While conservative treatments can sometimes resolve the issue, recurring or severe cases often require a more permanent solution:
Partial Nail Avulsion (PNA) with Chemical Matrixectomy.
In this blog, we’ll explain what this procedure involves, why it’s an effective treatment for ingrown toenails, and what you can expect during recovery.
What is Partial Nail Avulsion with Chemical Matrixectomy?
Partial Nail Avulsion (PNA) is a minor surgical procedure designed to treat ingrown toenails by removing a portion of the affected nail. This technique is highly effective for resolving recurring ingrown toenails that don’t respond to conservative treatments, such as soaking, trimming, or antibiotics.
During the procedure, only the problematic edge of the toenail is carefully removed, leaving the rest of the nail intact. To prevent the ingrown portion from growing back, a Chemical Matrixectomy is performed. This involves applying a chemical, usually phenol, to the nail matrix (the root) to permanently stop the nail edge from regrowing, reducing the chance of future ingrown toenails.
Why Choose Partial Nail Avulsion?
Partial Nail Avulsion is an excellent solution for people who experience persistent or recurrent ingrown toenails. There are several reasons why PNA is often recommended:
1. Permanent Solution: The addition of a chemical matrixectomy ensures that the removed portion of the nail will not grow back, providing a long-term solution for recurring ingrown toenails.
2. Minimally Invasive: The procedure only targets the ingrown section of the nail, preserving most of the nail’s appearance and function. It’s a minimally invasive surgery that allows you to keep most of your toenail.
3. Quick Recovery: Unlike more invasive surgeries, the recovery time for PNA with chemical matrixectomy is relatively short. Most patients can return to normal activities, including wearing regular shoes, within a few days.
4. Highly Effective: This procedure has a high success rate, making it one of the most reliable treatments for recurring ingrown toenails.
What to Expect During the Procedure
Partial Nail Avulsion is a straightforward and quick procedure that can be performed in your podiatrist’s office. Here’s what you can expect:
1. Local Anesthetic: The podiatrist will numb the affected toe using a local anaesthetic. This ensures that the procedure is completely pain-free.
2. Nail Removal: Once the toe is numb, the podiatrist will carefully remove the portion of the nail that is causing the problem, along with a small section of the nail bed.
3. Chemical Matrixectomy: To prevent the ingrown portion from growing back, a chemical (usually phenol) is applied to the nail matrix. This stops the nail from regenerating at the edge that was removed.
4. Dressing the Toe: After the procedure, the toe will be dressed with a sterile bandage, and you will receive instructions on how to care for your toe during recovery.
Recovery and Aftercare
While the procedure itself is painless due to the anaesthetic, you may experience some discomfort once the anaesthetic wears off. This can be managed with over-the-counter pain relief medications.
Here are some tips for a smooth recovery:
• Keep the Foot Elevated: Elevating your foot in the first 24-48 hours can help reduce swelling.
• Keep the Area Clean and Dry: Follow the podiatrist’s aftercare instructions to prevent infection. You may be advised to soak the toe in a saltwater solution and redress it daily.
• Wear Open-Toed or Loose Shoes: This will minimize pressure on the affected toe while it heals.
• Avoid Strenuous Activities: Give your toe time to heal by avoiding vigorous exercise or activities that put pressure on your feet for a few days.
Most patients can resume normal activities within 3-5 days, though full healing may take a few weeks. Follow-up visits with your podiatrist are necessary to ensure the healing process is progressing as expected.
Is Partial Nail Avulsion Right for You?
If you’ve tried conservative treatments like soaking, trimming, and antibiotics without success, or if your ingrown toenail keeps coming back, Partial Nail Avulsion with chemical matrixectomy may be the best option. This procedure offers a safe, effective, and long-lasting solution for chronic ingrown toenails, allowing you to return to pain-free living.
Conclusion
Ingrown toenails can be a frustrating and painful problem, but with Partial Nail Avulsion and Chemical Matrixectomy, you don’t have to live with recurring discomfort. At Podiatry Hub our experienced podiatrists are here to provide expert care and guide you through the treatment process.
If you’re suffering from chronic ingrown toenails, schedule an appointment today to find out if Partial Nail Avulsion is right for you! Don’t let foot pain hold you back any longer—take the first step towards healthier, pain-free feet.