Ingrown Toenails
What is an ingrown toenail?
An ingrown toenail occurs when the edge of the nail grows into the surrounding skin instead of over it. This can cause pain, redness, swelling and, in some cases, infection. It most commonly affects the big toe and can range from mildly uncomfortable to severy painful.
What is a partial matrixectomy?
It is a quick, effective, in-office solution that permanently prevents the ingrown portion of the nail from growing back. The procedure involves removing the ingrown portion of the nail and treating the nail matrix (the tissue responsible for nail growth) to stop that edge from regrowing. The result is a nail that is slightly narrower but otherwise looks and functions normally. The procedure typically takes between 10 and 15 minutes.
Is the procedure painful?
No, the toe is numbed with a local anesthetic before the procedure begins, so you won't feel pain during the surgery. You may feel some pressure or mild sensation, but most patients are comfortable throughout. Any soreness afterward is typically mild and manageable.
Will I able to walk afterward?
Yes. Most patients walk out of the office in their street shoes after the procedure. You can typically return to normal physical activity within 24-48 hours.
How do I care for my toe at home?
Keep the area clean, change bandages daily, and apply iodine to the wound. Take Tylenol or Advil as needed. It is okay to get your toe wet, and foot soaks can sometimes be helpful in reducing pain or soreness.
What causes ingrown toenails?
Common causes include improper nail trimming, tight-fitting shoes, injury, or simply the natural shape of your nail.
How do you treat it?
For patients with recurring or persistent ingrown toenails, Dr. Gillespie performs a procedure called a partial matrixectomy.
What does recovery look like?
You may notice some soft pinkish or reddish tissue forming where the nail edge was treated. This is granulation tissue, which is your body's normal healing response. It may look raised or slightly thickened. Some redness, drainage, and irritation in the treated area for 2-4 weeks is completely normal and is not a cause for concern.
Will the ingrown nail come back?
A partial matrixectomy provides a permanent solution-the treated portion of the nail will not grow back. The nail will look slightly narrower than before, but the result is lasting relief from the pain and recurrence of ingrown nails.
Who is a candidate for this procedure?
This procedure can benefit anyone struggling with the pain and inconvenience of ingrown toenails, including both children and adults. It is especially recommended for patients who have had recurring ingrown toenails that haven't responded to conservative treatment. Dr. Gillespie will evaluate your situation and recommend the best course of action at your appointment.