Surgical treatment of ingrown toenails is a common procedure that is performed to relieve the pain and discomfort associated with this condition. An ingrown toenail is a condition in which the side or corner of the toenail grows into the skin, causing pain, inflammation, and sometimes even infection. It can affect any toenail on the foot, but is most commonly experienced on the big toe.

The most common cause of ingrown toenails is improper nail trimming. Nails that are trimmed too short, curved down at the corners, or are rounded at the tip can cause the toenail to grow into the skin. Other factors that can contribute to the development of ingrown toenails include wearing shoes that are too tight around the toes, injury to the toenail or surrounding skin, or an abnormal growth of the toenail itself.

When treating ingrown toenails, the first step is to soak the foot in warm water for about 15-20 minutes. This can help to reduce pain and inflammation, and can make it easier to remove any trapped debris or infected tissue that may be contributing to the problem. Over-the-counter pain relievers can also help alleviate symptoms.

For mild cases of ingrown toenails, conservative treatment options may be recommended. This can include daily soakings, wearing comfortable shoes, and carefully trimming the toenail to prevent it from growing into the surrounding skin.

However, if the ingrown toenail is causing significant pain or has become infected, surgical treatment may be required. There are several different types of surgical procedures that can be used to treat ingrown toenails, depending on the severity and location of the problem.

One of the most common surgical procedures used to treat ingrown toenails is partial nail avulsion. This involves removing part of the affected toenail and the underlying nail bed. The procedure is typically performed using a local anesthetic to numb the toe, and the nail is then removed using a specialized tool. Once the nail is removed, the nail bed is treated with a chemical to prevent further growth of the nail, and the wound is cleaned and bandaged.

Partial nail avulsion is a highly effective treatment option for ingrown toenails, with a success rate of more than 90%. Most patients are able to return to normal activities within a few days of the procedure, although some discomfort and swelling may be experienced for a few weeks.

Another surgical option for ingrown toenails is total nail avulsion. This involves removing the entire toenail, rather than just a portion of it. While this is a more extensive procedure than partial nail avulsion, it may be necessary in cases where the toenail is severely infected or deformed.

In some cases, a procedure known as a phenol matrixectomy may be recommended. This involves using a chemical called phenol to destroy the nail matrix at the base of the toenail, which prevents the affected toenail from growing back. This procedure is typically reserved for cases of recurrent ingrown toenails or severe deformity.

Overall, surgical treatment of ingrown toenails is a safe and effective method for relieving pain and discomfort associated with this condition. If you are experiencing symptoms of an ingrown toenail, it is important to seek medical attention to determine the best treatment option for your individual needs. With proper treatment, most cases of ingrown toenails can be successfully resolved, allowing patients to return to normal activities without pain or discomfort.

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