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A toe post wedge resection with an image of the removed nail Surgical procedures for nail disorders A resected wedge from the left side of the left big toe, shown to scale Toe healing process after nail removal. Surgical treatments of ingrown toenails include a number of different options.
Bumping of an affected toe can cause pain as the nail's surrounding tissue is punctured further. Ingrown nails can become easily infected unless care is taken early to treat the condition. Signs of infection include redness and swelling of the area around the nail, drainage of pus, and watery discharge tinged with blood. The main symptom is ...
Chronic paronychia is an infection of the folds of tissue surrounding the nail of a finger or, less commonly, a toe, lasting more than six weeks. [4] It is a nail disease prevalent in individuals whose hands or feet are subject to moist local environments, and is often due to contact dermatitis.
The nail plate may also become thicker and more brittle as a result of the injury (onychochauxis). The deformed nail plate will gradually grow out and be replaced by a new, normal-appearing one in several months' time. Infrequently, the nail may become painful and require surgical drainage. [5]
Incision and drainage (I&D), also known as clinical lancing, are minor surgical procedures to release pus or pressure built up under the skin, such as from an abscess, boil, or infected paranasal sinus.
Frequently it is put in place by a surgeon after a procedure is complete to prevent the area from accumulating fluid, such as blood, which could serve as a medium for bacteria to grow in. In podiatry , a Penrose drain is often used as a tourniquet during a hallux nail avulsion procedure or ingrown toenail extraction.
For home treatment, the American Academy of Dermatology recommends clipping the loose piece of skin with a clean nail clipper or nail scissors, and applying over-the-counter antibiotic ointment if the area appears inflamed. Persistent hangnails should be evaluated by a physician. [5]
A case of fungal infection of the big toe Advanced fungal infection of the big toe. The most common symptom of a fungal nail infection is the nail becoming thickened and discoloured: white, black, yellow or green. As the infection progresses the nail can become brittle, with pieces breaking off or coming away from the toe or finger completely.