Nail Surgery

The two types of nail surgery are Partial Nail Avulsion (PNA) & Total Nail Avulsion (TNA).

Nail surgery is a medical procedure which involves the removal of a section of the toenail (PNA) or in some cases the removal of the entire nail (TNA) along with the underlying tissue.

How does it work?

Generally during the nail avulsion chemical cauterisation (i.e. phenol) is used to prevent the regrowth of the affected nail. By removing the damaged, ingrown or infected portion of the nail, this can help prevent the condition from spreading or becoming more severe.

Prior to the surgery the patient is given local anaesthetic to numb the area around the nail. Then, the podiatrist will carefully remove the affected nail using sterile surgical tools. After the procedure, the area is usually cleaned and a dressing is applied to the affected nail. The procedure is usually performed in an outpatient setting, and patients can usually return to normal activities within a few days after the surgery.

Surgical nail avulsions provide a more effective and long term solution for patients with chronic ingrown nails and infections.

When do Podiatrists consider nail surgery?

This procedure is typically performed to treat ingrown toenails or other nail conditions (i.e. infections, damage, deformity) that cannot be effectively treated with non-surgical methods.

It is important to discuss the potential risks and benefits of nail surgery with a healthcare professional and weigh the options before making a decision. In some cases, alternative treatments may be available and may be more appropriate depending on the individual's circumstances.