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Thinking About Getting In-grown Toenail Surgery?

  • Thread starter Thread starter ximportdriver
  • Start date Start date Mar 5, 2014

ximportdriver

20+ Year Stangneter
Oct 7, 2003
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Mar 5, 2014
#1
  • Mar 5, 2014
  • #1
If you are thinking about getting in-grown toenail surgery, be aware of the facts going into it. I was not really informed prior to having the surgery done. Learn from me—I implore you!

I went in to get my two big toenails done as both suffered from in-growns. I'm not a doctor, so pardon my spelling of the medical terms.

The doctor cleans the surface and then uses ethyl-chloride, which basically feels like liquid nitrogen, to numb the surface before using the local anesthetic in the joint at the base of the toe. The doctor will also use a tourniquet to help improve the effects of the anesthesia.

Then the doctor uses a tool to cut out the nail and pull it out before the root.

To prevent the nail from growing back as it had, the doctor will use a chemical—acid—to burn and kill the root.

After the procedure, you can drive yourself home, but the balls of your feet will feel numb, which does require increased attention while behind the wheel. It would be safest to have someone drive you to and fro.

Post op, soaking with epsom salt is needed 3-4 times per day with a light application of antibacterial ointment and fresh bandages. This soaking process will last about 3-4 weeks or until chemical-burn drainage has ceased. Do not stop soaking until drainage has ceased!

Now, 95% of the time this will work. However, 5% of the time, which was my case, the in-grown will return.

A year later, I went in for the same procedure and also to have a nail completely removed as it had a damaged nail-bed and kept getting infected. Yes, in-growns can lead to infections, and the last thing you want to do is subject yourself to 4-5 regiments of antibiotics annually, which is why I went through with these procedures.

This time, the doctor cut away more of the nail and also used a fresh bottle of acid while using more of it. Needless to say, it doesn't appear that the nails will be growing back.

However, despite the soaking, I'm getting nail infections. I have gone to see the doctor two additional times as a result. Ironically, I have gone through two more regiments of antibiotics. This last visit was illuminating. Not only did the doctor pull the scabs off after applying 2-3 times the amount of local anesthetic as during the original procedure, but I learned that it will be important not to allow showers to introduce secondary bacterial infections, so I'm now having to apply antibacterial dish soap in the shower. Also, I wasn't supposed to let it scab up. No, I was supposed to take a q-tip, take the cotton off, and scrape the toe's nail-bed to remove scar tissue and prevent the scabbing. I tried doing this once. It hurt. It hurt very bad. I stopped and did not try again. Then it scabbed, and later came the infection.

So, if you are going to get this procedure done, take note of the following points:
  • Be ready for 1-2 months of soaking and tenderness
  • Muster the courage necessary to take a bald q-tip to your nail-bed even if it is going to hurt
  • Request that the doctor use a fresh bottle of the chemical used to kill the nail root
  • Protect yourself from bacteria even in the shower by utilizing antibacterial dish soap
  • And be safe: take someone with you to the surgery; don't drive yourself home.
 

Adieu

Easy there, this ain't a dating site.
20+ Year Stangneter
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Mar 6, 2014
#2
  • Mar 6, 2014
  • #2
Had this done as an in-office procedure about fifteen years ago, they didn't go as far as they did with yours (mine might not have been as badly in-grown) but it was still the most painful (physical) pain I've ever experienced, and that was AFTER they injected a local anesthetic and applied a topical anesthetic. With mine they cut the nail out, while cutting the nail in half (only about half of the front was ingrown, and they wanted to leave as much as possible). I nearly passed out from the pain, and my pain tolerance is so high that when I broke my arm, I laughed, and walked into the ER still laughing. I've broken teeth, my nose, busted a knee, had my wisdom teeth cut out, and half-a-dozen other surgeries over the years, and in most cases I don't even take the painkillers they prescribe after the first day. That damned toenail was so bad I refilled my prescription (it hurt pretty bad for a few weeks afterwards, and if I stubbed my toe, I was seeing stars for a few minutes), the after-care was just as bad as yours, but like you, I ground through it (no infection or repeat for me!)
 

Jinx

I like cats, cats like me. Cats and I fully agree.
20+ Year Stangneter
Oct 2, 2003
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Mar 6, 2014
#3
  • Mar 6, 2014
  • #3
This little piggy went to the market. This little piggy stayed home. This little piggy never returned from the Dr's office.

