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foot Treatment

Nail Surgery

Our podiatrist has performed hundreds of nail surgery procedures over the last 14 years. We are well aware that the patient experience and indeed clinical outcome is very dependent on the practitioner and in both of these aspects, Nishal has extremely positive feedback.

Common indications for surgery:

  • In-grown toenail
  • Involuted toenail
  • Other nail disturbance/disease

At a glance


Treatment time

60 minutes

Anaesthetic

Yes (Local)

Full recovery

7-10 days

Back to work time

Next day

Sensitivity period

N/A

Duration of result

Longterm

Risks & complications

Infection, recurrence, bleeding

Prices

Surgery and redressing appointment (1 nail)

£280

Each additional toenail

£185

All new patients will require a new patient chiropody appointment before having any surgery.

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Aftercare


The dressing should be kept dry for 48 hrs. Following this period the toe should be bathed in salt water and redressed by the patient (you will be given advice about this). It is very important to keep the wound as clean as possible and to avoid undue pressure to the area, to prevent infection and allow for a speedy recovery.

Please note, the above aftercare is just a guide. Full aftercare advice will be given to you when you attend your appointment with us.

Nail Surgery

FAQ

The usual approach would be to perform a “partial nail avulsion”. This involves taking only part of the nail away ie the offending side which is growing into the skin and causing the underlying problem. After a thorough assessment which includes taking a medical history, local anaesthetic is injected with a fine needle to completely numb your toe. Once numb, a tourniquet is tied around the toe.

The dressing will usually make this difficult so please bring a pair of flip-flops with you. You will need the dressing on for at least a week after surgery.

There will be no pain immediately after as it takes 2-4 hours for the anaesthetic to wear off in most patients. You will then gradually notice some discomfort but you may take paracetamol or co-codamol (if there is no contra-indication otherwise). Avoid drugs like aspirin for at least 3 days, as these can increase the chance of post-op bleeding. Also note question below.

You should avoid any blood thinners eg aspirin, for 72 hours before and after surgery. If you are taking these for a specific medical reason eg for atrial fibrillation, you must NOT stop this medication until you have spoken to your GP and have his/her endorsement. If you are on warfarin, your podiatrist will discuss the options with you and almost certainly need to write to your GP first.

Pending an assessment, yes. We are very experienced in dealing with children. There is no strict age cut-off, but the final decision will be with the podiatrist. Generally speaking, if your child can tolerate having the local anaesthetic, then the rest is easy! We sincerely believe that if the whole approach is made in a sensitive and caring way, along with delicate administration of local anaesthetic, the child (or adult!) can have a relatively comfortable and relaxing experience.

Nail Surgery

Nail Surgery Video

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