Nail Surgery, Partial Nail Avulsion, Ingrowing Toenails

professional nail surgery under local anaesthetic in a comfortable and caring environment

Nail Surgery

About Nail Surgery

This is performed when your podiatrist has diagnosed a deformity of one or more toenails. The most common deformities/causes are
1. excessively curved nail
2. nails with deep sides
3. excessively wide nails
4. thickened nails
5. incorrect cutting of the nails
6. trauma

These conditions will predispose the nail to grow into the skin at the side of the nail, or for the skin to swell and press into the nail causing pain, and lead to infection which must be treated immediately.
These are problems that are of particular concern to diabetic patients, and other at risk patients.

Antibiotic cover may be necessary, but alone is not sufficient. The cause must be addressed or the infection will return after the course of antibiotics have ceased.

Whilst conservative podiatric care can help to prevent pain or infection, this will not cure the problem. If the problem recurs regularly or, if the condition is acute, then surgery is recommended.

Do I Need To Be Referred By My Doctor?

No. simply telephone us and you will be given an appointment to suit you. If the problem is causing you a lot of pain and you think you may require surgery or a local anaesthetic, then please inform our reception staff and we will give you an immediate appointment, after hours that day if necessary. Here at Orrell Chiropody Practice we aim to please and give you the best possible care asap.

How Are Deformities Corrected?

Usually only the troublesome sides of the nail are removed, as is the part of the nail bed that is responsible for the growth of that part of the nail. ( partial nail avulsion ) This means that the offending sides do not grow again, leaving a slightly thinner nail. Here at Orrell Chiropody Practice we pay particular attention to the aesthetics, and often it is not noticeable that surgery has been performed.

Trauma Or Incorrect Cutting

Often the problem is not recurrent and has been caused by a one-off trauma, eg. Tight shoes or an object falling onto the toe.
This may be very painful and have a swelling that prevents your podiatrist from effecting treatment. Here at Orrell Chiropody Practice we can give you a local anaesthetic, allowing your podiatrist to treat this pain free. Often it may be necessary to remove the side of the nail (partial nail avulsion), or the entire nail, (total nail avulsion ), but not the nail bed. This means that the nail, or the side of the nail will grow back normally.

Local Anaesthesia In Nail Surgery

This involves two injections at the base of the toe, and not at the site of the inflammation and pain. A mild discomfort is felt, but this will pass quickly as the toe numbs. No treatment will begin until the patient is feeling no pain.
At Orrell Chiropody Practice we will try our best to put the patient at ease, and reduce any stress or worries you may have.

How Long Will The Surgery Last?

The surgery will usually last only 15-20 minutes, but you will usually be in the surgery for approx 30-45 minutes to allow sufficient time for the anaesthetic to work, and for preparation.

Will It Be Painful After Surgery?

Advances in techniques, local anaesthetics and pain killers now mean that patients have a high level of success with much less pain. Generally speaking there is very little discomfort the night of the operation or during the healing period. Any pain is usually easily controlled by paracetamol, ibruprofen or neurofen. ( do not use aspirin or products that contain aspirin, as this will causes bleeding ).
At Orrell Chiropody Practice we advise that you rest with your foot/feet elevated for a few hours after the operation. You should be able to return to work the following day, dependant of course on the type of work you do.
It is also advisory that your footwear is spacious enough to accommodate the dressing, and not cause pressure which may cause discomfort.

What Happens After The Surgery?

Here at Orrell Chiropody Practice we will give you further appointments over the next week or so where we will change the dressings and monitor the healing lesion. You must keep the dressings dry.

If there are any worries or complications you may telephone us and we will either advise you over the telephone, or give you an appointment to return as soon as possible.


Nail surgery on my ingrowing toenails went very smoothly. The worst part was the initial injection of the anaesthetic, but that was just for a short time. The staff at Orrell Chiropody were very friendly and re-assuring and explained everything they were going to do. I was very worried about having nail surgery, but am now very glad I did.