Ingrown Toenail Treatments – Serving the Greater Pittsburgh Area

WHAT ARE INGROWN TOENAILS?

ingrown toenail treatment in Pittsburgh
Dr removing an ingrown toenail Pittsburgh

An ingrown nail is the result of a nail growing into the skin that surrounds it. This often occurs at either edge of the big toe. Ingrown nails may be caused by improper trimming, Diabetic nails, injuries, fungal infections, or pressure. A simple 5 minute office procedure will permanently fix this problem.

Treating Ingrown Toenail  Pittsburgh

There are several effective ingrown toenail treatment modalities. Some can be done at home while others will require a visit to a healthcare professional. In home, you may want to try some self-care techniques like soaking your foot, avoiding excess shoe pressure on your toenails and following the proper nail trimming technique (more on this later.) Antibiotics may sometimes be prescribed. There are also several surgical treatments available. 

Surgical Treatment Options for an Ingrown Toenail

Depending on the exact cause, severity, duration, and recurrences of your ingrown toenail, your surgeon may recommend different surgical treatments. Ask your surgeon which is the best treatment for your condition. Possible surgical treatments may include the following: 

  • Temporarily resectioning and removing the problem nail border or corner, 
  • The avulsion (or detachment) of the nail or troublesome nail border or
  • A matrixectomy or partial matrixectomy is permanently eliminating the whole nail or portion of the nail border that is causing the problem. During a matrixectomy, the surgeon destroys the cells that produce the nail. This is called the nail matrix. The nail matrix is under the skin at the base of the toenail. 

There are three methods that can be used to eliminate the nail matrix. First, the procedure can be done surgically by dissecting and removing the matrix. It can also be performed chemically. In this case a solution or injection is applied to the area. The compound stops the cells from working properly. Alternatively, electrical currents can be applied to the matrix cells with the goal of destroying some or all of the cells. These procedures are usually only used on patients that suffer from chronic or recurrent situations.

Surgery and Anesthesia for ingrown toenail Pittsburgh

Resection and surgery to remove the offending edge of the toenail does not normally require anesthesia. With that said local anesthesia is required for nail avulsion and matrixectomy procedures. Local anesthesia is injected straight into the affected toe. The anesthesia’s effect will last throughout the procedure. As a local anesthesia is administered and not a general, there is almost no effect on one’s ability to drive or walk after the procedure.


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