An ingrown toenail occurs when the edge of the toenail grows into the surrounding soft skin. This condition can lead to pain, redness, swelling, or infection. While minor cases can be managed with at-home care, surgery is a common and effective treatment for persistent or severe ingrown toenails. Proper post-operative care is important for successful healing and to help prevent complications.
Returning to Water Activities
After ingrown toenail surgery, water exposure requires careful consideration for proper healing. Showering is generally permissible within 24 to 48 hours. During showers, keep the surgical site dry by covering the toe with a waterproof dressing or plastic wrap. After showering, gently dry the area and follow specific cleaning and dressing instructions.
Full submersion, like swimming or bathing, requires a longer waiting period. Wait two to four weeks, or up to six weeks, until the wound is completely closed and dry. This waiting period is important to prevent infection, as an open wound is an entry point for bacteria. Submersion can also lead to maceration, softening the skin around the wound, delaying healing.
The type of water also influences the risk of infection. Chlorinated swimming pools reduce bacteria but are not sterile, posing a risk to an open wound. Natural bodies of water (lakes, rivers, oceans) carry a higher risk due to more varied bacteria and pathogens. Always consult your surgeon for guidance, as the timeline depends on individual healing and surgical technique.
Comprehensive Post-Surgery Care
Beyond managing water exposure, other post-operative care aspects contribute to optimal healing. Maintaining a clean and dry surgical site is paramount, requiring regular dressing changes. Your surgeon will instruct on dressing changes, typically daily after 24-48 hours, and how to clean the wound before applying a new sterile dressing.
Managing any discomfort experienced after surgery is also an important part of recovery. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate post-operative pain and swelling. It is important to follow the dosage instructions and contact your doctor if pain becomes severe or does not improve with medication. Elevating the affected foot, especially during the first 24 to 48 hours, can help reduce swelling and throbbing pain by promoting fluid drainage.
Appropriate footwear choices are also part of recovery. Wear loose-fitting or open-toed shoes for up to two weeks to prevent pressure on the sensitive surgical site and allow for air circulation. Limit activities initially; avoid strenuous activities, prolonged standing, and high-impact exercises until cleared by your doctor. Attend all scheduled follow-up appointments to monitor healing and address concerns.
When to Seek Medical Attention
While proper post-operative care aims for smooth recovery, recognize signs indicating a complication requiring medical attention. Infection is a primary concern, with several warning signs. These include increasing redness around the wound that spreads, persistent or worsening swelling, and warmth radiating from the surgical area.
Other indicators of a potential infection include throbbing pain intensifying despite pain medication, or pus or unusual drainage from the wound. A foul smell from the surgical site can also suggest bacterial growth. Systemic signs like fever or chills may indicate a widespread infection, requiring immediate medical evaluation.
Be aware of excessive bleeding that does not stop with gentle pressure; some initial bleeding is normal but should subside. If the wound opens, doesn’t close as expected, or if you experience unexpected numbness or tingling, call your healthcare provider. Recognizing these signs early allows for timely intervention and helps prevent more serious issues.