This site uses cookies to store information on your computer. I'm fine with this Cookie information
Follow is on Twitter Like us on Facebook Follow us on Instagram

We have started moving content to our new website at: www.nhsggc.scot

COVID-19 (Coronavirus info)

Information and guidance for public, NHSGGC staff, and community-based services.  Hospital visiting restrictions now in place.

Nail Surgery

 

What Is Nail Surgery?

Nail surgery involves removing a piece or all of a problematic toenail. The option to have the nail permanently removed or allowing it to grow back will be discussed with your Podiatrist.

Read more about your options

 

What will happen at my Nail Surgery Appointment?

Your Podiatrist will discuss your general health and it may be helpful to bring a list of your medication. If you are diabetic we advise having your HBA1C (blood sugars) checked before your procedure date. Having this information will allow you both to agree on what procedure you are best suited for. The procedure will require your toe(s) to be numb which is achieved using a local anaesthetic injection. Your Podiatrist will explain the procedure and answer any questions you may have. A family member / friend may accompany you to your appointment for support if needed.

 

Preparing for the appointment

  • Ensure you have breakfast/lunch depending on the time of your appointment.
  • Bring open toe shoes (sandals, flip flops etc.) to accommodate the dressing that will be applied.
  • Ask of family member/friend to drive you or consider public transport. If this is not possible you may drive.
  • Ensure you are able to rest the foot following the procedure. The Local anaesthetic will wear off in approximately 2-3 hours, take care not to damage it while it is numb.

 

After the procedure

You will be provided with information to help you manage your care at home

This will include:

  • Pain relief
  • Dressings
  • Footwear
  • Activity

 

Aftercare and what to expect

You will be expected to change your own dressings while the wound is healing. This will normally involve:

  • Allow the dressing to get wet in the shower/bath.
  • Remove dressing and allow the water to run down your body and over the toe – avoid direct water pressure on the toe.
  • Allow the area to air dry, do not use a towel to dry the toe.
  • Apply a breathable dressing available from local supermarkets or pharmacies. We advise you obtain these before your procedure date.
  • It is important to avoid foot baths, prolonged soaking and any type of scrubbing of the area.

 

Healing times may vary from 4 - 12 weeks, depending on your medical history and the procedure undertaken. The application of the chemical (Phenolisation) to prevent the nail growing back will increase healing time. Normal healing from phenolisation may include:

  • Redness localised to the tissues around the nail bed
  • The nail bed may be moist and leak some fluid onto the dressing initially
  • A thin yellow film may form over the nail bed
  • Area may look slightly yellowish before getting better and looking more like a normal wound

All of the above should reduce gradually and result in a dry scab forming with no fluid leaking onto the dressing.

 

Infection

It is important to monitor the area for signs and symptoms of infection and contact your local Podiatry department if you have concerns. If you follow the aftercare advice this should help prevent infection occurring. Signs that infection may be present include:

  • Significant increase in redness and swelling
  • Significant increase in pain and discomfort
  • A foul smell from the area
  • Flu like symptoms (Contact out of hours 111 / NHS24 if podiatry service not available) 

 

What will it look like once healed?

If the nail has been allowed to re-grow this will normally take 3-6 months. If the aim is to prevent the nail growing back the area will heal over with normal skin that will toughen slightly over time. There is a chance the nail could grow back however this can often be managed with light regular filing or further treatment if causing significant issues.

 

It’s important to know what’s going on with your own healthcare. Knowing the right questions to ask can make all the difference. Please have a look at some helpful questions which you may wish to ask at NHS Inform.

Last Updated: 28 May 2021