I cringed when you got to the part about scraping the nail bed.
 
K

Kilgore Trout

Fried or Broiled ?
10 Year Member
Mar 30, 2005
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Mar 6, 2014
#4
  • Mar 6, 2014
  • #4
I guess I am just cheap I did DIY route with a bite guard, handle of tequila, and a die grinder...
 

ximportdriver

20+ Year Stangneter
Oct 7, 2003
386
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Mar 6, 2014
#5
  • Mar 6, 2014
  • #5
Kilgore Trout said:
I guess I am just cheap I did DIY route with a bite guard, handle of tequila, and a die grinder...
Click to expand...

It was $15 copay for each visit. Insurance FTW!
 

85_SS_302_Coupe

it sucks (I know) to be on the receiving end
15 Year Member
Nov 11, 2003
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Northern KY
Mar 6, 2014
#6
  • Mar 6, 2014
  • #6
Had both sides of both big toes done when I was a kid. I'm pretty sure I walked out of the office that day.
 

crowbar47032

Member
Oct 27, 2006
0
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Moores Hill, Indiana (Close to Cincinnati)
Mar 6, 2014
#7
  • Mar 6, 2014
  • #7
My Dad has had all of his toenails removed. From what I remember, Dr said no shoes with toes for like 6 weeks in addition to keeping bandaged with ointment to prevent the crust, and nightly soaking in epsom salts.
 

horse sence

15 Year Member
Nov 29, 1999
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Wile Coyote's stunt double
Mar 6, 2014
#8
  • Mar 6, 2014
  • #8
Did both big toes my self .I cut the nail about 1/8 inch from the side on both sides and tapered the nail as close to the outside quick as i could stand .i had to do this a couple of times as they grew back out .I leave these nails a little long now and have had no more problems ,and they were very bad. Went through high school with them and it was a night mare ,especially when one dumb ass buddy stomped on my toes .
 

85_SS_302_Coupe

it sucks (I know) to be on the receiving end
15 Year Member
Nov 11, 2003
6,945
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Northern KY
Mar 6, 2014
#9
  • Mar 6, 2014
  • #9
I really don't remember having to go about wearing toeless shoes or soaking them or anything like that. I remember they were bandaged for about a week and wearing shoes was hard because of it but otherwise it was pretty easy going I think. The operation was completely painless except they used that air injection type shot that shoots the pain shot through the pores in your skin, and that felt like a bee sting and I actually have these weird little round scars from it.

What was far worse than that, was before I finally went to a foot specialist and got proper treatment, my mother once took me to the hospital because they were so badly injected. It literally took 6 people to hold me down on a table while they shoved needles UNDER MY TOENAILS to inject pain meds. I was hell bent on punching the guy holding the needle. That was one of the worst pains I've ever felt...it's no wonder they've used it as a torture method.
 

ximportdriver

20+ Year Stangneter
Oct 7, 2003
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Mar 8, 2014
#10
  • Mar 8, 2014
  • #10
horse sence said:
Did both big toes my self .I cut the nail about 1/8 inch from the side on both sides and tapered the nail as close to the outside quick as i could stand .i had to do this a couple of times as they grew back out .I leave these nails a little long now and have had no more problems ,and they were very bad. Went through high school with them and it was a night mare ,especially when one dumb ass buddy stomped on my toes .
Click to expand...

This is why the doctor uses acid to burn the nail root. It won't grow back 95% of the time. The problem is dealing with the chemical burn for the weeks months after the procedure. And I'm not sure I could even stand to try to do it on my own; I needed the anesthesia.
 

DocG

5th graders > me. They're not bant
Sep 25, 2005
8,297
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Cincinnati area
Mar 8, 2014
#11
  • Mar 8, 2014
  • #11
This thread needs pics!
 

ximportdriver

20+ Year Stangneter
Oct 7, 2003
386
46
59
Rancho Cordova
Mar 8, 2014
#12
  • Mar 8, 2014
  • #12
DocG2828 said:
This thread needs pics!
Click to expand...

Be careful what you wish for.









 

DocG

5th graders > me. They're not bant
Sep 25, 2005
8,297
1,358
194
Cincinnati area
Mar 8, 2014
#13
  • Mar 8, 2014
  • #13
Now I'm hungry!

That does look painful though.
 
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