic
- Toenail surgery is a quick procedure, taking around 10 minutes
- Toenails usually grow back in 18 months, but it can take longer
- Toenail surgery costs £375 for one toe and £110 for each additional toe
- Post-operative care includes keeping the wound clean and dry to avoid infection

Ingrown toenail surgery involves numbing the toe with a local anaesthetic
Ingrown toenail surgery is a common procedure performed by podiatrists and doctors to alleviate pain and discomfort caused by ingrown toenails. While the surgery itself is relatively straightforward, it does involve numbing the toe with a local anaesthetic to ensure patient comfort. Here is a detailed overview of the process:
Numbing the Toe
The first step in ingrown toenail surgery is administering local anaesthesia to numb the affected toe. This is done by injecting a numbing medication directly into the toe. This ensures that the patient does not experience pain during the procedure. The anaesthetic may take a few minutes to take effect, and the degree of numbness can vary depending on the dosage and the patient's individual response.
Trimming the Nail
Once the toe is sufficiently numb, the podiatrist or doctor will use specialised tools to carefully trim and remove the ingrown portion of the toenail. This may involve cutting a straight edge along the nail to relieve pressure on the surrounding skin. In some cases, the entire toenail may need to be removed if it is severely damaged or infected.
Treating the Tissue
If the ingrown toenail has caused heaped-up or hypertrophied tissue on the side of the toe, this tissue will be removed to prevent further irritation and promote healing. The underlying nail bed may also be treated to prevent the ingrown toenail from recurring. This can be done by applying a chemical solution or surgically removing the nail matrix to stop regrowth.
Dressing and Aftercare
After the procedure, the toe will be cleaned and dressed with a bandage. Antibiotic ointment may be applied to prevent infection and aid in healing. Patients are typically advised to keep their foot elevated for a few hours after the surgery and to rest for the remainder of the day. Returning to work or school is usually possible the following day, but vigorous activities and exercises should be avoided for at least two weeks.
Pain Management
While the toe is numb during the procedure, patients may experience some pain once the anaesthesia wears off. It is normal to feel discomfort, tenderness, and soreness in the affected toe for a few days or even weeks. Pain relievers, such as ibuprofen or acetaminophen, can be taken as recommended by the doctor to manage pain. Soaking the foot in warm water or applying ice packs can also help reduce pain and swelling during the healing process.
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Toenail surgery is a quick procedure, taking around 10 minutes
Toenail surgery is a quick procedure, typically taking around 10 to 20 minutes. The exact duration depends on the complexity of the case and the method used. It is important to note that while the surgery itself is relatively swift, the preparation and aftercare are crucial aspects of the process.
Before the procedure, the doctor will ensure the affected toe is thoroughly cleaned with surgical soap or alcohol. Next, an injection of local anaesthesia will be administered to numb the toe. This step is crucial in ensuring patient comfort during the procedure. Once the toe is numb, the doctor will begin the surgery by separating the nail from the skin. This is achieved by inserting a tool under the nail to lift and remove the nail plate.
During the procedure, the doctor may choose to apply a chemical solution to prevent nail regrowth. This is particularly relevant if the toenail is being removed due to recurring issues, such as ingrown toenails. In some cases, the nail matrix may be surgically removed to permanently prevent regrowth. This decision is made based on the patient's preferences and the underlying cause of the toenail issue.
After the nail is removed, the doctor will clean the area and apply an antibiotic ointment to reduce the risk of infection and promote healing. The toe will then be bandaged, and the patient will be given aftercare instructions. These instructions typically include keeping the foot elevated, changing dressings, and refraining from vigorous activities for a few weeks.
It is important to follow the doctor's instructions for aftercare to ensure proper healing and prevent complications. While toenail surgery is a quick procedure, the recovery process can take a few weeks, and patients may experience some pain, redness, swelling, and tenderness during this time.
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Toenails usually grow back in 18 months, but it can take longer
Toenail surgery is usually carried out when an ingrown toenail hasn't responded to more conservative treatments. Ingrown toenails occur when the corner or side of the toenail grows into the soft flesh, causing pain and discomfort. The condition can make the toe swell or become infected, with pus filling the area.
