Toenail removal may sound drastic, but it’s actually a pretty common procedure for problems like stubborn, painful ingrown toenails. In fact, having a bothersome toenail removed can be a real game-changer, offering relief and a better quality of life.
If you’re considering or have just had a toenail removed, you’re probably wondering what to expect in the coming weeks. This article is your guide to understanding the healing process and navigating the recovery journey in the 6 weeks after toenail removal.
Following your doctor’s aftercare instructions carefully is essential for the best possible outcome and to avoid any unnecessary complications. Let’s take a look at what you can expect during the healing process.
Understanding Toenail Removal Surgery
Getting a toenail removed isn’t anyone’s idea of a good time, but sometimes it’s the best solution for ongoing pain and infection. Here’s a little about why you might need this procedure and what to expect.
Why Toenail Removal is Necessary
You might need toenail removal if you have:
- A severely ingrown toenail
- A persistent fungal infection
- Trauma to the nail
Sometimes, only part of the nail needs to be removed (partial nail avulsion), but other times, the whole nail has to go (total nail avulsion).
The Procedure Itself
During the procedure, the doctor will numb your toe with local anesthesia and may use a tourniquet to control bleeding. In some cases, they’ll apply a chemical called phenol to the nail bed to prevent the nail from growing back.
Immediate Post-Op Expectations
It’s super important to follow all the instructions your doctor gives you before and after the surgery. That includes avoiding alcohol for 24 hours before and after. Also, don’t drive until the anesthetic has completely worn off.
Week 1: The Initial Healing Phase
The first week after toenail removal is all about protecting the area, preventing infection, and managing discomfort.
Managing Pain and Discomfort
Your doctor will prescribe or recommend pain medication. Take it as directed! Elevating your foot as much as possible can also help reduce swelling and throbbing.
Dressing Changes and Wound Care
Keep the original dressing dry until your first follow-up appointment. At that time, your doctor will show you how to change the dressing at home.
When you change the dressing, you’ll need to be as clean as possible. That means washing your hands well with soap and water. Your doctor may recommend using cooled, salted water to cleanse the area before applying a fresh dressing.
Avoid applying creams, ointments, or antiseptics unless your doctor tells you to. These can sometimes interfere with healing or cause a reaction.
Recognizing Normal vs. Abnormal Signs
In the first few days, it’s normal to see some light-yellowish fluid and mild inflammation around the wound. But watch out for signs of infection, such as:
- Increased pain
- Spreading redness
- More swelling
- Pus
- Fever
If you notice any of these signs, or suspect you might have a big toe infection, contact your doctor or a local GP right away. It’s better to be cautious and get checked out.
Weeks 2-4: Continued Healing and Care
After toenail removal, it’s important to keep a close watch on the area for several weeks.
Maintaining Wound Hygiene
Keep changing the dressing as your doctor directed. If you’ve been told to, clean the wound gently with saline solution.
Monitoring for Complications
Keep an eye out for any signs of infection, such as:
- increased pain
- redness
- swelling
- pus
- fever
Also, watch for signs that the nail might be starting to grow back, especially if phenol wasn’t used during the procedure or didn’t work completely.
It’s also possible to have an allergic reaction to the dressings or medications you’re using. If you develop a rash or itching, let your doctor know.
Activity Restrictions and Footwear
You’ll still need to avoid swimming and sports activities, including hiking, that could hurt your toe. For hikers dealing with toe issues, learning about hiker’s toenail treatment can help heal fast and prevent future pain. Wear loose-fitting, comfortable shoes to protect the healing area.
Wearing the right shoes is essential. Shoes that are too tight can put pressure on the toe and slow down healing. Shoes that are too loose can cause friction and irritation.
Redressing Appointments
Make sure you go to all your scheduled redressing appointments. These appointments are important for your doctor to check on the healing process and make sure there are no complications.
During these appointments, your doctor will likely:
- examine the wound
- clean the area
- apply a fresh dressing
- answer any questions you have
Weeks 5-6: Almost there!
By weeks 5 and 6, you’re likely feeling much better and starting to get back to your usual routine. Here’s what to keep in mind:
Gradually increase activity
As the pain and swelling continue to go down, you can slowly increase your activity levels. It’s important to listen to your body and not overdo it. If something hurts, stop! Pushing yourself too hard can slow down the healing process.
Caring for the new nail (if applicable)
If you had a partial nail removal and the nail is starting to grow back, proper care is key to preventing ingrown toenails. Make sure you know how to trim your toenail correctly. Cut straight across and avoid rounding the edges.
Potential for regrowth and further treatment
Even if you had phenol applied during the procedure to prevent regrowth, it’s still possible for the nail to grow back. If this happens, don’t panic! There are options for further treatment, including another toenail removal procedure. Talk to your doctor about what’s best for you.
Potential complications and long-term care
While most people recover well after toenail removal, there are some potential long-term complications to be aware of, such as chronic pain or nail deformity. Good foot hygiene is essential to prevent future problems. Keep your feet clean and dry, and wear shoes that fit well.
You should also schedule regular check-ups with a podiatrist, especially if you have diabetes or another underlying condition that affects your feet. They can help you monitor your foot health and prevent any future issues.
Frequently Asked Questions
When can I wear regular shoes after toenail removal?
Generally, you can start wearing regular shoes around 4-6 weeks after toenail removal, but it depends on your healing progress. You’ll want to ensure the area is fully closed, not tender, and that you can comfortably fit your foot inside the shoe without pressure on the toe. Listen to your body and ease back in gradually.
What is the aftermath of toenail removal?
The aftermath involves a period of healing where the nail bed is exposed. Expect some initial pain, swelling, and drainage. Keeping the area clean and bandaged is crucial to prevent infection. You’ll need to regularly change dressings and monitor for signs of complications, like increased pain or redness.
How do you know if your toenail is healing?
Signs of proper healing include decreasing pain and swelling, a gradual reduction in drainage, and the formation of healthy new skin over the nail bed. The area should become less tender to the touch. If you notice increased pain, redness, pus, or fever, contact your doctor immediately.
How long does it take to heal after permanent toenail removal?
Even after permanent toenail removal (matrixectomy), the healing process still takes time. The skin usually closes over within 2-4 weeks, but complete healing and scar tissue formation can take several months. Full recovery, including comfort in shoes, typically occurs within 6-8 weeks.
Can I wear socks after toenail removal?
Yes, wearing clean, loose-fitting socks is recommended after toenail removal. Socks help protect the area from friction, keep the bandage in place, and absorb any drainage. Opt for breathable materials like cotton to promote healing and prevent moisture buildup.
Summary
Following your doctor’s post-operative instructions is important for a successful recovery after toenail removal. Be sure to take good care of the wound, keep it clean to avoid infection, and follow any instructions regarding activity restrictions.
With proper care, most people recover completely after having a toenail removed, and can look forward to being free from the pain and discomfort that made them seek treatment in the first place. If you have any questions or concerns, be sure to reach out to your doctor.