
Ingrown toenail surgery is a procedure used to treat a toenail that grows into the surrounding skin, usually along the nail edge of the big toe. This condition can cause pain when walking or wearing shoes. Other symptoms include redness and swelling around the nail. In more advanced cases, drainage or infection may develop. Risk factors include trimming nails too short, wearing tight footwear, and injuring the toe. Although mild cases may improve with conservative care, persistent or infected ingrown toenails may require surgery to relieve pressure and prevent recurring problems.
A podiatrist usually begins by examining the toe and checking for signs of infection. If surgery is necessary, the toe is numbed with a local anesthetic to keep the procedure comfortable. One option is a wedge resection, in which the podiatrist removes the narrow section of nail growing into the skin. Partial toenail removal preserves most of the nail while relieving pressure. In more severe cases, complete toenail removal may be recommended, although it is not always necessary. The choice depends on the nail condition and whether the problem keeps returning.
For recurring ingrown toenails, a podiatrist may perform a matrixectomy. This procedure treats part of the nail matrix, the tissue responsible for nail growth, to help prevent the affected edge from growing back. Chemical treatment or another method may be used. Tip-of-toe surgery is less common and may be considered for selected severe cases involving persistent tissue problems. After treatment, the podiatrist applies a dressing and explains how to clean and protect the toe. Healing recommendations include limiting pressure and attending follow-up visits.
Most patients return to normal activities gradually as tenderness improves. Keeping the toe clean and wearing roomy shoes can support recovery. If you have an ingrown toenail that causes ongoing pain or signs of infection, it is suggested that you consult a podiatrist who may discuss the benefits of this type of surgery with you.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Bergen Foot & Ankle. Our doctors will assist you with all of your foot and ankle needs.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
- Removing foot deformities like bunions and bone spurs
- Severe arthritis that has caused bone issues
- Cosmetic reconstruction
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Neuropathy decompression surgery to treat nerve damage
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
If you have any questions, please feel free to contact our offices located in Fort Lee, NJ and Flushing, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.



