This is known as an ingrown toenail and is a common complaint that can be treated effectively by a Podiatrist. Bennett [4] found 106 of 1575 (6.7%) reported procedures were for ingrowing nails. J Fam Pract. 1). Laser treatment is generally associated with less pain and a faster recovery. If you are dissatisfied with the appearance of your nail, you can talk to a nail technician to see if there is something you can do to improve its appearance, such as filing the nail. Ingrown Nail Surgery: Preparation, Procedure, Recovery Get regular checkups from your podiatrist if you have diabetes, so you can find infections and other problems early. An ingrown toenail may be something you consider minor, but it can become a significant concern rather quickly and should not be ignored. Ingrown Toenail Consideration should, therefore, be given to admitting these patients to a day surgery facility, especially those with systemic disease who are aged over 60. Alternatively, wedge and partial excisions may commonly be utilised as an earlier line of treatment. In the 2017 ACPS audit report [5] this increased to 28.68%. Epidemiology and bone-related comorbidities of ingrown nail: a nationwide population-based study. Possible ingrown toenail removal complications include: Ingrown toenails can be painful, but with proper home or medical treatment, they are rarely serious. https://doi.org/10.1016/j.foot.2010.09.007. 2018;45:141824. If you are prone to ingrown nails, you can try to prevent them. Procedures performed in an office setting carry a higher risk of infection. Interventions for ingrowing toenails. Be sure to see your healthcare provider for a follow-up as instructed so that your wound can be checked. This may be done on fingernails or toenails and is considered if conservative measures have proven ineffective. Leah Ansell, MD, is board-certified in cosmetic and medical dermatology. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. https://doi.org/10.1186/s13047-018-0303-0. 2020 Jun 26;56:152-160. doi: 10.1016/j.amsu.2020.06.029. Clin Podiatr Med Surg. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Hermann R, Meuter R, Bennett P. Improving the outcomes of foot and ankle surgery. These differences may be attributed to the differences in data collection. What is a hysterectomy? A question raised in this study is why are older patients with systemic disease more likely to have a procedure performed outside a hospital setting? An ingrown toenail is a condition in which the toenail grows into the skin. Unauthorized use of these marks is strictly prohibited. This is important if you have a job that puts your feet at risk. Damage to your blood vessels from high blood sugar can make it harder for your body to fight off infections. Infected toe after toenail removal | HealthTap Online Doctor Elastic or gauze wrapping small enough to surround the toe. Of 7682 records, 1831 reported 2712 diagnoses of ingrowing nails. Ingrowing toenail surgery carries a greater risk of postoperative infection than other procedures performed by podiatric surgeons. 2005 - 2023 WebMD LLC, an Internet Brands company. Poorer nail cutting practices and hyperhidrosis may also account for the higher rates of ingrowing toenails seen in this population [6]. Article Knee surgery can help restore the range of motion and function in the knee. Often, health insurance payers do not cover laser-based ingrown nail procedures. Data was collected by 23 podiatric surgeons using the Australasian College of Podiatric Surgeons (ACPS) National Audit tool. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. You can buy antifungal medicines over the counter or with a prescription from your doctor. J Foot Ankle Res. If theres a chance your toes could get injured, consider buying steel-toed shoes. Menz HB, Morris ME. When the skin around the toenail is infected, its called paronychia. Instead of letting the problem get worse, know the warning signs. J Foot Ankle Res. 2008;1:110. Radical nail bed excision potentially disseminates debris from the nail folds, contaminating subcutaneous tissue and periosteum overlying the distal phalanx. It may also involve the destruction of the nail bed itself. Unfortunately, many people dont know to associate their symptoms with an ingrown Int J Dermatol. It most commonly affects the big toe. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Conclusions: There are several factors that can lead to or increase your risk of an ingrown nail, including trauma to the nail, ill-fitting footwear, fungal nail infections, advancing age, a hereditary predisposition, and certain medical conditions such as lung disease, circulation issues, and diabetes. Learn more about what to expect from different forms of this surgery. If you ignore pain around your foot for too long, it could lead to an infected toenail. Regardless, certain activities that cause your nail to bang or rub on anything are not advised while you are recovering. [18] found that more nail procedures were performed for males than females by private surgeons. MeSH PMID: 32637092; PMCID: PMC7330155. If you receive local anesthesia, you will be awake during your surgery. Ingrown toenails are a common problem but that doesnt mean you should ignore them. While rare, the infection can spread beyond the nail and the skin, and may 2023 BioMed Central Ltd unless otherwise stated. An X-ray may be performed if there is a concern that an infection has spread to the bone or joints. Anesthesiology. WebCleansing solution, such as povidone-iodine or chlorhexidine. Your surgery may be done by a podiatrist (foot doctor) or family healthcare provider, typically in an in-office setting.