Many people worry about pain during ingrown toenail surgery. Understanding what to expect during and after the procedure can alleviate anxiety and set realistic expectations. This minor in-office procedure prioritizes pain management. This article details the surgical steps, sensations you might encounter, and strategies for managing discomfort during recovery.
Understanding the Surgical Process
Ingrown toenail surgery, often a partial nail avulsion, is a common and straightforward procedure performed in a podiatrist’s office. The process involves numbing the affected toe with a local anesthetic. The problematic section of the nail that has grown into the skin is then carefully removed. This alleviates pressure and irritation on surrounding soft tissues.
In many cases, a chemical like phenol is applied to the nail matrix, the tissue responsible for nail growth, to prevent the ingrown portion from growing back. This provides a long-term solution.
Pain During the Procedure
During ingrown toenail surgery, significant pain is uncommon due to effective local anesthesia. Before the procedure, the podiatrist administers an anesthetic injection at the base of the toe to numb the area. While the injection might cause a brief sting or pressure, this discomfort is temporary. Once the anesthetic takes effect, the toe becomes fully numb. You should not feel pain during the actual nail removal, only pressure or a gentle tugging as the surgeon works.
Pain During Recovery
After the local anesthetic wears off, typically one to two hours following the procedure, some discomfort or mild to moderate pain is normal. This post-operative pain is commonly felt at the injection site and where the nail was removed. For many patients, pain usually eases within 24 hours and subsides significantly within 48 hours. While the surgical site may take several weeks to fully heal, initial discomfort generally resolves quickly. Pain intensity can vary among individuals, influenced by personal pain tolerance and procedure extent.
Managing Discomfort and Healing
Pain Management
Managing discomfort after ingrown toenail surgery involves several strategies. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, are effective for mild to moderate pain. Your podiatrist may provide specific instructions, including avoiding certain medications like aspirin, which can increase bleeding. Elevating the foot above heart level, especially during the first 24 to 48 hours, helps minimize swelling and throbbing. Applying ice packs wrapped in a cloth to the affected area for 10-15 minutes several times a day can also reduce swelling and discomfort.
Wound Care and Activity
Proper wound care is important for healing and preventing complications. The initial sterile dressing should remain intact for 24 to 48 hours, unless otherwise instructed. Afterward, daily cleaning with mild soap and water, followed by applying antibiotic ointment and a clean dressing, is recommended.
Wear loose-fitting or open-toed footwear to prevent pressure on the healing toe. Limit strenuous activities, such as running or jumping, for at least two weeks to allow proper healing. Contact your doctor if pain worsens or if you notice signs of infection like increased redness, swelling, pus, fever, or a persistent bad odor.