If you’re dealing with a painful, recurring ingrown toenail, you’re not alone. Many people suffer from this condition, and it can seriously impact your comfort and mobility.
When other treatments fail, permanent toenail removal can be a solution. The goal of a permanent procedure is to prevent the ingrown toenail from ever coming back.
In this article, we’ll walk you through the most common procedures for permanent toenail removal, like matrixectomies and partial nail avulsions (PNAs). We’ll discuss the benefits of each, and what you can expect both before and after the procedure.
Understanding the procedures
There are two common surgical procedures to remove a toenail, either partially or completely.
Partial Nail Avulsion (PNA)
Partial nail avulsion, or PNA, is a surgery that removes only the part of your toenail that’s causing the problem, usually an ingrown toenail.
Here’s what generally happens:
- First, the surgeon numbs your toe with local anesthesia.
- Next, they remove just the ingrown part of your toenail.
- Finally, they put a chemical on the nail bed, such as phenol, to keep that part of the nail from growing back. This is called a matrixectomy.
Total Nail Avulsion
Total nail avulsion removes the entire toenail. This is typically done if a PNA isn’t a good option.
If you have nail avulsion without a matrixectomy, your toenail will grow back.
Matrixectomy: The key to permanent removal
If you’re looking for a permanent solution to ingrown toenails, you’ll probably need a matrixectomy. Here’s why.
Your nail matrix is located at the base of your toenail. That’s where new nail cells are produced, and it’s what makes your nail grow.
During a matrixectomy, the doctor will remove or destroy the nail matrix. This will prevent the nail from growing back. The procedure can be done surgically or chemically (using phenol).
One study showed that matrixectomies have a 97.9% success rate in preventing future ingrown toenails (Tatlican et al., 2009).
Before and After: What to Expect
Before the Procedure
Before your procedure, a podiatrist will examine your toe, discuss your treatment options, and explain the procedure, including any risks.
It’s important that you understand what’s involved and what could potentially go wrong.
After the Procedure
Most people experience minimal discomfort after permanent toenail removal, and over-the-counter pain relievers are usually enough to help.
Your podiatrist will give you detailed aftercare instructions, including how to keep the area clean and bandaged to prevent infection and promote healing.
In most cases, you won’t need a special boot or brace, but be sure to ask your doctor what to expect in your individual case.
Frequently Asked Questions
What are the disadvantages of permanent toenail removal?
Permanent toenail removal, while offering relief from chronic issues, can have downsides. The most notable is the loss of the toenail itself, which provides protection and can affect the appearance of your toe. There’s also a small risk of infection post-procedure and potential for altered nail bed growth in the future.
What happens if you don’t remove a dead toenail?
Leaving a dead toenail in place can create a breeding ground for bacteria and fungus, significantly increasing your risk of infection. It can also cause discomfort, pain, and potentially damage the underlying nail bed, making future nail growth problematic.
When should a toenail be removed?
Toenail removal is typically considered when conservative treatments have failed to address persistent problems like chronic ingrown toenails, fungal infections that don’t respond to medication, or severely damaged nails causing significant pain and discomfort.
What are the downsides of permanent toenail removal?
Beyond the aesthetic concerns and potential for infection, permanent toenail removal can sometimes lead to sensitivity in the toe or altered gait due to the lack of nail support. It’s crucial to discuss these potential downsides with your podiatrist before making a decision.
How long does permanent toenail removal take to heal?
The healing time for permanent toenail removal varies depending on the individual and the specific procedure performed. Generally, it takes around 2 to 4 weeks for the area to heal completely. During this time, proper wound care and following your doctor’s instructions are essential to prevent complications.
Putting It All Together
Permanent toenail removal is a lasting solution for people who have chronic ingrown toenails. If you’re tired of dealing with the pain and discomfort of recurring ingrown toenails, it’s worth talking to a podiatrist about whether permanent removal is right for you.
Getting the right diagnosis and treatment is essential for a successful outcome. Getting rid of your ingrown toenails for good can significantly improve your quality of life.