Foot Focus Podiatry

Mon - Fri : 08:30 - 5:30   |   08 9258 4152
reception@footfocuspodiatry.com.au | Google Review
Mon - Fri : 08:30 - 5:30   |   reception@footfocuspodiatry.com.au
08 9258 4152 |
Google Review
Mon - Fri : 08:30 - 5:30
08 9258 4152
reception@footfocuspodiatry.com.au
Google Review
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Ingrown Toenail Surgery

Need surgery today?

 

and chat to our staff as longer appointments are required.

Still unsure on whether surgery is the best option for you?

to discuss treatment options with a podiatrist.

At Foot Focus Podiatry we can treat any of your ingrown toenail concerns. If an ingrown nail has occurred, all conservative measures will be trialled first by one of our expert podiatrists.

Nail surgery is an option should conservative measures not provide adequate long term relief. Either one of our podiatrists, or Reza Naraghi (podiatric surgeon) who attends Foot Focus, can perform nail surgery.

What makes us different?

  • Several podiatrists who perform surgery.
  • Podiatric surgeon with over 24 years of experience for complicated cases or failed prior ingrown nail surgeries.
  • 110 years of combined experience.
  • Our practice has been operating since 2000.

  • To easy the anxiety of surgery, we can provide:
      • Penthrox*
      • Sedatives*
  • Antibiotics for infected ingrown toenails*

*Only certain podiatrists can prescribe- ring to find out more

  • Helps with preparation and recovery timeline

Phenolisation

 

Read more

Wedge Resection

 

Read more

Things to note

  • Most ingrown nail procedures are done in our rooms with the use of local anaesthetic with or without sedation.

  • You will be able to walk immediately after the surgery.

  • You may be required to take a course of antibiotics prior to your procedure and or post procedure.

  • With all of the procedures above you are not to drive any machinery for 24-48 hours. You may drive after 24 hours so long you are not taking any medication that can cause drowsiness and upon the advice of your surgeon.

  • The type of footwear immediately after surgery might be limited. E.g. Work boots, sports shoes, etc.

  • Soaking your foot in warm water prior to surgery and cleaning any dirt from the infected area is essential prior to surgery.

  • It is best to avoid strenuous activity or exercise immediately after surgery, until recommended by your podiatrist. Mild pain relief (panadol) if any is generally only needed after surgery.

  • The procedure will be done under local anaesthetic. This will require an injection on either side of your toe to ensure total numbness.

  • Winograd procedure- This procedure will be done in hospital setting under local and or general anaesthesia and it is reserved upon failure of the phenolization or if there is significant amount of skin overlapping the nail with soft tissue growth. This procedure involves removing a portion of the skin along with the nail down to the level of the bone. Sutures (stitches) will be applied to close the surgical site. The procedure takes about 10-15 minutes to be performed and your foot will be bandaged. You will be seen within first 5 days and then the sutures will be removed in 10-14 days. Currently this procedure can only be performed by Reza Naraghi (podiatric surgeon).  He will prescribe appropriate pain medication for your post-operative pain management. You will be in open sandal and or post op shoe for 2 weeks. This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a Winograd then please click here.
  • Zadik Procedure- This procedure is used with permanent total nail removal is desired. The indications for the procedure are significant ingrowing nail on both borders, thickened and painful nails and bony growth under the nailbed. This procedure can be done under local with sedation and or under general anaesthesia at a hospital and or day surgery centre. Sutures will be applied and will be removed 14 days post surgery. You can not get your foot wet and your foot will be in a sterile bandage for 2-3 weeks. You may need pain medication post surgery. On average it will take six weeks for your nail bed area to heal. Following that you can wear most close shoes.

Matrixectomy with phenolization- This procedure involves removing the nail partially or totally and ablating (destroying) the root using a weak acid called phenol. This will cause permanent ablation of the root of the offending nail and prevent ingrown nail recurrence. This procedure is successful 95% of the time. The procedure takes about 10-15 minutes and can be performed in our rooms using local anaesthesia with or without sedation. Post operatively you will be required to soak your toe and apply a daily dressing. Wearing open toe shoes for at least 3-4 days is recommended. You maybe required to take oral antibiotics. Most patients do not require pain medication following the procedure, and if needed Panadol is sufficient for pain management. You can go back to regular shoes after one week.  This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a partial nail matrixectomy with phenolisation then please click here.