Ingrowing nail surgery

A minor surgical procedure involving anaesthetic and then removal of part of all of the nail using a chemical to stop the nail growing again.

This is an extremely effective solution to ongoing painful and sometimes infected nails.

You do not have to be referred from a GP to be seen by a Podiatrist if you have a foot problem.


Fallen Arch; Posterior tibial tendon dysfunction

This client has a fallen arch which is caused by failure of the tendon.

Surgery is required when all other methods to stop the progress of the arch falling have failed.

In this case, there was a lot of pressure on the ball of the foot under the big toe which makes the skin vulnerable to break down and wounds. In order to avoid any further issues, an off-load can be made to protect the skin and deflect some of the pressure



Happy feet will help you enjoy your holiday.

Use sun-tan lotion on your feet. They are often forgotten about and

burn easily as are not so used to be exposed to the sun. You might consider using a higher factor cream on this skin. Alternatively keep the feet covered in light coloured material as dark colours absorb heat and may also harm your feet by getting too hot.

It is advisable to wear some form of shoe even on the beach as sand can become hot and there could be sharp debris on the beach. A plastic shoe is also a good idea for wearing in the water to protect your feet.

Flip flops and other shoes which do not have a fastening are not adequate for walking any distance, they should be kept for ‘pool-side’ activities. A back-less shoe also causes the skin on the heel to dry and crack a lot quicker. The constant slapping of the shoe against the heel causes water loss within the tissues.

Long journeys can make your feet swell. Try to have a break and get out of the car for a short walk, even a short distance is beneficial. This will keep the circulation moving and the keep the swelling down.

Remember that your feet might swell in the heat so make sure your shoes are not too tight.

Post surgery

OUCH! Ingrowing nail. What should you do?

When an ingrowing toenail can not be managed conservatively then it is often required that nail surgery is performed in order to reach permanent resolution.

An ingrown toenail can often happen if the nail is too wide, been cut incorrectly, suffered trauma or is pathological. They are extremely painful and can often result in infection.

Minor nail surgery takes about 1 – 1.5 hour and the procedure does require a local anaesthetic. There are two procedures which can be performed depending on the severity of the condition. The most common is called a partial nail avulsion where only a small section of the toenail is removed, taking the ingrown toenail away from the skins edge (sulcus).

The other procedure is where the whole nail is removed, called a Total nail avulsion. A chemical called phenol is applied to the nail bed after the nail has been removed ensuring the removed aspect of the nail does not grow back causing the same problem.

It takes approximately 6-8 weeks for full healing to occur and there will be some aftercare involved. Minor nail surgery is offered as a package which includes the surgery, the anaesthetic, a dressing pack and 2 follow up appointments.

OUCH. This is an ingrowing toenail

Ingrowing toenail on the lateral aspect with localised infection

Post op surgery, approximately 5-6 weeks after surgery was performed.

Phew thats better