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Toenail Procedures

Toenails are the cause of problems for many people. Ingrown toenails press into the skin on one or both sides of the toe, damaging the skin and potentially causing repeated infections. Torn toenails can similarly damage the skin. Fungus and infections often lead to problems such as thickened nails. These toenail issues– and others– can often be treated by excising the offending portion of the toenail. Other toenail issues might be attributed to other foot, nerve, and toe conditions/growths. Bottom line – if you are in pain or have noticed something that has you worried, it is time to see a podiatrist.

Toenail Procedures Before

Toenail Procedures

Toenail Procedures After

Toenail Procedures

Ingrown Toenail Removal

Excision of the lateral nail plate combined with lateral matricectomy is thought to provide the best chance for eradication. The lateral aspect of the nail plate is removed with preservation of the remaining healthy nail plate. Electrocautery ablation is then used to destroy the exposed nail-forming matrix, creating a new lateral nail fold. Complications of the procedure include regrowth of a nail spicule secondary to incomplete matricectomy and postoperative nail bed infection. When performed correctly, the procedure produces the greatest success in the treatment of ingrown nails.

Ingrown toenail, or onychocryptosis, is a commonly encountered problem to individuals. Affected nail with progression can experience, drainage, infection, and difficulty walking may occur.

Ingrown Toenail Causes

  • Improperly trimmed nails
  • Hyperhidrosis
  • Poorly fitting footwear
  • Trauma
  • Subungual neoplasms
  • Obesity
  • Excessive external pressure

These alterations to the nail can cause it to improperly fit into the lateral nail groove, producing edema and inflammation of the lateral nail fold.

Three Stages of Ingrown Toenails

Stage 1 – Characterized by erythema, slight edema, and pain with pressure to the lateral nail fold

Stage 2 – Marked by increased symptoms, drainage, and infection

Stage 3 – Ingrown toenails display magnified symptoms, granulation tissue, and lateral nail-fold hypertrophy.

To find out which toenail treatment is right for you – schedule an appointment with our Park Avenue office in New York! And if you aren’t sure what is really going on with your toes – don’t worry. Just select ‘General Consultation’ and you can discuss it privately in person with Dr. Levine during your appointment.