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Best Practice Procedures for Managing Ingrown Nails

Newcastle Podiatry - Friday, November 18, 2016

Ingrown nails can be very painful, but in addition to that, unsightly and annoying. There are often stories about their painful battles with infection and even a few scary tales of home surgeries. When we see an ingrown nail we weigh up the likely success of two alternative treatments and make the appropriate choice in conjunction with the patient. The first option is to carefully clear the offending piece of nail reducing pain and infection. This may then be reviewed to ensure the ingrown nail will not recur, or if so look at further treatment.

The second option is suited to long standing cases or those nails which cannot be settled. Sometimes this is dictated by the shape of the nail or the infection history. This minor surgical procedure is called a Partial Nail Avulsion with phenolisation, (PNA for short).

Carried out under local anaesthetic and with hospital grade surgical scrub and drape, the offending nail margin is gently removed and procedures put in place to prevent regrowth utilising phenol and with minimal discomfort, with most patients not required post-operative pain relief.

The balance between nail aesthetic and ongoing nail health is carefully considered in pre surgical planning and during the procedure. Commonly as little as an eighth of the nail is removed maintaining a normalised appearance particularly important for our female patients.

This surgical procedure is a highly effective, safe procedure that we frequently administer at our practice. If have concerns or ongoing pain be sure to ask our podiatrists or our friendly front office team.


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