Before the procedure, a local anaesthetic is administered to numb the toe. This injection may cause a mild burning sensation for around 60 seconds, but this is well tolerated by most individuals. Once the toe is numb, the surgery can begin. The offending nail or part of the nail is then removed, and a chemical solution may be applied to prevent regrowth. The whole procedure typically takes less than an hour and is painless.
After the surgery, the podiatrist will dress the wound, and you will be given instructions on how to care for it. It is common to experience mild swelling and aches at the surgical site, but this is a normal part of the healing process. Keeping the foot elevated can help reduce swelling and alleviate discomfort. Most people can return to their normal activities, including wearing regular shoes, the day after surgery.
Toenails usually grow back within 18 months, but it can take longer. During this time, it is important to take precautions to protect the toe and promote proper healing. This includes avoiding stubbing or injuring the treated toe and refraining from rigorous exercise or sports activities for a specified period.
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Toenail surgery costs £375 for one toe and £110 for each additional toe
Toenail removal is a medical procedure that should only be performed by a qualified healthcare professional in a sterile environment to minimise the risk of infection. Ingrown toenails occur when the side or corner of the nail digs into the flesh of the toe, and can be extremely painful and cause infection. In some cases, removal of the nail or part of the nail is necessary to alleviate the symptoms.
The procedure is usually done under local anaesthesia, and the doctor will numb the area before starting. The doctor will separate the nail from the skin, and then insert a tool under the nail to lift and remove the nail plate. The whole area will be thoroughly cleaned, and an antibiotic ointment will be applied to prevent infection. A bandage will be placed over the wound, and you will likely be able to go home the same day.
The cost of toenail surgery varies depending on the severity of the condition, the healthcare facility, and consultation fees. On average, ingrown toenail removal costs $200 to $500 without insurance. Toenail surgery costs £375 for one toe and £110 for each additional toe.
It is important to note that there is a risk of complications, such as thickened, misshapen, or ingrown nails regrowing. It is recommended that you follow your doctor's advice on post-operative care, including keeping your foot elevated and changing the dressing as instructed.
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Post-operative care includes keeping the wound clean and dry to avoid infection
Post-operative care is crucial to prevent infection and promote healing after a toenail removal procedure. Here are some detailed instructions for keeping the wound clean and dry:
Keep the Wound Clean:
- Wash the wound gently with soap and water, especially after any exposure that may cause contamination, such as walking barefoot or swimming.
- You may be advised to soak your foot in warm water, which can help with healing and reducing swelling. However, avoid soaking too frequently, as it may increase the risk of infection.
- Apply an antibiotic ointment to the wound as directed by your doctor. This helps prevent infection and promotes healing.
- If your doctor has applied a chemical solution to prevent nail regrowth, carefully follow their instructions for wound care to ensure the treatment's effectiveness.
Keep the Wound Dry:
- Ensure thorough drying of the wound and surrounding area after washing or soaking.
- Keep your foot elevated, especially in the initial days after the procedure. This helps reduce swelling and also minimizes the risk of bumping or putting pressure on the toe.
- Choose appropriate footwear that allows your toe to heal without pressure or irritation. Opt for open-toed shoes or shoes with a wide toe box and soft cushioning.
- Avoid getting the wound wet for prolonged periods, especially in the initial healing stages. Showers are generally safer than baths, and using a waterproof cover for your toe when bathing can provide extra protection.
Remember, proper post-operative care is essential to prevent infection and promote optimal healing. Always follow your doctor's instructions and contact them if you have any concerns or signs of infection, such as increasing pain, redness, swelling, or drainage from the wound.
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Frequently asked questions
Toenail removal surgery is performed under local anaesthesia, so patients do not feel pain during the procedure. However, there may be some discomfort after the anaesthesia wears off, which can be managed with over-the-counter painkillers.
After toenail removal surgery, it is important to keep the wound clean and dry to avoid infections and other complications. Patients should also keep their foot elevated to reduce swelling and apply ice packs if necessary. Most people can return to their normal activities, including wearing regular shoes and going to work or school, the day after surgery. However, rigorous exercise should be avoided for a specified period.
Toenail removal surgery costs vary, but on average, it costs £375 for one toe and £110 for each additional toe. This price typically includes the initial assessment, treatment, anaesthesia, dressings, and a follow-up appointment.











































