Ingrown toenail surgery that we perform in our offices do not require STITCHES and most people experience LITTLE, if any, pain, and NO TIME OFF WORK when these instructions are followed:
1. Keep the foot clean and dry and leave the dressing on for one day.
2. Minor bleeding is normal and can be controlled by elevating the foot or applying ice to the area. Do not remove the dressing if it bleeds; apply additional gauze instead.
3. The anesthesia will wear off in 1-2 hours. Most people require no pain medication at all, but Tylenol, Aspirin or Ibuprofen work well when needed.
4a. The day after surgery, begin soaking your foot according to the following (if not a permanent nail procedure with chemical)
- Prepare soaking solution by dissolving 1 tbsp. of table or Epsom salt per pint of warm water.
- Soak your foot for 10 to 15 minutes once a day for two weeks.
- After soaking, remove the bandage, pat dry and apply 1-2 drops of the antibiotic solution prescribed into the groove where the nail was removed.
- Replace the previous dressing with a Band Aid.
4b. If using Amerigel wound kit (For permanent nail procedure with chemical) simply apply Amerigel medication to Band Aid and change daily for two to three weeks.
5. Some drainage from the nail surgery site is normal and desirable because this is the way the body rids itself of the toenail "root cells" that we killed. Moderate redness around the nail surgery site is also normal unless the amount of redness increases dramatically.
6. In approximately 5% of patients or less, the nail will grow back or continue to curl. If that happens, a repeat procedure is usually done.
Patients that are involved in walking, running, or athletic activity can typically return to activity within 2-3 days for removal of infected toenail and 5-7 days for a permanent nail procedure with chemical application.